Report: Reimbursement for Evidence-Based Health Promotion Programs in the Community

The National Council on Aging, with support from the Administration for Community Living (ACL), contracted with Health Management Associates (HMA) to provide research and strategy services to support their joint goal to increase the adoption of evidence-based health promotion and disease prevention programs (evidence-based programs or EBPs). EBPs include Chronic Disease Self-Management Education programs and falls prevention programs by Medicaid, Medicare and other health insurance markets.

This brief seeks to identify:

  • Medicaid authorities and financing mechanisms through which states have adopted evidence-based health promotion programs
  • Promising practices establishing reimbursable evidence-based health promotion programs and approaches that may be replicated in other states in Medicaid, Medicare Advantage and other emerging markets to support program sustainability beyond grant funding
  • Barriers to adoption of evidence-based health promotion programs and actionable steps to avoid or address
  • Actionable information to move forward relationships with state Medicaid programs or Medicaid managed care organizations

View the resource: Report: Reimbursement for Evidence-Based Health Promotion Programs in the Community