IMI Blog
Community-Based Doulas in Medicaid: The Next Step in Equitable Perinatal Services
Nicole Truhe, Andrea Bennett, Katrina Miller Parrish, Karen George, & Megha Kunju
October 27, 2021
Community-based models of care that support optimal pregnancy health, from prenatal through the postpartum periods, improve patient satisfaction, outcomes, and create a culturally congruent experience. However, disparities in maternal, fetal, and infant outcomes, which differ by race and socioeconomic status, persist. Insurance churn…
New Roadmap & Checklist on High-Value, Evidence-Based Maternal Models of Care in Medicaid
Jennifer E. Moore, PhD, RN, FAAN
May 21, 2021
As the nation focuses on addressing the alarming rates of maternal mortality and morbidity, state Medicaid agencies, Medicaid health plans, clinicians, and other stakeholders are seeking to identify the root causes of the disparities and identify high-value, evidence-based maternal models of care that can be piloted and scaled-up.…
Recuperative Care & COVID-19 in the Medicaid Population
Chloe Bakst, Kimberly Bower, MD, FAAHPM HMDC, Pooja C. Mittal, DO
May 3, 2021
Recuperative care, also known as medical respite care, provides acute and post-acute medical care for people experiencing homeless who longer require hospitalization but may need a safe place to recover. The National Health Care for the Homeless Council developed standards for Medical Respite programs that include the following: •…
Medicaid Covers Us: Conveying the Value of Medicaid
April 15, 2021
Medicaid Covers Us is a public education project that highlights the role of the Medicaid program in the lives of individuals, families, and communities, their interactions with the nation’s health care systems, and how it impacts state/local economies. The project focuses on sharing stories from the perspective of individuals…
Key Findings from IMI’s 2020 Annual Medicaid MCO Survey: SDOH, Women’s Health, & Child Health
March 16, 2021
On December 8, 2020, the Institute for Medicaid Innovation (IMI) hosted a virtual event to support the release of its third annual Medicaid managed care organization (MCO) survey report, Medicaid Access and Coverage in 2019. The survey collected data on Medicaid MCOs that represented sixty-seven percent (67%) of covered lives in…
Addressing SDOH in Medicaid: Cross-Sector Collaborations to Support Initiatives
January 14, 2021
The social determinants of health are a priority for organizations across the health, business, and nonprofit sectors. Healthy People 2030, powered by the U.S Department of Health and Human Services and the Office of Disease Prevention and Health Promotion, divides the social determinants of health into five categories: (1) economic…
Nurses at the Frontline: Stories on the Impact of COVID-19 on Medicaid Enrollees
December 15, 2020
This year, in celebration of the World Health Organization’s Year of the Nurse and Midwife, the Institute for Medicaid Innovation (IMI) partnered with Medicaid health plans across the country to create a compendium that highlights the critical work done by these professionals in the Medicaid space. As the project launched in…
Serve on an Annual Medicaid MCO Survey Tool Revision Workgroup
December 9, 2020
The IMI team is in the process of planning the revision of the annual Medicaid MCO survey tool. We anticipate a complete overhaul of the survey to ensure that our questions remain relevant and timely in collecting meaningful data about the Medicaid program. The survey tool revision process will begin in early 2021. To help us with this…
Innovation in Medicaid Behavioral Health Service Delivery During COVID-19
Chloe Bakst, Ann Giazzoni, MSW, LCSW, MBA, Nevena Minor, MPP, & Yavar Moghimi, MD
November 5, 2020
The rise of COVID-19 in the United States has increased the need for behavioral health services while necessitating a radical change in how these services are delivered. Behavioral health, which includes mental health and substance use disorders, is a major focus for the Medicaid program, with many Medicaid health plans providing…
Increased number of comorbidities associated with higher likelihood of severe maternal morbidity
Caroline E. Adams & Clare C. Brown, PhD, MPH
October 22, 2020
IMI’s latest research article, released ahead-of-print in the journal Obstetrics and Gynecology, examines risk of severe maternal morbidity in association with chronic conditions and maternal race/ethnicity. An analysis was performed using a nationally representative sample of delivery hospitalizations. Medicaid covers almost…
Doulas & Maternity Community Health Workers in Medicaid
October 14, 2020
In the spring of 2020, the Institute for Medicaid Innovation (IMI) released a new report, Community-Based Maternal Support Services: The Role of Doulas and Community Health Workers in Medicaid. This report was part of a suite of resources IMI produced related to high-value, evidence-based maternal models of care. As part of this…
Introducing IMI’s New Virtual Learning Series on High-Value, Evidence-Based Models of Maternal Care in Medicaid
September 3, 2020
Following the spring release of the Institute for Medicaid’s (IMI) report, Improving Maternal Health Access, Coverage, and Outcomes in Medicaid, the IMI team heard from an array of Medicaid stakeholders who were interested in taking the information about high-value, evidence-based maternal models of care detailed in the report…
State Medicaid Programs and Pathways to Health
Audrey McClurg, Noelle Serino, & Sara Villanueva
August 24, 2020
IMI’s most downloaded resource on the website is its Medicaid state fact sheets, offering comprehensive information on topics such as eligibility, waivers, programmatic offerings, and covered benefits for each state in the U.S., D.C., and Puerto Rico. The Medicaid state fact sheets are designed to provide an overview of the most…
Emphasizing the “Person” in Person-Centered Contraceptive Care and LARC Access
August 7, 2020
Person-centered care is care that responds to an individual’s preferences, needs, and values. Individual contraceptive preferences are influenced by a wide range of historical and social factors; these include racism, sexism, economic injustices, histories of trauma, and cultural preferences. The people who use contraception are…
Visualizing the Benefits of High-Risk Care Coordination in the Medicaid Population
July 23, 2020
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The recently released report by the Institute for Medicaid Innovation, High-Risk Care Coordination: Opportunities, Barriers, and Innovative Initiatives in Medicaid, includes an overview of the benefits of high-risk care coordination (HRCC) in the Medicaid population, highlights innovative case studies from Medicaid health plans, and… |
Understanding the Role, Responsibilities, and Reach of IMI’s Committees and Subcommittees
Caroline E. Adams & Chloe Bakst
July 13, 2020
The Institute for Medicaid Innovation (IMI) has established committees and subcommittees to guide and inform the organization’s mission, vision, and strategic plan. The committees bring together a diverse array of national and state Medicaid stakeholders, including representatives from Medicaid health plans, state Medicaid…
New Research from IMI - Innovation in Maternal Depression and Anxiety: Medicaid Initiatives in California & Nationwide
November 5, 2018
Maternal behavioral health disorders affect women, infants, and families across the country. The Medicaid program plays a critical role in ensuring reproductive-aged women have access to the appropriate health care services in the perinatal and postpartum periods. Low-income women and women of color, populations that are…
Trends in Medicaid Managed Care—Results from 2018 MMCO Survey
October 29, 2018
IMI is excited to announce the results of the inaugural Medicaid Managed Care Organization (MCO) Survey. The 2018 Annual Medicaid MCO Survey is the first-of-its-kind national, longitudinal survey that captures data on critical elements of the Medicaid program, including high-risk care coordination, value-based payment, pharmacy,…
Significant Disparities Found Among Women with Severe Maternal Morbidity
Jennifer E. Moore, PhD, RN, FAAN
September 13, 2018
The Institute for Medicaid Innovation recently collaborated with the Agency for Healthcare Research and Quality (AHRQ) on a landmark analysis utilizing the Healthcare Cost and Utilization Project (HCUP) data to look at severe maternal morbidity in the U.S. The recently released report highlights trends and disparities in delivery…
New IMI Resource: State Medicaid Facts - An Overview of Each State’s Program
September 6, 2018
Medicaid programs vary significantly across the United States. To provide insight into the variance, the Institute for Medicaid Innovation developed state fact sheets. The new resource offers a comprehensive overview of the Medicaid programs in all 50 states and the District of Columbia. Each fact sheet includes a timeline of the…
Section 1115 waivers: States’ Recent Use of This Tool to Change the Medicaid Landscape
August 7, 2018
Recently, important changes have been made to state Medicaid programs through the Section 1115 waiver; a demonstration waiver that allows states the flexibility to experiment with new and innovative ways to reduce costs, improve access, and enhance quality of care in the Medicaid program. Through 1115 waivers, states can obtain…
Expanding Medicaid Services in Schools: A Learning Collaborative Convening
Caroline E. Adams and Faith Reynolds
June 27, 2018
In June, the IMI Staff had the privilege of attending the Healthy Students, Promising Futures Learning Collaborative, hosted by Healthy Schools Campaign and Trust for America’s Health. The purpose of the event was to identify and discuss ways to provide better support for children’s health and wellness in schools. This…
CHOPT Toolkit Release
June 19, 2018
We are delighted to share that the CHildhood Obesity Prevention & Treatment (CHOPT) for Medicaid project toolkit has been released. The important work of CHOPT for Medicaid was realized through the generous support of the Robert Wood Johnson Foundation. The foundation’s commitment to building a culture of health to reduce…
Announcing Our New Summer Intern
June 18, 2018
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The Institute for Medicaid Innovation recently welcomed this year’s summer intern, Faith Reynolds. Faith participates in the University of Michigan’s Public Service Internship Program (PSIP) which prepares undergraduate students to obtain summer internships in Washington D.C. The program helps students build career… |
Celebrating Women’s Health Week in Medicaid
Jennifer E. Moore, PhD, RN, FAAN
May 15, 2018
With the launch of the activities surrounding national women’s health week, the Institute for Medicaid Innovation is celebrating the accomplishments and advancements in health care specific to women served by the Medicaid program. For instance, Medicaid expansion extended the number of women who are eligible to seek care for…
Opportunities to Address the Opioid Epidemic in the Medicaid Population
Jennifer E. Moore, PhD, RN, FAAN
May 7, 2018
The Institute for Medicaid Innovation’s recently published Health Affairs blog post, “Opioid Crisis in Medicaid: Saving Mothers and Babies,” highlights research and clinical opportunities to address the epidemic. The opportunities include: Conduct medical research to evaluate causes of opioid use focused on pregnant…
Welcome to the Team! Expansion of IMI’s Research & Policy Expertise
Jennifer E. Moore, PhD, RN, FAAN
March 22, 2018
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The Institute for Medicaid Innovation (IMI) is expanding its team of accomplished academics and policy experts to keep up with the growing demand for evidence-based insights into the Medicaid program. Erin Smith, MS, Atlang Mompe, MPH, Kimberly Tuck, RN, Lekisha Daniel-Robinson, MPH, and Caroline Adams will be the latest additions to… |
Families Enrolled in Medicaid Share Experiences in Addressing Childhood Obesity
Sandra G. Hassink, MD, MS, FAAP
February 26, 2018
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Rates of childhood obesity are significantly higher for those covered by Medicaid compared to those receiving coverage through private insurance. For every 100,000 children in Medicaid, 1,115 have obesity compared to 195 for those in private insurance. The average cost for children with obesity covered by Medicaid exceed $6,700… |
A Year in Review: IMI 2017 Highlights
Jennifer E. Moore, PhD, RN, FAAN
January 5, 2018
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With its mission to improve the lives of Medicaid enrollees through the development, implementation, and diffusion of innovative and evidence-based models of care that promote quality, value, equity and the engagement of patients, families, and communities. The Institute provides independent, unbiased, nonpartisan information and… |
Addressing the Social Determinants of Health in Medicaid
December 4, 2017
I recently had the special opportunity to attend the Institute for Medicaid Innovation’s Annual Conference in Washington, D.C. This year’s theme, Addressing Social Determinants of Health in Medicaid, sought to create a dialogue around this increasingly popular topic, with a special focus on practical examples of…
New IMI Resource: Understanding the Complex Medicaid Program
November 15, 2017
As the Medicaid program continues to be the focus of national and state policy debate, the IMI summer 2017 interns developed a comprehensive Medicaid 101 issue brief to help inform the discussions. Medicaid is a complex, joint federal and state program. Much of the complexity is due to variation of policies between states including…
Quality Measurement in the Medicaid Innovation Accelerator Project: Findings from the Final Report
Jennifer E. Moore, PhD, RN, FAAN
November 2, 2017
Launched in 2014, the Medicaid Innovation Accelerator Program supports states’ ongoing efforts related to payment and delivery system reforms with targeted technical support and tools in four functional areas: quality measurement, performance improvement, data analytics, and payment modeling and financial simulations. The…
Analysis of U.S. Disparities by Sex: A Deeper Dive Into the National Healthcare Quality and Disparities Report
Jennifer E. Moore, PhD, RN, FAAN
October 23, 2017
Established by the Affordable Care Act, the National Quality Strategy (NQS) is the national policy goals aimed at improving the quality of health care for all Americans. The NQS established six priorities to provide better, more affordable care for individuals and communities. This is the first analysis of data on the NQS and access…
Only 50% of Pregnant Women In Medicaid with Opioid Misuse Disorder Seek Treatment
Jennifer E. Moore, PhD, RN, FAAN
September 26, 2017
The number of opioid-related deaths in the U.S. exceeded 33,000 in 2015, an increase of 200% since 2000, according to the U.S. Centers for Disease Control and Prevention (CDC). At the same time, rates of NAS and maternal opioid use are climbing, as cited by a report focused on opioid misuse from the Institute for Medicaid Innovation,…
IMI Research Published in Women’s Health Issues Journal
Jennifer E. Moore, PhD, RN, FAAN
September 14, 2017
Pregnant women who have experienced a prior preterm birth are advised to get progesterone injections to prevent another one, but Medicaid coverage of these injections varies between states and managed care organizations. A new study conducted by IMI team members was published in the journal Women's Health Issues. Our study involved…
IMI Annual Conference: Addressing Social Determinants of Health in Medicaid
Jennifer E. Moore, PhD, RN, FAAN
September 6, 2017
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The Institute for Medicaid Innovation is excited to announce that this year's annual research and clinical practice conference will be focused on addressing social determinants of health in Medicaid. The one-day conference to be held on October 30th in Washington, D.C., will kick-off with a keynote address from Rebecca Onie,… |
Opioid Crisis: Understanding the Medicaid Perspective
July 10, 2017
The Opioid Summit last month, followed by the release of two relevant IMI reports was truly an amazing experience. Participants in a jam-packed room at the Senate Office Building, and hundreds of people who learned and participated by live-streaming, heard that effective treatment is available from current Medicaid programs for…
Opioid Epidemic: Crisis to Care in Medicaid
Jennifer E. Moore, PhD, RN, FAAN
June 23, 2017
Since 2000, the significant increase in the misuse of opioids, including prescription (e.g., oxycodone) and illicit (e.g., heroin) opioids, has led to the declaration of an “opioid epidemic” by the U.S. Department of Health and Human Services (HHS). Notably, this trend is increasingly prevalent among women misusing…
Welcome Summer Interns
Jennifer E. Moore, PhD, RN, FAAN
May 30, 2017
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The Institute for Medicaid Innovation welcomed its summer interns this week. The three undergraduate students are participating in the University of Michigan’s Public Service Internship Program (PSIP). The program prepares undergraduate students to obtain summer internships in Washington D.C., educates them to build career… |
Access to Women’s Reproductive Health Services in Medicaid Managed Care
Jennifer E. Moore, PhD, RN, FAAN
April 28, 2017
The Institute for Medicaid Innovation in collaboration with the Kaiser Family Foundation sought to better understand the provision of women’s reproductive health services in Medicaid with an emphasis on gleaning information about access and coverage. Through a national survey of Medicaid managed care organization (MMCO) clinical…
Oral Health – Its Impact on Medicaid Populations
February 16, 2017
We sometimes view oral health as simply that of good dental care. Yet it goes beyond maintaining the hard enamel structure of teeth, a structure so impervious that remaining dentition can often times be used as a tool for identification when all other human structures have decomposed. Abundant bacterial colonies found in the oral…
Policy Solutions are Needed to Broaden Access to 17P to Prevent Preterm Births for Pregnant Women in Medicaid
January 30, 2017
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Medicaid finances approximately half of all deliveries in the United States. A recent analysis conducted by A. R. Markus et. al. (2016) found that Medicaid covered approximately 48.8 percent of all preterm births (compared to 42.1 percent covered private insurance) from 2010-2013 and that Medicaid was 7.5 percent more likely to be the… |
Barriers in Accessing 17P for Pregnant Women in Medicaid
January 10, 2017
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Preterm birth – delivery before 37 weeks of pregnancy – affects almost one in ten births and is the leading cause of neonatal morbidity and mortality in the United States. Babies born preterm account for almost $20 billion in health care costs annually, both for acute care (after birth) and long-term care needs throughout… |
Five Elements Influencing Medicaid Prescription Drug Access & Coverage
Jennifer E. Moore, PhD, RN, FAAN
November 29, 2016
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The National Academies of Sciences, Engineering, and Medicine (NASEM), formerly the Institute of Medicine, recently convened its first Committee on Ensuring Patient Access to Affordable Drug Therapies. The committee is charged with developing a final report that identifies issues in drug pricing and recommendations for that could… |
CHOPT for Medicaid: Resources for Addressing Childhood Obesity
November 21, 2016
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Childhood obesity is one of the most common and significant health conditions in the U.S. and yet, is the least understood. Current research demonstrates an overall lack of evidence to assess the efficacy of non-school based interventions in preventing childhood obesity. Furthermore, there is little available research that stratifies… |
Innovation in Medicaid to Increase Access to LARC
Jennifer E. Moore, PhD, RN, FAAN
November 14, 2016
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Challenges in assuring access to long acting reversible contraception (LARC) for the Medicaid population are numerous, including limitations associated with a bundled maternity care payment system. However, there are also innovative initiatives being tested in Medicaid managed care to overcome these barriers. The Institute was recently… |
CHOPT for Medicaid: Focusing on the Experiences of Families
Jennifer E. Moore, PhD, RN, FAAN
November 8, 2016
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Funded by the Robert Wood Johnson Foundation, the CHOPT for Medicaid project is a year-long initiative focused on childhood obesity prevention and treatment efforts in the Medicaid population. The culmination of this work was unveiled during last week’s convening meeting, including a toolkit that offers a comprehensive overview… |
Welcome to the Institute
Jennifer E. Moore, PhD, RN, FAAN
October 24, 2016
Let me be the first to officially welcome you to the launch of the Institute for Medicaid Innovation’s blog. We are excited to use this platform to keep Medicaid stakeholders informed about current and upcoming initiatives that the Institute is leading. We will feature interviews from Medicaid beneficiaries, health plans,…