Heller David J, Hoffman Catherine, Bindman Andrew B
University of California, San Francisco.
J Health Polit Policy Law. 2014 Jun;39(3):667-77. doi: 10.1215/03616878-2682641. Epub 2014 Mar 6.
State Medicaid programs and other state health agencies need to monitor and evaluate changes in health insurance coverage, access to care, financing, and the quality of health care delivery. The availability of new financial resources through the Patient Protection and Affordable Care Act is accompanied by raised expectations for such accountability. While state agencies often contract with universities on an ad hoc basis for specific policy projects, fourteen states have established formal state-university partnerships so that their analytic and technical needs can be addressed more readily. After a brief overview of these partnerships, this article provides examples of their projects, which most often affect Medicaid policy, including work on program eligibility, provider payments, and optional benefits. State-university partnerships are working on policy-relevant projects that influence decision making. Like the variation in Medicaid programs across the country, no two partnerships are alike. They thrive in a mix of structures, using different means of contracting, and with varied degrees of data access. All partnerships are interested in building a national network to share innovative practices and projects, spawn comparative policy studies across states, and support the development of new state-university partnerships.
州医疗补助计划及其他州卫生机构需要监测和评估医疗保险覆盖范围、医疗服务可及性、融资以及医疗服务提供质量等方面的变化。《患者保护与平价医疗法案》带来了新的财政资源，与此同时，对这种问责制的期望也有所提高。虽然州机构通常会就特定政策项目与大学进行临时合作，但有14个州已经建立了正式的州-大学合作伙伴关系，以便更轻松地满足其分析和技术需求。在简要概述这些合作伙伴关系之后，本文提供了其项目示例，这些项目大多会影响医疗补助政策，包括有关项目资格、提供者支付以及可选福利方面的工作。州-大学合作伙伴关系正在开展与政策相关的项目，这些项目会影响决策制定。如同全国各地医疗补助计划存在差异一样，没有两个合作伙伴关系是完全相同的。它们在多种结构中蓬勃发展，采用不同的签约方式，并且数据获取程度也各不相同。所有合作伙伴关系都有意建立一个全国性网络，以分享创新做法和项目、开展跨州的比较政策研究，并支持新的州-大学合作伙伴关系的发展。
