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MACPAC Discusses Final Chapters for June Report to Congress

May 25, 2012—The Medicaid and CHIP (Children’s Health Insurance Program) Payment and Access Commission (MACPAC) May 22 met to review draft chapters in its June report to Congress and to discuss Medicaid innovation initiatives, dual-eligible demonstration projects, and health professions shortage areas (HPSAs). MACPAC’s next report to Congress will be released June 15.

Sean Cavanaugh, acting deputy director of the Center for Medicare and Medicaid Innovation (CMMI), led the meeting with an overview of Medicaid-related initiatives that currently are in the pipeline at CMMI. These projects include the Medicaid Emergency Psychiatric demonstration, the Medicaid Incentives for Prevention of Chronic Diseases, and the Strong Start Initiative. Mr. Cavanaugh also announced that the next round of health care innovation awards will be announced in June and will include a number of Medicaid-related initiatives.

Ellen O’Brien, MACPAC’s director of Long-term Services and Supports, reviewed the status of the dual-eligible financial alignment demonstration projects for the commission. The Medicare-Medicaid Coordination Office (MMCO) is developing two joint federal-state demonstration models that would align services and payments for both capitated and managed fee-for-service (FFS) programs. The ultimate goal of the demonstration models is to develop a more simplified system of services that is easier to navigate for beneficiaries, while reducing financial misalignments. At this time, 20 states have proposed to undertake a capitated model, 9 have proposed the FFS model, and 3 states are doing both. Also, 10 states already have submitted proposals to CMS. Commissioners generally were pleased with the status of the demonstration projects, but expressed concerns regarding transparency of the state plans and the accountability of state and federal payments.

MACPAC ended the meeting with a review of two chapters in its June report to Congress: data for measuring access to care for Medicaid and CHIP enrollees, along with updated statistics in the MACstats section. Commissioners discussed various data sources to identify and track immediate and long-term access to care issues, including changes in enrollment and service use, tracking complaints, administrative data, and national surveys.  Additional information is available on the MACPAC website. The commission will convene again in September.


Scott Wetzel, M.P.P.
Lead, Quality Reporting
Telephone: 202-828-0495


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