Medicaid

Out-of-pocket Costs for Opioid Use Disorder Treatment Varied by Payer

by Victoria Bailey

Out-of-pocket costs for buprenorphine prescriptions for opioid use disorder treatment decreased between 2015 and 2020, but costs varied by payer, according to a study published in JAMA Network...

HHS Shares COVID-19 Public Health Emergency End Date, What to Expect

by Kelsey Waddill

HHS announced that the coronavirus public health emergency (PHE) will end on May 11, 2023, giving states 90 days to finalize arrangements for relevant policy changes. “We have come to this point...

Enrollment in Medicaid, CHIP Has Grown 28% During the Pandemic

by Victoria Bailey

Enrollment in Medicaid and the Children’s Health Insurance Program (CHIP) has increased by 20.2 million beneficiaries since the start of the COVID-19 pandemic, according to an analysis from the...

How States Can Prepare for 2023 Medicaid Redeterminations

by Kelsey Waddill

On April 1, 2023, states will begin the Medicaid redetermination process as part of the public health emergency unwinding. After anticipating this moment for the last two years, states finally received an official start date in the...

HHS Approval Boosts Access to Care for Incarcerated Medicaid Beneficiaries

by Victoria Bailey

The US Department of Health and Human Services (HHS), through the Centers for Medicare and Medicaid Services (CMS), has approved a section 1115 demonstration in California to help improve access to...

CMS Announces ACA Special Enrollment Period during PHE Unwinding

by Kelsey Waddill

CMS announced that there will be a special enrollment period on the Affordable Care Act marketplace for individuals who lose their Medicaid coverage due to the public health emergency...

65% of Beneficiaries Were Uninsured After Medicaid, CHIP Disenrollment

by Victoria Bailey

Almost two-thirds of beneficiaries were uninsured for part or all of the year following disenrollment from Medicaid or the Children’s Health Insurance Program (CHIP), an issue brief from the...

Medicaid Expansion Tied to Reduced Postpartum Hospitalizations

by Victoria Bailey

Medicaid expansion was associated with a reduction in postpartum hospitalizations during the first six months after delivery, according to a Health Affairs study. Federal policy requires Medicaid to...

FCC Allows Use of Automated Calls, Texts for Coverage, Enrollment Info

by Victoria Bailey

The Federal Communications Commission (FCC) has issued guidance allowing federal and state governmental agencies to send automated calls and text messages providing individuals with information about...

ACA Improved Access to Health Insurance for People with Schizophrenia

by Victoria Bailey

The Patient Protection and Affordable Care Act (ACA) helped boost health insurance coverage for individuals with schizophrenia, according to data published in JAMA Psychiatry. Between 0.25 percent and...

Decreased Uninsurance Rate in 2021 Driven by Public Coverage Gains

by Victoria Bailey

Around 8 million people gained health insurance coverage during the second year of the COVID-19 pandemic, primarily due to increased access to public coverage, a Health Affairs study found. Temporary...

Medicaid HCBS Recipients Had High Excess Mortality Rates During Pandemic

by Victoria Bailey

Medicaid beneficiaries receiving home- and community-based services (HCBS) during the COVID-19 pandemic had higher excess mortality rates than community-dwelling beneficiaries and the general...

How State Medicaid Programs Address the Behavioral Health Workforce Shortage

by Victoria Bailey

State Medicaid programs have implemented or plan to implement strategies to address the behavioral health workforce shortage, including increasing reimbursement rates and reducing administrative...

HHS, CMS Guidance Boosts Access to Specialty Behavioral Healthcare

by Victoria Bailey

The US Department of Health and Human Services (HHS), through the Centers for Medicare and Medicaid Services (CMS), has expanded access to specialty behavioral healthcare for Medicaid and...

HHS, CMS Aim to Improve Medicaid Social Determinants of Health ILOS Efforts

by Kelsey Waddill

The Department of Health and Human Services (HHS) and CMS released guidance for state Medicaid programs’ in lieu of services or settings (ILOS) to improve the quality of Medicaid social...

156M Beneficiaries Receive Health Insurance Through Public Programs

by Victoria Bailey

More than 150 million people receive health insurance through public programs, including Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP), according to the latest enrollment...

How Insulin Costs Vary Across Medicare, Medicaid, Private Plans, Uninsurance

by Kelsey Waddill

Insulin costs vary based on insurance coverage type and coverage types that lead to high healthcare spending can force patients to ration their insulin supplies, a report from the US Department of...

Top Predictions for Health Insurers, Employers in the New Year

by Kelsey Waddill

Health insurers and employers face a challenging landscape in 2023, but these obstacles are accompanied by opportunities for growth, according to experts’ top predictions. Three years after the first wave of the coronavirus pandemic...

Continuous Eligibility Policies Can Reduce Medicaid Churn Among Kids

by Victoria Bailey

Continuous eligibility policies can help reduce Medicaid churn and disenrollment among children, according to an issue brief from the Kaiser Family Foundation (KFF). The year-end spending legislation...

Status of Women’s Health Across Insurance Types in 2022

by Kelsey Waddill

Women’s health varied by health insurance coverage, with uninsured women experiencing some disparities in preventive care and insured women reporting unwelcome surprises about the limits of their...