Medicaid

What Payers Need to Know About 2020 Medicaid Managed Care Changes

by Kelsey Waddill

New CMS regulations around Medicaid managed care include several major changes regarding network adequacy, beneficiary protection, quality, and payment, according to the Kaiser Family Foundation...

How 6 Patient Populations Receive Coronavirus Vaccine Coverage

by Kelsey Waddill

Coronavirus vaccine coverage is a complex subject, as it spans multiple patient populations that typically receive vaccine coverage in different ways, a Kaiser Family Foundation brief elucidated. As...

Medicaid Expansion Improves Access to Care, Population Health

by Hannah Nelson

States that did not opt into Medicaid expansion under the Affordable Care Act (ACA) experienced worse emergency access to acute care hospitals compared to states that did, according to recent...

New Aetna Pilot Aims To Improve Medicaid Member Engagement, SDOH

by Kelsey Waddill

Aetna’s new partnership leverages the pharmacist-patient relationship to improve Aetna’s Medicaid member engagement and better address social determinants of health, CVS Health announced...

How Medicaid Expansion Helps Incarcerated Persons Amid COVID-19

by Kelsey Waddill

States can use Medicaid expansion and additional Medicaid policies—such as beginning Medicaid eligibility determinations pre-release and suspending Medicaid coverage during incarceration—to...

Medicaid Expansion Improves Key Prenatal, Postpartum Indicators

by Kelsey Waddill

Poor maternal and infant care access can have deadly implications for new mothers and their babies, but Medicaid expansion efforts can improve three key prenatal and postpartum health indicators, a...

Differences in Medicaid Expansion, Nonexpansion Program Policies

by Kelsey Waddill

Differences between Medicaid expansion and nonexpansion states go beyond whether states opted into the Affordable Care Act allowance, a Health Affairs study found. Researchers have discovered Medicaid...

Lessons from Medicaid on Social Determinants of Health Innovation

by Kelsey Waddill

The coronavirus pandemic has forced social determinants of health even further into the spotlight and Medicaid programs have responded to the increasing demands with innovative solutions, a Manatt...

CMS Releases Vaccine Coverage Plan, Medicare Reimbursement Rate

by Kelsey Waddill

CMS has released its Medicare reimbursement rate and official coverage strategy for the coronavirus vaccine when one is approved. For more coronavirus updates, visit our resource page, updated...

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...

Louisiana’s Population of Uninsured Children Jumped 28.2% in 2019

by Kelsey Waddill

The number of uninsured children in Louisiana in 2019 was 28.2 percent higher than its low number of uninsured children in 2017, following a national trend in childhood uninsurance, the Louisiana...

How Do Medicaid Programs Cover Pediatric Curative, Hospice Care?

by Kelsey Waddill

States use Affordable Care Act flexibilities in innovative ways to set definitions for curative care, implement reimbursement models, and care coordination in Medicaid pediatric care for children with...

Public Charge Announcement May Have Impacted Childhood Insurance

by Kelsey Waddill

The public charge rule, which allows for citizenship denial to certain groups of immigrants who use US safety-net programs, may have led to thousands of children being uninsured when the coronavirus...

COVID-19 Medicaid Enrollment Is Not Tied to Unemployment Rates

by Kelsey Waddill

The link between Medicaid enrollment and unemployment has not been substantiated so far during the pandemic but, rather, varied largely based on state policies, a report published in Health Affairs...

How to Improve Children’s Health Insurance Coverage Nationally

by Kelsey Waddill

Children’s health insurance coverage is not stable even under the Children’s Health Insurance Program (CHIP), a recent study published in Health Affairs discovered. “The current...

Medicaid Expansion Could Mean $5.4B in Federal Funds for TX

by Kelsey Waddill

Under Medicaid expansion, Texas could receive around $5.4 billion from the federal government to cover Medicaid costs. The state could also cover a larger portion of its significant uninsured...

What Happens When Medicaid COVID-19 Flexibilities, Funding Expire?

by Kelsey Waddill

Temporary Medicaid coronavirus flexibilities and funding may be about to expire and CMS needs to be clearer about transition guidelines in order to help states be prepared, Kaiser Family Foundation...

COVID-19 Amplifies Racial Health Disparities for Coverage

by Kelsey Waddill

Minorities may see a sharper loss in employer-sponsored health insurance than White populations in America, which would drive racial coverage and health disparities even deeper, a recent report from...

How Medicare Successes Inform Medicaid Value-Based Care Progress

by Kelsey Waddill

CMS has issued a letter to Medicaid directors regarding how states can accelerate their Medicaid value-based care adoption, based largely on lessons learned in CMS efforts toward value-based care in...

CMS Rescinds Controversial Medicaid Fiscal Accountability Rule

by Kyle Murphy, PhD

Concerns over provisions of the Medicaid Fiscal Accountability Rule (MFAR) have compelled CMS to rescind the rule proposed last November. In a tweet late Monday, CMS Administrator Seema Verma...