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HEALTH SOLUTIONS

Medicaid

Innovative solutions for Medicaid

OVERVIEW

Milliman Medicaid solutions

Medicaid services for states

Medicaid services for states

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Insight

Milliman Medicaid insight

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White paper

Average Manufacturer Price cap removal: Implications for state Medicaid programs

As a new federal law, effective in 2024, removes a cap on manufacturers' drug rebate amounts, we explore the implications for state Medicaid programs.

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WHITE PAPER

State-directed payment considerations for the CMS Medicaid and CHIP Managed Care Access, Finance, and Quality proposed rulemaking

We review the essentials for states to consider regarding the proposed changes by CMS for Medicaid and Children’s Health Insurance Program Managed Care Access.

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Article

Maximizing opportunities to efficiently manage pharmacy costs in Medicaid

As drug costs continue to rise, states need to engage in strategies that include policy and nonpolicy options to manage prescription spending in Medicaid.

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Article

Evaluation of State Medicaid Scorecard Data: 2021 Scorecard update

This report provides an analysis of the recently released 2021 Centers for Medicare and Medicaid Services (CMS) Medicaid and Children’s Health Insurance Program (CHIP) Scorecard.

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Research Report

Medicaid managed care financial results for 2021

Uncertainty remains regarding COVID-19’s impact on Medicaid MCO financial performance, including the deferral of care, pent-up demand, and future claims.

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Article

Health equity data strategy and applications in Medicaid managed care

A summary of available data sources that can assist state Medicaid agencies in evaluating health disparities and measuring progress toward health equity goals

Article

Care management for Medicaid: Optimizing new models of care for better population health and lower costs

Design and implementation of new care models mean a major undertaking for many plans, yet optimizing their value could bring substantial rewards for MCOs.

Article

Meeting the needs of Medicaid Home and Community-Based Services program participants during the COVID-19 pandemic and beyond

The COVID-19 pandemic presents unique challenges for Medicaid Home and Community-Based Services program participants.

Article

Assisting Medicaid beneficiaries to achieve housing stability

This brief scopes out the issue of homelessness and housing security and Medicaid’s role in addressing the issue.

Article

Evaluation of State Medicaid Scorecard Data: 2020 Scorecard Update

This report provides an analysis of the recently released 2020 Centers for Medicare and Medicaid Services (CMS) Medicaid and Children’s Health Insurance Program (CHIP) Scorecard. 

RELATED PRODUCTS

Milliman Medicaid products

Healthcare risk adjustment

Milliman Advanced Risk Adjusters

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Healthcare analytics

MedInsight

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Healthcare cost modelling

Dashboard for Research, Insight, and Validation of Experience (DRIVE)

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