Medicaid

HHS, CMS Approve Extended Medicaid Postpartum Coverage in 3 States

by Victoria Bailey

HHS and CMS announced that Hawaii, Maryland, and Ohio have been approved to extend Medicaid postpartum coverage for 12 months after pregnancy, increasing maternal healthcare access for an additional...

States See Patient Experience Shifts in the First Year After Medicaid Expansion

by Kelsey Waddill

Medicaid expansion can alter the characteristics of states’ Medicaid populations, which is a factor that policymakers need to consider when formulating standards for quality of care and patient...

Hepatitis C Treatment Rates Reveal Care Disparities in Public, Private Coverage

by Kelsey Waddill

Treatment initiation rates for hepatitis C indicate care disparities for individuals who are not White as well as those who are younger and male individuals, a report from the Centers for Disease...

Payers Praise Inflation Reduction Act, Warn About Pharmaceutical Loopholes

by Kelsey Waddill

When the Senate passed the Inflation Reduction Act on August 4, 2022, payers and payer organizations met the proposed law with largely positive reactions, though some payer groups pointed out areas...

How Long COVID Could Impact Health Insurance Coverage, Eligibility

by Victoria Bailey

The presence of long COVID may spur changes in health insurance coverage, as people with employer-sponsored health plans may have to cut back their hours or stop working, according to data from the...

Uninsurance Rate Drops to Record Low of 8%, Pointing to ACA Enrollment Boom

by Kelsey Waddill

The national uninsurance rate has dropped to eight percent, a record-breaking low for the US, according to data from the Assistant Secretary for Planning and Evaluation’s Office of Health Policy...

Medicaid Health Home Benefit Covers Children with Complex Conditions

by Kelsey Waddill

CMS has issued guidance for state Medicaid programs about how to use the Medicaid health home benefit to support children with complex medical conditions. “This new state plan option is about...

52% of OR Medicaid Providers Never Saw Medicaid Enrollees in 2018

by Kelsey Waddill

The Oregon Medicaid program’s provider directories may have included hundreds or thousands of providers who never saw Medicaid enrollees, according to a Health Affairs...

Medicaid Beneficiaries Face Barriers to Cancer Care Access

by Victoria Bailey

Despite the growing number of people receiving healthcare coverage from Medicaid, Medicaid beneficiaries faced barriers to accessing cancer care at high-quality facilities, a study published in JAMA...

Seniors, People with Disabilities Will Lose Medicaid Coverage After PHE

by Victoria Bailey

Most states expect seniors and people with disabilities to lose Medicaid coverage once the COVID-19 public health emergency (PHE) ends, citing income changes and the inability to contact beneficiaries...

NY Anticipates the Impact of Ending the American Rescue Plan Act Flexibilities

by Kelsey Waddill

The American Rescue Plan Act established enhanced tax credits that boosted New York’s state health insurance marketplace enrollment, but the end of those tax credits could lead to a spike in...

Health Net Shares Payer Best Practices for Bolstering Community Support

by Kelsey Waddill

Health Net, a subsidiary of Centene and a payer partner of California’s Medicaid program known as Medi-Cal, has released an issue brief outlining some best practices for providing community...

HHS Resources Address Oversight of Medicaid, CHIP Quality of Care

by Mark Melchionna

The US Department of Health and Human Services (HHS) released new resources through CMS, aiming to improve the quality of care that Medicaid and the Children’s Health Insurance Program (CHIP)...

States May See Higher Uninsurance Rates Among Children When PHE Ends

by Kelsey Waddill

The children’s uninsurance rate may escalate after the end of the public health emergency, barring policy changes, according to an article published by Urban Institute. The researchers used...

GAO: Gaps Remain in Medicaid Managed Care Direct Payments Oversight

by Kelsey Waddill

Despite CMS efforts to expand oversight of Medicaid managed care direct payments and the US Government Accountability Office’s (GAO’s) previous recommendations to improve processes, the...

ARPA Subsidy Expiration Could Drive 2023 Premium Rate Changes

by Victoria Bailey

The expiration of the American Rescue Plan Act (ARPA) premium subsidies and the return of Medicaid redeterminations will likely result in 2023 premium rate changes for individual and small group health...

Removing Prior Authorizations Had Mixed Effect On OUD Care Uptake

by Kelsey Waddill

Beneficiaries may face barriers to substance abuse care when states impose prior authorizations for substance use disorder treatments, but a broad range of policies can influence Medicaid...

ACAP Shares Health Equity Goals for Safety Net Health Plans

by Kelsey Waddill

Community health plans and safety net health plans have a crucial role to play in advancing health equity, according to a report from the Association for Community Affiliated Plans...

Black Beneficiaries Generated Lower Medicaid Spending, Utilization

by Mark Melchionna

While reviewing health care spending statistics between White and Black Medicaid enrollees, JAMA researchers found disparities that showed lower service use and lower Medicaid spending among the Black...

More States Extend Medicaid Postpartum Coverage to a Full Year

by Kelsey Waddill

CMS and the US Department of Health and Human Services (HHS) announced that three states plus Washington, DC have received approvals for plans to extend Medicaid postpartum coverage for a full year due...