News and Reports

This Award recognizes a team or State official for using evidence to innovate and achieve improvements for their State populations.

Medicaid and CHIP provide coverage to around 50% of children with special health care needs (CYSHCN).  This presentation provides a review of key principles, state strategies, and example programs to help state Medicaid agencies build a more integrated system of care for children with special needs. It also provides a single-state data snapshot of CYSHCN […]

Children and youth with special health care needs often receive services from many different care providers and settings, including specialty health care, education systems, and other state agencies such as child welfare. Medicaid and the Children’s Health Insurance Program play a significant role in the care of children with special needs. Developed through a collaboration […]

Since 2021, more than 20 states have passed legislation requiring the coverage of biomarker testing by state-regulated insurers – typically including both commercial plans and state Medicaid agencies. This presentation explores the impetus for this recent trend and uses a 50-state review to explain the structure of these laws and their potential impact on Medicaid […]

This presentation examines the ways in which state Medicaid agencies engage their clinical staff. It examines different clinical staff structures, leadership roles, and disciplines, the range of responsibilities and strategic portfolios held by clinical staff, and how clinical expertise can drive value for the agency. It also includes considerations for how states might optimize, extend, […]

The MED DME Workgroup Tool: Medicaid Coverage of Enclosed Beds examines the use of enclosed beds—specialized safety devices designed to prevent injury for children with conditions like autism spectrum disorder (ASD) or developmental disabilities. It highlights the rising use of enclosed beds—specialized safety devices for children with conditions like autism spectrum disorder (ASD) or developmental […]

The MED Policy Brief: Enhancing Global Billing Practices for Medicaid Pregnancy Services examines the use of global obstetric billing in 37 state Medicaid programs, a bundled payment model covering prenatal, delivery, and postpartum care. It identifies practical challenges, such as inadequate compensation for complex pregnancies, limited data transparency due to bundled coding, and care fragmentation […]

The Center for Evidence-based Policy is excited to announce the release of the second set of briefs from its Medicaid Evidence and Review of Cost Initiative (MERCI) project. Focused on drugs approved through the FDA’s accelerated approval pathway, each MERCI drug brief is a case study which includes the clinical trial evidence used for FDA […]

We recently completed a systematic review of metabolic and bariatric surgeries for individuals with a BMI ≥ 25 kg/m2 (BMI ≥ 23 kg/m2  in some Asian populations). This work was presented to the Washington State Health Technology Clinical Committee to assist in their coverage determination. The report and associated documents are available on the Washington […]

This policy brief explains current federal efforts to expand monitoring of atypical antipsychotics and discusses potential tracking and reporting practices state Medicaid agencies may consider.  In 2022, the Federal government announced several reforms aimed at improving the safety and quality of nursing home care. One particular focus has been to ensure appropriate mental health diagnoses […]