Enrollment Innovations: Kentucky implemented a range of measures during the COVID-19 pandemic to simplify Medicaid enrollment and increase access to coverage including targeted, data-driven marketing and outreach; a simplified application; and coordination with other state agencies.

• Improving Access to Care: North Carolina developed a maternal/perinatal telehealth policy during the COVID-19 pandemic that provided telehealth and home visit care to patients; provided reimbursement to perinatal providers for remote blood pressure monitoring, physiological monitoring, and lactation services; and conducted postpartum depression screenings by video, phone, and online portal messaging.

• Initiatives to Address Social Determinants of Health: Arizona developed its Whole Person Care Initiative, which offers a range of support services to enrollees including transitional housing; referrals for and transportation to community-based services such as employment and food assistance; and long-term care services to reduce social isolation.

• Care Coordination Initiatives for Vulnerable Populations: West Virginia launched a program for children in foster care that reduces fragmentation and provides a continuum of acute services, delivers needed services in the most integrated and cost-effective way possible, and ensures quality across services.

• Addressing Health Disparities: Minnesota engaged community members to inform recommendations on how to address racial equity for Black Minnesotans. The recommendations address enrollment and renewal, increasing access to culturally relevant care, and engaging communities and families served by the program.  

• Promising or Emerging Initiatives: California introduced an initiative to address complex challenges such as homelessness; insufficient access to behavioral healthcare; and caring for children with complex medical conditions, justice-involved individuals, and the growing aging population. The initiative supports non-clinical interventions to address social determinants of health and reduce disparities and inequities.  

“The federal-state Medicaid partnership enables states to develop tailored, creative solutions to local challenges, and when faced with an unprecedented pandemic, Medicaid leaders dug deep to develop innovative approaches to care,” said Tara Oakman, interim managing director at the Robert Wood Johnson Foundation. “While it remains a difficult period for Medicaid programs, all states can learn from successes in other states in improving Medicaid access, care delivery, and equity.”

The recognized states demonstrate diversity in political composition, geography, and state Medicaid program size and were honored at NASHP’s annual conference in Seattle.  

“We are so pleased to recognize state Medicaid programs that have creatively addressed significant challenges over the past few years to meet the needs of their residents,” said Hemi Tewarson, executive director at the National Academy for State Health Policy. “We hope these state efforts can provide ideas and inspiration for other states.”

 

About the National Academy for State Health Policy 

The National Academy for State Health Policy is a nonpartisan organization committed to developing and advancing state health policy innovations and solutions. NASHP provides a unique forum for the productive exchange of strategies across state government, including the executive and legislative branches. For more information, visit www.nashp.org.

 

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新泽西州普林斯顿大学-亚利桑那州、加利福尼亚州、肯塔基州、明尼苏达州、北卡罗来纳州和西弗吉尼亚州的医疗补助计划获得了由罗伯特·伍德·约翰逊基金会(RWJF)和国家州卫生政策研究院(NASHP)颁发的2022年医疗补助创新奖。这个非党派奖项表彰各州在近年来公共卫生面临重大挑战的情况下，在医疗补助计划中表现出的创造力、领导力和进步。

医疗补助计划是一项州-联邦联合医疗保险计划，覆盖美国五分之一的人口，包括老年人和残疾人，以及40%的儿童。通过与联邦政府合作，各州可以调整和加强他们的医疗补助计划，以满足居民的独特需求。

由专家顾问小组选出的医疗补助创新奖获得者是医疗补助机构的领导人，他们实施或加强了创新和独特的方法来改善医疗补助参保者的健康和生活。奖项分为六个类别:

• 招生的创新:肯塔基州在COVID-19大流行期间实施了一系列措施，以简化医疗补助计划的登记并增加覆盖面，包括有针对性的、数据驱动的营销和外联;简化的应用程序;以及与其他国家机构的协调。

• 改善获得医疗服务的机会:北卡罗来纳州在COVID-19大流行期间制定了孕产妇/围产期远程医疗政策，为患者提供远程医疗和家访护理;为围产期提供者提供远程血压监测、生理监测和哺乳服务报销;并通过视频、电话、门户网站信息等进行了产后抑郁症筛查。

• 解决健康问题社会决定因素的举措:亚利桑那州制定了“全人关怀计划”，为参保者提供一系列支持服务，包括过渡性住房;转介和运送以社区为基础的服务，例如就业和粮食援助;以及长期护理服务，以减少社会隔离。

• 弱势群体护理协调行动:西弗吉尼亚州启动了一项针对寄养儿童的计划，减少分散现象，提供连续的紧急服务，以最综合、最具成本效益的方式提供所需服务，并确保各项服务的质量。

• 解决健康差距问题明尼苏达州:邀请社区成员就如何解决明尼苏达州黑人的种族平等提出建议。这些建议涉及到注册和更新，增加与文化相关的护理，以及参与该计划服务的社区和家庭。

• 有希望的或正在出现的举措:加利福尼亚提出了一项解决无家可归等复杂挑战的倡议;获得行为保健的机会不足;以及照顾患有复杂疾病的儿童、涉及司法的个人以及日益增长的老龄化人口。该倡议支持采取非临床干预措施，以解决健康的社会决定因素并减少差距和不公平现象。

罗伯特·伍德·约翰逊基金会临时董事总经理塔拉·奥克曼说:“联邦-州医疗补助伙伴关系使各州能够针对当地挑战制定量身定制的创造性解决方案，当面临前所未有的大流行时，医疗补助领导人深入研究开发创新的护理方法。”“虽然这仍然是医疗补助计划的困难时期，但所有州都可以从其他州的成功经验中学习，以改善医疗补助的获取、医疗服务和公平性。”

被认可的州在政治构成、地理位置和州医疗补助计划规模方面表现出多样性，并在西雅图举行的NASHP年会上获得表彰。

国家卫生政策研究院执行主任Hemi Tewarson说:“我们很高兴认识到，在过去几年里，各州医疗补助计划创造性地解决了重大挑战，以满足居民的需求。”“我们希望这些州的努力可以为其他州提供思路和灵感。”

关于国家卫生政策研究院

国家卫生政策研究院是一个致力于发展和推进国家卫生政策创新和解决方案的无党派组织。NASHP为包括行政和立法部门在内的州政府之间富有成效的战略交流提供了一个独特的论坛。更多信息，请访问www.nashp.org．

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关于罗伯特伍德约翰逊基金会

45年来，罗伯特·伍德·约翰逊基金会一直致力于改善健康和医疗保健。我们正在与他人一起努力，建立一种国家健康文化，为每个美国人提供公平和公正的健康和幸福机会。更多信息，请访问www.ottomotal.com．在Twitter上关注基金会www.ottomotal.com/twitter或在Facebook上www.ottomotal.com/facebook．