Research Priority: Medicaid

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April 8, 2019

Engineering outcomes: Managed care and value-based design in Ohio Medicaid

Introduction The Ohio Medicaid program is privatized. In 1978, roughly a decade after Medicaid was first created by Congress, Ohio contracted private corporations to assist it in managing Medicaid benefits for Ohioans. Today, these relationships represent some of the most significant sources of public expenditures, representing billions in taxpayer money both in Ohio and nationally....

October 22, 2018

From Point A to Point B: Transportation as a Social Determinant in Medicaid

INTRODUCTION Time is money. This cliché is a cliché because the lens of time as an economic analytical tool is not new or unexplored territory. Time has a value, intrinsically and in very real financial terms, and is a key measurement in analyzing the effectiveness of decisions around resources. In most healthcare reimbursement schemes, including...

September 4, 2018

Strategic review of Medicaid Part three

In “Part III: Recommendations” of the Strategic Review of Medicaid series, we take the information outlined in the previous two sections and synthesize some policy concepts that are worth considering once the Kasich Administration ends. While there has been a tremendous amount of change over the course of the last eight years, much of which...

June 25, 2018

Crunching the Numbers: Data and Platforming Value in Medicaid

INTRODUCTION In 2015, the Ohio Department of Medicaid processed more than 3 million claims through its online portal, the Medicaid Information Technology System (MITS), representing nearly $960 million in reimbursement and providers submitted more than 24 million eligibility inquiries.[1] Additionally, with nearly $48,000 a minute reimbursed to Ohio’s nearly 90,000 providers, the Ohio Medicaid program’s...

June 12, 2018

Public Comment to the Centers for Medicare and Medicaid Services

INTRODUCTION Pursuant to Ohio Revised Code §5166.37,[1] the Ohio General Assembly has mandated the Ohio Department of Medicaid seek federal approval for an 1115 Demonstration Waiver imposing work requirements on individuals covered through Medicaid via the Group VIII expansion. Pursuant to law established in the Patient Protection and Affordable Care Act, and further articulated in...

June 11, 2018

Making the Grade: Education and Medicaid in Ohio and Beyond

 INTRODUCTION After signing the Higher Education Act of 1965, President Lyndon Johnson returned to San Marcos, Texas, a place where he had once taught impoverished schoolchildren in a segregated environment, and recalled his experience as a teacher stating, “…this nation could never rest while the door to knowledge remained closed to any American.”[1] Through this...