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Publications by Elizabeth Richardson for Health Policy Center
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Evaluation of the Medicaid Health Home Option for Beneficiaries with Chronic Conditions: Final Annual Report - Year Two (Research Report)
Brenda C. Spillman, Elizabeth Richardson, Anna C. Spencer, Eva H. Allen
This second report on the long-term evaluation of Medicaid health homes, provides an overview of the program and evaluation, describes programs in 11 states, and summarizes cross-cutting qualitative findings. The Urban Institute is conducting the five-year evaluation for the DHHS Assistant Secretary of Planning and Evaluation. Health homes, created in the Affordable Care Act, is an optional benefit for high-need, high-cost beneficiaries with chronic physical conditions or serious mental illness. Distinctive model features are the focus on comprehensive management of clinical and nonclinical services for persons with specific conditions, the variety of providers who may be health homes, and the elevated emphasis on integrating physical and behavioral/mental health care and linking enrollees to social services and other community supports.
Evaluation of the Medicaid Health Home Option for Beneficiaries with Chronic Conditions: Final Annual Report - Base Year (Research Report)
Brenda C. Spillman, Barbara A. Ormond, Elizabeth Richardson
Medicaid health homes is a new optional benefit for high-need, high-cost beneficiaries with chronic physical conditions or serious mental illness, authorized in Section 2703 of the Affordable Care Act. Distinctive features of the model include the elevated importance placed on integrating physical health care with behavioral/mental health care and on linking enrollees to social services and other community supports. The Urban Institute is conducting the 5-year long-term evaluation for the DHHS Assistant Secretary of Planning and Evaluation. This initial report examines the context, design, and initial implementation challenges and successes of six programs in Missouri, Rhode Island, New York, and Oregon, the first four states with approved programs.
Health Homes in Medicaid: The Promise and the Challenge (Research Brief)
Barbara A. Ormond, Elizabeth Richardson, Brenda C. Spillman, Judy Feder
With the passage of the Affordable Care Act (ACA), health care providers and insurers are actively engaged in payment and delivery reform. Much of this reform focuses on integrating primary care and other aspects of health care. Medicaid Health homes, and option to states under the ACA, aims to improve the integration of physical health care needs with the broad range of mental health and social needs for high-cost, high-needs Medicaid beneficiaries. This brief draws on findings from Urban Institute's five-year evaluation of this new model of care, exploring the concept, as well as the challenges that must be overcome to achieve the desired results.
How the CHIPRA quality demonstration elevated children on State health policy agendas (Research Brief)
Nicole Cafarella Lallemand, Elizabeth Richardson, Kelly J. Devers, Additional Authors
This Evaluation Highlight is the fourth in a series that presents descriptive and analytic findings from the national evaluation of the CHIPRA Quality Demonstration Grant Program. The CHIPRA quality demonstration grants have provided a unique opportunity not only to advance child health quality in the short term, but also to link child health quality issues to broader Federal and State health reforms. In this Highlight, we give examples of activities in five States—Maine, Maryland, Massachusetts, Vermont, and Oregon—and how they used their CHIPRA quality demonstration grants to elevate children's health care issues on their States' health policy agendas.