Medicaid Policy and Business Team
Medicaid Policy and Business Team
The Georgia Health Policy Center (GHPC) supports the Georgia Department of Community Health (DCH) in conducting policy analyses and evaluations of its Medicaid programs. GHPC’s Medicaid Policy and Business team provides research and evaluation, policy and economic analysis, and development of business solutions related to Georgia Medicaid and the Children’s Health Insurance Program.
GHPC is a trusted third party in identifying and providing evidence-based information. The center’s qualitative and quantitative data compilation and analysis helps to inform DCH’s planning processes and decision-making on coverage decisions, payment models, prior authorization criteria, and coordination of care initiatives.
GHPC work on behalf of DCH includes:
- Cost-benefit analysis of payment reform proposals, including assessments of global payments for obstetricians and Medicaid claims analysis to evaluate the impact of transitioning foster care and justice involved youth into managed care.
- Health services research assessing the impact of Affordable Care Act regulations on access to care, workforce supply, provider response to enhanced payments for primary care services, and enrollment in the state’s Children’s Health Insurance Program, and extending postpartum Medicaid coverage.
- Descriptive analysis of Medicaid populations and services, including access to contraception among women served by Georgia Medicaid, use of prenatal and postpartum care among pregnant members, trends in member and provider enrollment, and population health quality metrics.
- Environmental scans of state health policy across the nation on topics such as cross-sector collaborations in hospital reimbursements and increased federal funding for preventive services, and implementation of various program waivers.
- Legal analysis and compliance reviews of state and federal health care laws, regulations, and policies.
- Curriculum development for an education series for DCH staff.