Proposed Federal Medicaid Regulations: Impact on Missouri - Fact Sheet
The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for monitoring and regulating state Medicaid programs, have proposed seven regulatory changes that would reduce federal funding for the Medicaid program. In Missouri, these regulations would reduce federal funding by approximately $1.4 billion over the next 5 years.

Pay-for-Performance: Considerations for Implementation - Fact Sheet
To improve clinical outcomes and encourage patient-centered care, private and public health plans are offering financial incentives to providers through a model known as “Pay-for-performance”(P4P). Congress and many policy institutions have begun promoting “P4P” as a component to long-term quality improvement across the health care system. This fact sheet provides a definition and background of the term P4P. It also explains the many design features, implementation challenges and policy considerations associated with the model.

Long-Term Care: Issues and Policy Considerations - Fact Sheet
This fact sheet explores the current state of long-term care in the U.S. and identifies several public policy issues that must soon be addressed at both the state and national level.

Raising Medicaid Reimbursement to Increase Provider Participation - Fact Sheet
In most states, Medicaid physician reimbursements rates are lower than those for Medicare and private insurance. In 2003, Missouri Medicaid to Medicare fee index was 56 percent. Research indicates that raising reimbursement for Medicaid providers results in an increased number of Medicaid patients they treat. This fact sheet examines the issues related to reimbursement rates.

Supporting Private Insurance Through Premium Assistance - Fact Sheet
Premium assistance programs offer states the potential to cut the number of uninsured, to strengthen the system of employer-sponsored insurance, and to reduce federal and state expenditures for public insurance. This fact sheet examines the advantages and disadvantages associated with designing and implementing various types of premium assistance programs.

Primary Care Medical Homes: Policy Issues for Consideration - Fact Sheet
Policymakers across the country are pursuing initiatives to establish medical homes as a response to rising health care costs, gaps in preventative coverage, and poor management of chronic conditions. This fact sheet defines medical homes and explores policy options associated with their implementation.