Medicaid

CMS: Virginia Will Expand Access to Postpartum Medicaid Coverage

by Kelsey Waddill

CMS announced that Virginia is expanding its postpartum Medicaid coverage. “It is a privilege to partner with the Commonwealth of Virginia to expand access to life-saving postpartum coverage and...

Public Payers See Higher Member Satisfaction on Network Size, Cost

by Kelsey Waddill

Medicare Advantage, fee-for-service Medicare, and Medicaid received higher member satisfaction scores than individual health insurance market plans and employer-sponsored health plans, according to a...

Centene Will Address Serious Mental Healthcare in AZ Medicaid

by Kelsey Waddill

Centene Corporation (Centene) will be expanding its Medicaid coverage in Arizona to provide serious mental healthcare services in a competitive contract expansion, the payer announced. “We are...

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, ACA Enrollment Growth Attended Level Uninsurance in 2020

by Kelsey Waddill

During 2020, a stable uninsurance rate attended enrollment growth in Medicaid and the Affordable Care Act marketplace, according to a report from the Assistant Secretary for Planning and Evaluation...

How Medicaid Expansion Impacted Site of Care, Outcomes in MI

by Kelsey Waddill

Michigan’s Medicaid expansion effort successfully increased access to a regular care site and improved health statuses for many minorities, but did not impact poor mental health days, a study...

Expanding Social Determinants of Health Benefits Among Public Payers

by Kelsey Waddill

HHS needs to expand the list of social determinants of health that public payers can cover and hold public payers accountable to covering preventive services that can help address social determinants...

Medicaid Expansion May Improve Maternal Health Outcomes, Coverage

by Kelsey Waddill

Policymakers may be able to improve maternal health and healthcare coverage around the time of pregnancy through Medicaid expansion, according to a recent Health Affairs report. The researchers used...

Top Payer Strategies for Overcoming Coronavirus Vaccine Hesitancy

by Kelsey Waddill

As payers continue to search for answers to overcoming coronavirus vaccine hesitancy, safety net health plans in the Association for Community Affiliated Plans (ACAP) have consolidated their most...

275K Missourians Eligible for Coverage Following Medicaid Expansion

by Victoria Bailey

Following Missouri’s approval for Medicaid expansion, more than 275,000 individuals are eligible for healthcare coverage, CMS reported. Missouri will receive around $968 million from the...

How to Expand Access to Coverage for Former Foster Children

by Kelsey Waddill

The Affordable Care Act’s protections for former foster children has increased access to coverage for foster youths, a particularly vulnerable population, according to a study published by Health...

Downstream Impacts of Making American Rescue Plan Act Permanent

by Kelsey Waddill

Making the American Rescue Plan Act permanent could lower costs on the Affordable Care Act marketplaces and eradicate the Medicaid coverage gap, but it would also cost the federal government up to $333...

How COVID-19 Impacted Employer-Sponsored Health Plan Coverage

by Kelsey Waddill

In 2020, the prevalence of employer-sponsored health plan coverage fell during the coronavirus pandemic even as employment rebounded, according to a recent study published in the JAMA Health...

Medicaid Subscription-Based Payment Models Show Mixed Results

by Kelsey Waddill

Using a subscription-based payment model to cover medication costs could have varying impacts on access to medication depending on the state that implemented the model, according to a study published...

CMS Guidance Promotes COVID-19 Vaccine Coverage, Medicaid Expansion

by Victoria Bailey

The Biden Administration and CMS have released guidelines that detail federal funding information relating to Medicaid expansion and COVID-19 testing and vaccine administration for Medicaid and...

How States Leveraged COVID-19 Medicaid Emergency Authorizations

by Kelsey Waddill

COVID-19 Medicaid emergency authorization usage has differed most from past crises in regards to states’ utilization of Section 1115 demonstration waivers, according to a Kaiser Family Foundation...

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...

CMS Announces Historic Navigator Grant Funding for 2022-2024

by Kelsey Waddill

A significant amount of Navigator grant funding is available for Navigator organizations to help employ more individuals to guide Americans through the 2022 plan year, CMS announced. “Our local...

How Medicaid Expansion Impacted Coronavirus Uninsurance Rates

by Kelsey Waddill

The low- and middle-income communities’ shifts in uninsurance rates differed largely based on the state’s Medicaid expansion status, a Robert Wood Johnson Foundation and Urban Institute...

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...