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"Between 2008 and 2018, US hospitals invested over

The drive to reduce healthcare costs while maintaining or improving patient care quality is being pushed on medical care providers and healthcare payment organizations. Many of these organizations do not currently have the necessary expertise or processes needed to successfully implement the required changes to reduce costs while maintaining quality. Project management is a function that can be used to deliver projects to reduce costs in these healthcare related organizations. Knowledge of the key characteristics and skills of successful project managers can be used by managers of project managers and human resources individuals that hire project managers in their selection process and can also help project management practitioners to understand areas of focus in their continuous development on factors that lead to successful projects. Project success is defined as not only meeting the triple constraint of time, cost, and scope but delivering quality results that result in client and stakeholder satisfaction and happiness. Key competencies of project managers include leadership, management, organization, soft skills, emotional intelligence, technical skills, and product skills that are defined during this study.

"KHI and KLRD are pleased to provide basic facts and information about Medicaid and CHIP in Kansas. This report, Kansas Medicaid: A Primer 2017, includes an overview of Medicaid and CHIP, analysis of recent trends in Kansas, and basic information about covered services and populations. This report is the fourth edition of this information, following 2005, 2009 and 2014 versions. Unless otherwise noted, data used in this report originated with the Kansas Department of Health and Environment (KDHE) through the publicly available Medical Assistance Report (MAR)."

"Medicaid and the Children's Health Insurance Program (CHIP) play a substantial role in the Kansas health care system by providing health and long-term care coverage to the state's most vulnerable populations. In 2013, the state significantly changed the way Medicaid and CHIP services are administered and delivered in Kansas through a new initiative called KanCare. In addition, federal health policy changes in the Affordable Care Act (ACA) affect Kansas Medicaid and CHIP. As part of the ACA changes, legislators and state officials must decide whether to expand the Kansas Medicaid program to include more adults"--Page ii

Provides overview of the Massachusetts Health Policy Commission, its legislative history, charge, governance, and structure.

Presentation regarding the rising cost of medical care in Kansas, eligibility and service issues, and the economic aspects of reorganizing state programs.

The Centers for Medicare and Medicaid Services (CMS) requires Medicaid programs to reimburse for professional services on behalf of their beneficiaries. This report will focus on three provider types: physicians, advanced registered nurse practitioners (ARNPs), and physician assistants (PAs) and the professional services they provide. Services are delivered in a variety of settings and include preventive care, well child services, and treatment for illnesses, chronic diseases, and traumatic injuries. This report targets cited professionals delivering services to Medicaid beneficiaries through Fee for Service Programs (FFS). All three provider types are able to bill Evaluation and Management Codes, or E & M codes, write prescriptions, and must enroll and bill independently. Mid-level practitioners, however, provide a more limited range of services when compared to physicians and are subject to a reduced payment, receiving 75 percent of maximum rates.

Rehabilitative therapy services are optional Medicaid services which include physical therapy, occupational therapy, and speech and language therapy services. Rehabilitative therapy services are provided following an injury or illness to restore functional status. For example, rehabilitative therapy services may be provided following an illness in an attempt to restore strength and endurance. These services may also be provided after a traumatic injury such as a broken hip or a cerebrovascular accident (CVA). The objective in both examples would be to restore the individual to their pre-illness or pre-injury functional ability. In extreme cases the focus would be to assist the individual in performing basic activities of daily living (ADLs) such as feeding, dressing and bathing.

Kansas Medicaid maintains an out-of-state program for situations which require a Kansas Medicaid beneficiary to receive services in another state. The out-of-state program, described in this review, includes only those services provided to individuals enrolled in the fee for service program. The Managed Care contractors manage the out-of-state services provided to the HealthWave population.

The primary purpose of prior authorization (PA) is to facilitate cost containment by ensuring fee for service (FFS) medical services provided to Medicaid/HealthWave beneficiaries are medically necessary and cost effective. This is accomplished by identifying, researching, and reviewing designated procedures or services, and implementing measures to promote performance and reimbursement of services considered to meet the specified criteria set forth by KHPA.

Medicaid is a partnership between the state and federal government that has a significant impact on the Kansas economy. In fiscal year (FY) 2006, the federal government spent nearly $304 billion dollars on the program nationally. The federal government contributes approximately $1.502 for every dollar of state Medicaid spending in Kansas. The rate of this match varies from state to state -- and is generally higher in poorer states. In Kansas, Medicaid accounts for 14.8 percent of the state budget (State General Fund only) and represents a significant portion of total spending on health care services. The only program for which the state spends more money is K-12 education.

Presentation with handouts discussing the use of health information technology in providing coordinated medical care for Kansans, including federal financing, health care challenges, policy initiatives and pilot projects.

Testimony providing excerpts from the 2008 KHPA Annual Report, with additional information on our health reform priorities, and a brief overview of our early assessment of the Governor's budget.

"The goals of the health reform recommendations described in this report are twofold: 1) to begin the transformation of our underlying health system in order to address the staggering rise in health care costs and chronic disease, as well as the underinvestment in the coordination of health care; and 2) to provide Kansans in need with affordable access to health insurance."

Testimony in opposition to HB 2591, which concerns providing affordable access to health care in Kansas.

PowerPoint presentation concerning the Health Reform recommendations of the Kansas Health Policy Authority Board.

Cover letter and PowerPoint presentation concerning the Health Reform recommendations of the Kansas Health Policy Authority Board, the requirements of SB 11, with relative statistics.

Discusses Pennsylvania's innovative state health care-related programs that address access, delivery, quality, cost, and data collection.

Provides information on prescription drug bulk purchasing activities in other states, including any savings realized.

Provides information on a recently established disease management program in the Texas Medicaid system.

Discusses West Virginia's prescription drug academic detailing program.

Medicaid is a state/federal partnership that has a significant impact on Kansas' economy, in part because Medicaid draws federal matching funds to the state. Nationally in 2004, the federal government paid for 57 percent of the $305 billion in total Medicaid expenditures. The federal government contributes approximately $1.50 for every dollar of state Medicaid spending in Kansas, a 60 percent matching rate. The matching rate varies from state to state, ranging in 2005 from $1 for every dollar of state Medicaid spending in wealthier states, such as Colorado, to $3.16 in poorer states, such as Mississippi. In Kansas, Medicaid accounts for 18.1 percent of the all-funds state budget and represents a significant portion of total spending on health care services.

Testimony on medical cards in the Kansas Medical Assistance Program.

Testimony given to provide information regarding Medicaid eligibility.

"Testimony regarding the Legislative Post Audit that was conducted by the Legislative Division of the Post Audit related to the compensation that is made to payroll agents for the Home and Community-Based Waiver programs. This 100-hour performance audit was to address the question: Are there less costly options for processing payments to those who provide services under the Home and Community Based Waiver programs?"

Discusses the moratorium on state employees workers' compensation (WC) settlements.

Testimony discussing how the Business Health Policy Committee is fulfilling the duties set out for it in the Kansas Business Health Partnership Act, which primarily develops a process by which incremental steps can be taken to reduce the uninsured population in the state. Specifically, the Act provides a mechanism to combine federal and state subsidies with contributions from employers and employees to purchase health insurance for uninsured low wage employees of small employers.