The Centers for Medicare & Medicaid Services (CMS) announced it is expanding access to behavioral health services for people with Medicare through coverage of intensive outpatient services and that it is making it easier for the public to learn what a hospital charges for items and services through improved hospital price transparency requirements.

Tags: Financial Sustainability, Medicare

The Centers for Medicare & Medicaid Services (CMS) announced it is finalizing policies to support primary care, advance health equity, assist family caregivers and expand access to behavioral and certain oral health care.

These policies are included in the calendar year (CY) 2024 Medicare Physician Fee Schedule (PFS) final rule, which also provides payment for principal illness navigation services to help patients and their families navigate cancer treatment and treatment for other serious illnesses

Tags: Financial Sustainability, Medicare

On November 2, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that announces finalized policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, effective on or after January 1, 2024.

The calendar year (CY) 2024 PFS final rule is one of several final rules that reflect a broader Administration-wide strategy to create a more equitable health care system that results in better access to care, quality, affordability, and innovation.

Tags: Financial Sustainability, Medicare

National Association of Community Health Workers (NACHW) one-pager outlining several ways CHWs strengthen public health capacity, with a special focus on COVID-19 response efforts.Medicare and Medicaid Programs; CY 2024 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies; and Basic Health Program

Tags: Financial Sustainability, Medicare

An introduction to the CHW Common Indicators. It includes abbreviated versions of the indicators and provides a brief overview of the need for the indicators, how they were developed, and how they should be used.

Tags: PDF, sustainability, Summit

Information about the history of popular/people’s education, a philosophy and methodology that has been used successfully around the world to create settings where people most affected by inequities can share what they know, learn from one another, build their knowledge using interactive techniques, and use what they know to solve community problems and create a more just and equitable society.

Tags: PDF, sustainability, Summit

A series of indicators – developed with and vetted by CHWs – that measure the workforce conditions CHWs need to be successful and the outcomes CHWs are uniquely positioned to achieve. Each section of the grid includes the construct, its definition, a rationale for measuring that construct in programs that employ CHWs, and how to operationalize it.

Tag: PDF, sustainability, Summit

Article highlighting the increasing importance of CHWs in the creation of a stronger public health system for all in the U.S, outlining the ABCs of CHWs, and sharing additional resources.

Tags: article, sustainability, partnerships, systemic support, health equity, workforce development

Policy brief on five policy recommendations to enhance and prioritize CHW models into existing health care transformation reforms.

Tags: policy brief, PDF, sustainability, CHW integration, health equity

Elevating the Medicaid Enrollment Experience is a Center on Budget and Policy Priorities project to promote policies and practices to help eligible individuals enroll and stay enrolled in Medicaid.

Tags: website, envision webinar resource, sustainability, structural and financial stability, Medicaid

Presentation slides from the April 2023 envision webinar, which takes a closer look at strategies for safety net policy response.

Tags: slides, envision webinar resource, sustainability, structural and financial stability, safety net, Medicare, Medicaid, policy

Safety net programs are coming to an end, the results will impact CHW and the communities they assist. This envision webinar takes a closer look at strategies for safety net policy response.

Tags: envision webinar, sustainability, structural and financial stability, safety net, Medicare, Medicaid, policy

Experts answer pressing questions, address concerns, and share the immediate, most important impacts of the COVID-19 public health emergency ending during this 90-minute interactive webinar held in April 2023.

Tags: webinar, COVID-19, public health emergency, sustainability, vaccination

Tracker from Georgetown University's Center for Children and Families examining whether the following information can be found on the state Medicaid or state Marketplace website or in public documents.

Tags: website, sustainability, structural and financial stability, Medicaid

Table from Medicaid.gov showing the state-specific timelines for initiating unwinding-related renewals, as of February 24, 2023.

Tags: pdf, sustainability, structural and financial stability, Medicaid

Centers for Medicare and Medicaid Services update regarding Medicaid continuous enrollment condition changes, conditions for receiving the FFCRA temporary FMAP increase, reporting requirements, and Consolidated Appropriations Act 2023 enforcement provisions.

Tags: pdf, envision webinar resource, sustainability, structural and financial stability, Medicaid

Key findings from the Kaiser Family Foundation’s annual Medicaid budget survey (conducted in 2022), where they asked states about CHW coverage policies already in place and planned for FY 2023.

Tags: issue brief, COVID-19, Medicaid, sustainability

The Consolidated Appropriations Act, 2023 (signed into law in December 2022) includes several provisions related to Medicaid and the Children’s Health Insurance Program (CHIP). This brief explains the Consolidated Appropriation Act’s Medicaid and CHIP provisions.

Tags: PDF, issue brief, sustainability, structural and financial stability, Medicaid

This National Academy for State Health Policy (NASHP) brief provides an overview of recent developments in Medicaid State Plan Amendments (SPAs).

Tags: brief, website, sustainability, structural and financial stability, fiscal policy, Medicaid

Designed with support from Mid-America Regional Council and the Health Forward Foundation, this toolkit covers how to use existing tools or establish capacities to bill for CHW/P interventions within the current health care marketplace.

Tags: toolkit, sustainability, Medicaid, reimbursement, financial and structural sustainability