Your Source for Health Reform

Topic: Chronic Conditions

Health or medical problems that persist or have long-lasting effects, such diabetes, kidney disease, and heart disease, require monitoring, coordinated treatment, and patient education. Chronic conditions can also place undue stress on family caregivers.

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Managed Long Term Services and Supports

Starting July, 2016 managed care organizations will be responsible for coordinating long-term services and supports for people who live in a nursing facility or receive home and community-based services through a Medicaid waiver program. This April 2016 fact sheet from Health & Disability Advocates informs consumers about the change.

Illinois Health Policy Update

Get the latest with this April 2016 brief from Health & Disability Advocates.

Network Adequacy Analysis

This December 2015 report from the Aids Foundation of Chicago analyzes Illinois silver-level Marketplace plans’ coverage of HIV and the Hepatitis C Virus treatment. The trend has been for Marketplace plans to limit coverage of necessary treatments for this population.

ACEs, Bs and CCEs

This December 2014 FAQ from the Illinois Department of Human Services details general enrollment and access to care procedures for consumers and providers in Medicaid managed care.

Do New Health Delivery Models Really Deliver?

This December 2015 report from Community Catalyst provides policy and operational recommendations that promote person-centered and coordinated care in dual-demonstration programs.

Targeting the Social Determinants of Health

This December 2015 brief from the Center for Health Care Strategies explores approaches to using Medicaid funding for non-medical services. The approaches are  utilized as part of state-based coordinated care initiatives.

Trusted Voices Transform Care

This November 2015 issue brief from Community Catalyst outlines how Community Health Workers can play a role in health system reform. The brief identifies funding sources to finance these positions and pathways for involving Community Health Workers in local partnerships.

Care for the High-Need High-Cost 

This November 2015 multimedia article from the Commonwealth Fund describes innovative health care delivery and payment models being used for patients with chronic conditions.

Affordable, Quality Care for All?

This November 2015 brief from the National Health Council shares patient experiences of Marketplace enrollees with chronic conditions. A major finding: Marketplace consumers, especially those with complex medical needs, require more tools to make informed enrollment decisions.

Free Preventive Services!

This September 2015 interactive grid from the Kaiser Family Foundation highlights the preventative services that health plans are required to cover without any cost sharing.

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