Medicaid Spending

MS Medicaid Expansion Could Reduce State Medicaid Spending

by Kelsey Waddill

Mississippi could achieve lower state Medicaid spending over the course of five years by expanding its Medicaid program with the American Rescue Plan boost to federal matching, a Manatt Health white...

Size of Medicaid Expansion Influenced Administrative Spending

by Victoria Bailey

Medicaid expansion did not impact overall administrative spending, but states with large expansions saw slight reductions in spending while smaller expansions led to minor increases, according to a...

How A Rare Condition Can Fuel Medicaid Spending, Utilization

by Kelsey Waddill

Medicaid spending on sickle cell disease treatment and patient outcomes among beneficiaries with sickle cell disease reveal gaps in health equity and opportunities for improving care for...

Medicaid Expansion Tied to Coverage Access, Lower State Spending

by Kelsey Waddill

Medicaid expansion states have experienced higher access to health insurance coverage and lower state Medicaid spending, a report from the Menges Group found. The researchers compared Medicaid...

MO Medicaid Home Healthcare Program Received Improper Payments

by Victoria Bailey

Missouri claimed $3.4 million in improper payments for its Medicaid home healthcare program providers and did not comply with federal and state Medicaid requirements, according to a report from the...

Medicaid Programs Call for Medicare Coverage of Alzheimer’s Drug

by Kelsey Waddill

The National Association of Medicaid Directors (NAMD) is recommending that CMS approve Medicare coverage for Alzheimer’s disease therapies. “The outcome of Medicare’s coverage...

Rare Disease Healthcare Spending Tops Costly Chronic Diseases

by Kelsey Waddill

While payers have been focusing justifiably on diminishing healthcare spending for chronic conditions, rare disease healthcare spending may exceed chronic disease healthcare spending, according to the...

Medicaid Expansion Could Have Reduced COVID-19 Uninsurance

by Kelsey Waddill

If the remaining 14 states that have not expanded their Medicaid programs had decided to pursue Medicaid expansion in 2020, their decision could have helped reduce uninsurance during the pandemic, an...

CMS Approves Nation’s First Block Grant To Cut Medicaid Spending

by Kelsey Waddill

CMS has approved a waiver for TennCare, Tennessee’s Medicaid program, which seeks to control Medicaid spending by implementing a block grant. “The negotiated agreement includes the major...

What Final Medicaid Value-Based Purchasing Rule Means for Payers

by Kelsey Waddill

CMS has finalized a rule which promotes private payers and states negotiating value-based purchasing contracts for Medicaid drugs, along with other changes. The final rule was built upon the Medicaid...

Do State Medicaid Programs Receive As Much As They Give to Feds?

by Kelsey Waddill

States with lower incomes per capita often receive funding from higher income states through Medicaid and CHIP federal funding. But some low-income states without Medicaid expansion end up contributing...

Medicaid Spending, Enrollment Exceed Projections Due To COVID-19

by Kelsey Waddill

States are facing higher Medicaid spending and higher enrollment than expected in 2020 due to the coronavirus, and that impact could continue into the following year, a Kaiser Family Foundation (KFF)...

COVID-19 Recession to Increase Uninsurance Rates, Test Medicaid

by Kyle Murphy, PhD

As the economic impact of the coronavirus pandemic continues to worsen, uninsurance rates will increase rapidly and place unprecedented strain on Medicaid programs and the ability of uninsured...

COVID-19 Projected to Drive Increased Costs for Consumers, Employers

by Kyle Murphy, PhD

A new report warns of rising premiums and out-of-pocket expenses for beneficiaries resulting from healthcare spending to combat the COVID-19 pandemic. Covered California, the state’s health...

Block Grants Are Not The Solution to High Medicaid Spending

by Kelsey Waddill

COVID-19 demonstrates why block grants are a faulty method of controlling Medicaid spending, experts from the Robert Wood Johnson Foundation argued. For more coronavirus updates, visit...

CMS Enacts 6.2% FMAP Boost For Coronavirus Medicaid Spending

by Kelsey Waddill

Important aspects of the Families First Coronavirus Response Act took effect today, namely the enhanced federal Medicaid funding to reinforce state efforts against the coronavirus. For more...

Block Grant Complexity, Vagueness May Limit Medicaid Uptake

by Kelsey Waddill

Healthy Adult Opportunity (HAO), a section 1115 Medicaid demonstration that creates a non-mandatory block grant for certain Medicaid populations, could require an expansion state to generate Medicaid...

CMS Releases Medicaid Block Grant With Drug, Benefit Flexibilities

by Kelsey Waddill

Updated 1/30/20: This article has been updated to include a statement from Avalere. The Trump Administration announced a Medicaid block grant initiative called Healthy Adult Opportunity, which serves...

2017 State Medicaid Spending Rose as Feds Withdrew Funding

by Kelsey Waddill

As the promise of federal funding slacked in 2017, states put more of their own funds toward their Medicaid programs, with Medicaid spending absorbing 17 percent of overall state-generated funds,...

Net Insurance Cost Spikes 13.2% in 2018 Due to Health Insurance Tax

by Kelsey Waddill

Health payer spending in 2018 saw a 13.2 percent increase in net insurance costs, driven largely driven by the health insurance tax reinstatement, an analysis by the Centers for Medicare and Medicaid...