Insights for health and human services

COVID-19 and Its Potential Impact on Health Insurance Exchange Enrollment

A model and estimate to provide baseline information for state and federal stakeholders to assess the potential impact on the health insurance market.

Holding the safety net

Handling historic increases in unemployment insurance claims due to COVID-19 economic impacts.

State options for responding to the COVID-19 pandemic

Administration of Public-Benefits Programs

Increased Medicaid Funding Authorized by the Families First Coronavirus Response Act

What states and territories need to know about the temporary increase to the Federal Medicaid Assistance Percentage.

Considerations of implementing video conferencing in child welfare

While waiting on specific guidance, state should begin thinking about how to make this transition from in-person visits to video conferencing.

Are Intelligent Automation and Blockchain Poised to Disrupt HHS?

This research report profiles where departments stand in their exploration of these technologies, practical use cases within HHS programs, and possible benefits and barriers government organizations may encounter during pilots and implementations.

The Importance of Governance with Incremental Modernization

Enhancing client and case management

The second paper in KPMG's health and human services integrated services delivery series focuses on integrated client and case management, highlighting the opportunities that states have to implement foundational business processes and technology enablers that achieve administrative efficiencies as well as support improved client outcomes.

Life After the Big Bang: Exploring Modular, Agile Paths Toward Health and Human Services Modernization

This research report explores the rapidly changing realm of HHS, unveiling critical insights into goals, challenges, and potential leading practices that lie ahead in project governance, end user support, government-vendor relationships, and beyond

Finding the "right doors" for your clients

The first paper in KPMG's health and human services integrated services delivery series focuses on integrated channel management, highlighting the critical ways states can unlock the power of delivery channels to enhance client self-service, improve customer experiences, drive clients towards the “right door” that benefits them, and realign costs to worker-based activities that will improve client outcomes.

Medicaid strategies for FY19

In an annual survey, Medicaid administrators identified a number of key strategic priorities areas for the upcoming year. This issue brief outlines the five most common areas of focus and provides potential approaches for states to consider.

Squeezing the balloon: The changing Medicaid landscape and rising pharmaceutical costs

With pressure on states to control healthcare costs growth only likely to increase, curtailing the continuous progression of pharmaceutical costs has become a key priority for many state administrations. This paper explores a series of strategies that state Medicaid programs could consider to curb the growth in pharmaceutical spending.

Investing in social services as a core strategy for healthcare organizations: Developing the business case

Despite the widespread acknowledgement of the importance of addressing social determinants of health (SDOH) to improve outcomes and lower medical costs, observed investments tend to be modest in scale and temporary, often funded through time-limited grants or launched as pilots without a long-term strategy. This research-based guide explores the current landscape of investments targeting SDOH as well as approaches to accelerate the uptake of SDOH investments into healthcare business operations.

The path to value: Early lessons learned

This issue brief discusses leading healthcare transformation practices and early lessons learned for how states can embark on their payment reform journeys in collaboration with major stakeholders.

Funding transformation

As momentum builds for healthcare system reform nationwide, this issue brief discusses states' critical first step of planning a financing strategy for Medicaid transformation waivers.

Accelerating healthcare policy outcomes

This white paper explores how to bridge the gap between policy design and implementation by following a set of guiding principles gained through various case studies that utilize structured Rapid Cycle Continuous Improvement programs targeting process improvements by frontline healthcare professionals.

Value-based purchasing strategies for state employees

Four strategies that states can use to increase value by obtaining higher-quality care at more affordable prices for their covered populations

Family First Transition Act funding

A catalyst for innovation in service delivery

The administration's new public charge rule

This issue brief provides a detailed review of the new rule and an examination of its broader implications for state agencies and their interactions with immigrants seeking to participate in public benefit programs.

Ten things to know about the Medicaid Enterprise Certification Toolkit (MECT) v2.3

This issue brief outlines the top ten takeaways of the recently released version 2.3 Medicaid Enterprise Certification Toolkit.

New policy guidance on meeting the reuse condition required for enhanced funding of Medicaid Enterprise Systems

This issue brief summarizes the additional guidance provided by CMS in their State Medicaid Director (SMD) Letter # 18-005: RE: CMS-2392-F Mechanized Claims Processing and Information Retrieval Systems—Reuse.

A breakdown of new policy guidance for states: Work/community engagement requirements for Medicaid

This issue brief summarizes and puts into context the work/community engagement guidance provided by the Centers for Medicare & Medicaid Services in the Guidance Letter and briefly outlines key work/community engagement features of Kentucky’s approved demonstration program.