Public Policy Institute
The Amerigroup Public Policy Institute (PPI) was established to contribute research and analysis to the public policy discourse around health care entitlement programs. We promote innovation through strategic partnerships with nonprofit organizations and other business partners to test interventions that improve health outcomes while reducing costs. In addition, we leverage data collected by our 13 health plans to evaluate the impact of our programs on the health and quality of our members, as well as the cost of program operations.
The Amerigroup Public Policy Institute serves as an industry thought leader by developing and testing managed care real solutions to increase the fiscal sustainability of Medicaid and Medicare and support low-income people in living healthy lives.
The Amerigroup Public Policy Institute uses data-driven research and innovative health care interventions to inform public policy and shape the health care landscape.
The Amerigroup PPI has four areas of focus directly reflective of the members whom we serve and the benefits we provide:
- Improving maternal and pediatric health outcomes: In many states, the average share of deliveries insured through Medicaid represents nearly a half of all births.1 In addition, Medicaid and the Children’s Health Insurance Program insure more than half of all low-income children. Policy changes are needed to increase the number of healthy babies born into Medicaid and the care, such as preventive services, that is provided to children.
- Integrating long-term services and supports: Low-income seniors and people with disabilities currently experience a network of care that is often fragmented. A relatively small percentage (6 percent) of Medicaid beneficiaries use some form of Long-Term Services and Supports (LTSS) yet constitute nearly half of all Medicaid spending (48 percent).2 Furthermore, Medicare and Medicaid pay for nearly 60 percent of all LTSS in the United States.3 Integrated care is a key component of any long-range policy solution because it can realize benefits for all stakeholders: keeping beneficiaries in their home or preferred community setting, increased quality and access to services for beneficiaries, and potential savings to states and the federal government due to program coordination and increased operational efficiencies.
- Increasing capacity around mental and behavioral health services: Medicaid is one of the largest payers of mental health services in the United States (27 percent) with public payers as a whole constituting roughly 58 percent of total mental health services spending.4 Managed care can improve service coordination, provide greater flexibility in the types of services provided, and help control costs through reduced reliance on hospitalization and residential placement.
- Strengthening provider collaborations: Providers are integral to health care delivery. With approximately 66 percent of all Medicaid beneficiaries, or about 35 million, enrolled in managed care,5 the relationship between plan and provider must be enhanced continuously to best meet the health care needs of members. Working hand-in-hand with providers is one way to ensure care is provided appropriately and efficiently while also providing opportunities to control costs. Health plans can facilitate productive provider relationships as the entity that coordinates care between physicians and members.
For each of these substantive areas, PPI endeavors to develop quantitative-driven research that demonstrates effective approaches to care delivery to drive significant improvements in health outcomes and ensure the sustainability of Medicaid and Medicare. PPI is also committed to the identification of operational and legislative solutions that promote the health and well-being of our members and increase program efficiency.
Questions or comments?
Contact: Kate Massey, vice president, Public Policy Institute
750 First Street NE, Suite 1120, Washington, DC 20002