“Any recommendations?” Word of mouth is a key source of information

In social service speak we call them “trusted intermediaries” – those people and organizations who are good at getting the word out about programs and services. Most often, we think of relying on trusted intermediaries when trying to connect with hard-to-reach populations, especially those with language or cultural barriers. But as The Center for Community Solutions continues to work with...

If You Want to Cut Costs in Medicaid, Sharpen Your Knives: Innovation in Medicaid Pharmacy

Pharmacy is a Byzantine policy area that confounds and frustrates wonks, reporters and policymakers alike. However, it is common knowledge that the pharmacy benefit in Medicaid is, if anything, a major driver of cost. While this is well known and was most recently identified by the Joint Medicaid Oversight Committee’s (JMOC) actuary in late 2016, the recent Pharmacy Benefit Manager...

New Medicaid Eligibility Requirements Hit Close to Home

Over the past nearly 40 years I’ve spent a lot of time trying to understand how various local, state or federal policy choices might affect various groups of people – children, families, women, people with disabilities, etc. Sometimes I focus on how a decision might affect an individual, but most of the time I’m wrapped up in trying to understand...

Managed Care Organizations and Medicaid Performance

I recently authored an Issue Brief on the role data plays in Ohio’s Medicaid program. In developing that piece, I tried to approach data as a tool in business infrastructure development for the government “as an insurance organization,” which, for all intents and purposes, is what Medicaid is. If the mission of this insurance organization is to promote higher value...

Dispelling the Poverty Myth: Authors, program graduates talk about Bridges Out of Poverty

The 5th meeting of the Human Services Advocacy Network (HSAN) featured researcher Phil DeVol and former Ohio State Representative Gene Krebs. Together, they authored the book Bridges Across Every Divide: Policy and Practices to Reduce Poverty and Build Communities, a book that examines how to build public policy connectors to bring together policymakers, advocates and citizens across the political spectrum...

Lawmakers consider whether Ohio Medicaid is overpaying for pharmacy benefits – and what health outcomes are being achieved, June JMOC Pt. 2

This is the second of a two-part blog covering the June 28, 2018 meeting of the Joint Medicaid Oversight Committee. The first part, addressing the committee’s discussion of Behavioral Health Redesign, can be found here. The business models of pharmacy benefit managers (PBMs) have come under scrutiny from both the media and state investigators in the months since the Joint...

Elder Abuse: Who is most at risk of Self-Neglect?

Elder Abuse Awareness Month may be over for 2018, but the impact of elder abuse lasts all year. Elder abuse is defined by the U.S. Administration for Community Living as “any knowing, intentional or negligent act by a caregiver or any other person that causes harm or serious risk of harm to a vulnerable adult.” Elder abuse can be physical...

Administration, Managed Care Plans Signal They’re Ready for Final Phase of Behavioral Health Redesign, June JMOC Pt. 1

This is the first of a two-part blog covering the June 28, 2018 meeting of the Joint Medicaid Oversight Committee. The second part addresses the committee’s discussion on pharmacy benefit managers (PBMs), and can be found here. On July 1, behavioral health providers began submitting claims for services to Ohio’s five Medicaid managed care plans (MCPs), marking the final phase...