the Center for Health Care Strategies (CHCS) has strived to continuously improve the quality of health and health related services for beneficiaries of our nation health coverage safety net?-Medicaid and the State Children Health Insurance Program. With resources from the nation's leading philanthropies--The Robert Wood Johnson Foundation, The Annie E. Casey Foundation, The Commonwealth Fund, The California HealthCare Foundation, The David and Lucile Packard Foundation, and others--CHCS works with state officials, health plan leaders, and consumer organizations across the country to improve health services for low-income families and for people with severe illnesses and disabilities whose needs cross over from the routine to the highly specialized. CHCS was founded in response to the dramatic expansion of managed care in Medicaid, an approach with which most states, plans, and consumers had limited experience. Our job at the outset was to provide funding to identify and demonstrate best practices in Medicaid managed care. Over time, a growing portion of CHCS' resources have been devoted to "on the ground" training and technical assistance to help states, health plans, and consumer organizations effectively use managed care to improve the quality of services for beneficiaries, reduce racial and ethnic health disparities, and increase community options for people with disabilities. Today, the core of CHCS' work is to induce states, health plans, and consumer groups, through technical assistance and training, to engage aggressively in these quality improvement activities.
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