1 Cindy Mann, JD Cindy Mann, JD CMS Deputy Administrator CMS Deputy Administrator Director Director Center for Medicaid, CHIP, and Survey & Center for Medicaid, CHIP, and Survey & Certification Certification Alliance for Health Reform Alliance for Health Reform April 23, 2010 April 23, 2010 Putting Reform into Medicaid Putting Reform into Medicaid and Medicaid into Reform: and Medicaid into Reform: A Two-Way Street A Two-Way Street
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1 Cindy Mann, JD CMS Deputy Administrator Director Center for Medicaid, CHIP, and Survey & Certification Alliance for Health Reform April 23, 2010 Cindy.
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The Federal Government The Federal Government is is
here to helphere to help
The Federal Government The Federal Government is is
here to helphere to help Our MissionOur Mission: Help states : Help states
make Medicaid and CHIP the make Medicaid and CHIP the best programs they can bebest programs they can be
States are struggling; but States are struggling; but federal resources and federal resources and support are available nowsupport are available now
The Affordable The Affordable Care Act of 2010Care Act of 2010The Affordable The Affordable
Care Act of 2010Care Act of 2010
Sources of Coverage Sources of Coverage for Non-Elderly (2019)for Non-Elderly (2019)Sources of Coverage Sources of Coverage
for Non-Elderly (2019)for Non-Elderly (2019)
Source: Congressional Budget Office
162m162m162m162m
35m35m35m35m24m24m24m24m54m54m54m54m
30m30m30m30m
Coverage Guarantees Rely on Coverage Guarantees Rely on ESI, Exchange, Medicaid/CHIPESI, Exchange, Medicaid/CHIPCoverage Guarantees Rely on Coverage Guarantees Rely on ESI, Exchange, Medicaid/CHIPESI, Exchange, Medicaid/CHIP
ESIESIESIESI
Medicaid/Medicaid/CHIPCHIP
Medicaid/Medicaid/CHIPCHIP
ExchangeExchangeExchangeExchange
New ParadigmNew ParadigmNew ParadigmNew Paradigm Reform is predicated on the principle that everyone Reform is predicated on the principle that everyone
who is eligible is enrolled; and that coverage is who is eligible is enrolled; and that coverage is stablestable
– Necessary for coverage, cost containment and qualityNecessary for coverage, cost containment and quality
Need to rethink Medicaid enrollment/renewal; Need to rethink Medicaid enrollment/renewal; simplified Medicaid rules and other features of simplified Medicaid rules and other features of reform will make this easierreform will make this easier
Essential to make a Essential to make a system system out of different out of different componentscomponents
Putting Medicaid into Putting Medicaid into ReformReform
Putting Medicaid into Putting Medicaid into ReformReform
A A systemsystem of coverage of coverage across across Medicaid/Exchange/ESIMedicaid/Exchange/ESI
Make “No Wrong Door” Make “No Wrong Door” a realitya reality
A A systemsystem of coverage of coverage across across Medicaid/Exchange/ESIMedicaid/Exchange/ESI
Make “No Wrong Door” Make “No Wrong Door” a realitya reality
MedicaidMedicaidMedicaidMedicaid
Exchange
Exchange
Exchange
Exchange
ESI
ESI
ESI
ESI
Transition to a New Transition to a New Medicaid ProgramMedicaid Program
Transition to a New Transition to a New Medicaid ProgramMedicaid Program
Early option to receive FFP for covering low-income Early option to receive FFP for covering low-income adults beginning April 1, 2010.adults beginning April 1, 2010.– Letter to SMDs released April 9, 2010.Letter to SMDs released April 9, 2010.
Other immediate guidance, e.g.Other immediate guidance, e.g.– Medicaid Drug Rebate changes (SMD released April 22) Medicaid Drug Rebate changes (SMD released April 22) – Maintenance of Effort for Medicaid and CHIPMaintenance of Effort for Medicaid and CHIP
Putting Reform into Putting Reform into MedicaidMedicaid
Putting Reform into Putting Reform into MedicaidMedicaid
Creating a high performing Medicaid ProgramCreating a high performing Medicaid Program– Eligible means enrolledEligible means enrolled– Access issues Access issues – Systems upgrades and Data/Performance Systems upgrades and Data/Performance
measuresmeasures– Payment and delivery systems reformPayment and delivery systems reform– Continuing to make progress “(re)balancing” long Continuing to make progress “(re)balancing” long
term-care service and supportsterm-care service and supports– Assuring program integrityAssuring program integrity
Source: FY MSIS 2008, FY MSIS 2007 for AZ, NC, ND, HI, UT, VT, WI
Source: FY MSIS 2008, FY MSIS 2007 for AZ, NC, ND, HI, UT, VT, WI
Top 5% of Enrollees Accounted for Top 5% of Enrollees Accounted for More than Half of Medicaid Spending in FY 2008More than Half of Medicaid Spending in FY 2008
Top 5% of Enrollees Accounted for Top 5% of Enrollees Accounted for More than Half of Medicaid Spending in FY 2008More than Half of Medicaid Spending in FY 2008
Bottom 95% Bottom 95% of Enrolleesof EnrolleesBottom 95% Bottom 95% of Enrolleesof Enrollees
Collaboration between CMS and Collaboration between CMS and States is EssentialStates is Essential
Collaboration between CMS and Collaboration between CMS and States is EssentialStates is Essential
Connecting Kids to Connecting Kids to Coverage ChallengeCoverage ChallengeConnecting Kids to Connecting Kids to Coverage ChallengeCoverage Challenge
Enroll the 5 million uninsured children Enroll the 5 million uninsured children who are currently eligible for Medicaid who are currently eligible for Medicaid or CHIP over the next five yearsor CHIP over the next five years
““We all have a stake in America’s children, and together, We all have a stake in America’s children, and together, we will assure that millions more get the care they we will assure that millions more get the care they need.” need.”
Medicaid Has Always Been a Medicaid Has Always Been a Cornerstone for ReformCornerstone for Reform
Medicaid Has Always Been a Medicaid Has Always Been a Cornerstone for ReformCornerstone for Reform
States have continually relied on Medicaid to meet new States have continually relied on Medicaid to meet new demands and initiate reformsdemands and initiate reforms– Improving infant mortality ratesImproving infant mortality rates– Providing coverage for those living with HIV/AIDSProviding coverage for those living with HIV/AIDS– Covering people with disabilities in the labor Covering people with disabilities in the labor
market, children with special needs, and providing market, children with special needs, and providing community based LTCcommunity based LTC
– Developing new care coordination modelsDeveloping new care coordination models– Initiating Electronic Health Records (EHRs)Initiating Electronic Health Records (EHRs)– Significantly reducing uninsured rate among Significantly reducing uninsured rate among