Medicaid

Aetna Grants $9.3M to Support Behavioral Health for Youth in Foster Care

by Victoria Bailey

Aetna’s Medicaid plan in West Virginia has granted $9.3 million to 10 community-based organizations to support behavioral health and social care needs for children in foster care. The funding...

PHE Expiration Will Lead to Medicaid Coverage Losses for 18M People

by Victoria Bailey

If the COVID-19 public health emergency (PHE) ends in April 2023, 18 million people may lose Medicaid coverage in the 14 months following its expiration, according to a brief from the Robert Wood...

19 States Must Align Medicaid Vaccine Coverage Policies with IRA

by Kelsey Waddill

Almost two-fifths of US states—particularly those that have avoided Medicaid expansion—will need to change their Medicaid vaccine coverage policies in order to align with the Inflation...

Proposed Rule May Prevent Coverage Losses for Dual Eligible Beneficiaries

by Victoria Bailey

The CMS proposed rule to streamline the Medicaid eligibility process could potentially prevent coverage losses for around a third of dual eligible beneficiaries, according to data from the Kaiser...

NCQA Confers Health Equity Accreditation on Elevance Health Medicaid Plans

by Kelsey Waddill

Elevance Health announced that 21 Medicaid plans have achieved health equity accreditation from the National Committee for Quality Assurance (NCQA). “Advancing health equity is a priority for...

Health Insurance Coverage Disruptions Tied to Higher Mortality Risks

by Victoria Bailey

Health insurance coverage disruptions were associated with higher mortality risks for people with private and public insurance, a JAMA Health Forum study found. Health insurance coverage is typically...

62% of Adults Are Unaware of Medicaid Renewals Resuming Post-PHE

by Victoria Bailey

More than half of adults who are enrolled in or have a family member enrolled in Medicaid were unaware of upcoming Medicaid renewals set to resume after the COVID-19 public health emergency (PHE) ends,...

ACHP Offers 5 Recommendations For CHIP, Medicaid During PHE Unwinding

by Kelsey Waddill

The Alliance of Community Health Plans (ACHP) had five recommendations for CMS regarding how to streamline processes in Medicaid, Children’s Health Insurance Program (CHIP), and the Basic Health...

OUD Treatment Coverage, Prior Authorizations Common in Medicaid FFS

by Victoria Bailey

Medicaid fee-for-service (FFS) programs were more likely to cover medications for opioid use disorder (MOUD) but imposed more prior authorizations for the treatments compared to Medicaid managed care...

How AZ Medicaid Expanded Its Role in Social Determinants of Health Coverage

by Kelsey Waddill

In September 2022, Arizona Health Care Cost Containment System (AHCCCS)—Arizona’s Medicaid program—received the Robert Wood Johnson Foundation’s 2022 Medicaid Innovation Award in “Initiatives to Address Social...

37% of People Switched Health Insurance Plans During Perinatal Period

by Victoria Bailey

More than a third of individuals with continuous coverage switched health insurance plans during the 12 months before or after giving birth, a study published in JAMA Network Open found. Switching...

Better Access to Health Insurance Coverage Boosted Healthcare Use

by Victoria Bailey

One in five Americans received regular healthcare during the COVID-19 pandemic due to increased access to health insurance coverage resulting from enhanced marketplace subsidies and Medicaid...

HHS: Over Half of States Have Extended Medicaid Postpartum Coverage

by Victoria Bailey

Following Georgia and Pennsylvania’s recent approvals to expand Medicaid postpartum coverage, beneficiaries in more than half of all states can now access maternal healthcare services for 12...

Medicaid Directors Project 12.5% Total Medicaid Spending Growth in FY 2022

by Kelsey Waddill

Medicaid directors identified enrollment and the end of flexibilities tied to the public health emergency as major influences on Medicaid spending, according to a report compiled by Health Management...

Community-Based Orgs Can Help Manage Post-PHE Medicaid Coverage Changes

by Victoria Bailey

Through collaborating with community-based organizations, family-led organizations, and individuals with lived experiences, states can help guide their communities through Medicaid coverage changes...

Personalized Phone Calls, Emails Boosted ACA Enrollment Rate in CA

by Victoria Bailey

Personalized phone calls combined with email reminders were an effective outreach method for former Medicaid beneficiaries transitioning to Affordable Care Act (ACA) coverage, as the approach led to a...

Brokers, Assisters Share Affordable Care Act Marketplace Consumer Trends

by Kelsey Waddill

Assister programs and brokers found that consumers lacked awareness about Marketplace subsidies and rules and experienced delays in receiving their final eligibility determination, according to a...

How End of PHE Will Impact Consumer COVID-19 Healthcare Spending By Coverage Type

by Kelsey Waddill

Federal funding was crucial in enhancing access to coronavirus resources during the initial phases of the pandemic, but questions remain about what will occur when the public health emergency ends and...

Payers Alert Communities About Medicaid Redetermination Renewal

by Kelsey Waddill

Alliance of Community Health Plans (ACHP) shared how its community health plan members are preparing Medicaid enrollees for the Medicaid redetermination process in a fact sheet. The redetermination...

How MN Medicaid Used Community Engagement to Address Health Disparities

by Victoria Bailey

Addressing health disparities within state Medicaid programs can help ensure that all beneficiaries have equal access to quality care. Prioritizing community engagement is key to reducing these disparities, according to Julie Marquardt,...