Medicaid

CMS Proposed Rule Addresses Drug Cost Transparency in Medicaid

by Victoria Bailey

The Centers for Medicare and Medicaid Services (CMS) has issued a proposed rule that aims to increase the transparency of prescription drug costs in Medicaid. “This proposed rule prioritizes...

Biden Admin Increases Access to School-Based Mental Health Services

by Victoria Bailey

The Biden-Harris Administration has announced three initiatives to increase access to school-based mental health services for children with Medicaid. “We are taking bold actions to strengthen...

Medicaid Coverage Losses Less Likely During First Year of Pandemic

by Victoria Bailey

Adults were less likely to lose Medicaid coverage during the first year of the COVID-19 pandemic compared to the year before in 2019, a study published in Health Affairs found. Between February and...

1.7M Beneficiaries May Lose Coverage Under Medicaid Work Requirements

by Victoria Bailey

Around 1.7 million Medicaid beneficiaries could potentially lose coverage and $10.3 billion in spending would shift from federal to state governments if Medicaid work requirements were implemented, an...

4 Barriers to Coverage Among Uninsured Individuals in Massachusetts

by Kelsey Waddill

Uninsured individuals in the state of Massachusetts face a variety of barriers to healthcare coverage, including real and perceived eligibility gaps and a complex health insurance landscape, a report...

Uninsured Immigrants Face Significant Regulatory Barriers to Coverage

by Kelsey Waddill

Regulatory barriers present significant hurdles for uninsured immigrants seeking healthcare coverage, a report from the Urban Institute and the Robert Wood Johnson Foundation (RWJF) found. The...

Potential Outcomes of Basic Health Programs for States, Consumers

by Kelsey Waddill

Basic Health Programs (BHPs) can streamline coverage and increase coverage continuity for certain populations, but the cost to states will vary, a report from the Urban Institute shared. “The...

How to Protect Integration Progress As Medicare-Medicaid Plans Sunset

by Kelsey Waddill

As CMS sunsets the Medicare-Medicaid plan model, Congress and the agency will need to take steps to expand the Medicare-Medicaid Coordination Office (MMCO) oversight capabilities and protect the...

CMS Proposes Transparency, Access Standards for Medicaid Managed Care

by Victoria Bailey

The Centers for Medicare and Medicaid Services (CMS) has released two proposed rules that would establish national access standards for Medicaid managed care plans and increase transparency of Medicaid...

Medicaid Work Requirements Could Disrupt Coverage Access for 21M People

by Victoria Bailey

Around 21 million Americans could face barriers to health insurance coverage if Congress passes the debt ceiling bill that includes Medicaid work requirements, according to an analysis from the US...

The Range for Projected, Post-PHE Medicaid Disenrollment Is Broad

by Kelsey Waddill

Depending on the Medicaid disenrollment rate after the public health emergency, the public payer program could lose anywhere from 8 million to over 24 million Medicaid enrollees, a Kaiser Family...

50% of MN Adults Were Uninsured Following Medicaid Disenrollment

by Victoria Bailey

Half of adults who experienced Medicaid disenrollment in Minnesota were uninsured six months after losing coverage, raising concerns about eligibility redeterminations that recently resumed. The...

Medicaid Supplemental Payments Are Inefficient, Demand Change

by Kelsey Waddill

Medicaid supplemental payments are not need-based and often leave certain states with excess funds, demonstrating that the processes involved in these payments need to change, according to an issue...

HHS Proposal Could Boost Health Insurance Coverage for DACA Recipients

by Victoria Bailey

The US Department of Health and Human Services (HHS) has released a proposal that would expand access to health insurance coverage for Deferred Action for Childhood Arrivals (DACA) recipients. The...

CMS Approval Expands School-Based Health Services in Illinois

by Victoria Bailey

The Centers for Medicare and Medicaid Services (CMS) has approved a state plan amendment (SPA) in Illinois to expand school-based health services for children with Medicaid. The SPA will allow...

HHS Guidance Increases Care Access 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 released guidance to help states boost access to healthcare for incarcerated...

Coverage Gaps, Uninsurance Tied to Unmet Vision Care Needs

by Victoria Bailey

Health insurance coverage gaps and uninsurance were associated with a higher risk of unmet vision care needs among adults in Ohio, indicating the importance of continuous coverage, a study published in...

DACA Recipients Might Gain Access to ACA, Public Payer Coverage

by Kelsey Waddill

The US Department of Health and Human Services (HHS) has announced plans to improve health insurance coverage for Deferred Action for Childhood Arrivals (DACA) recipients, offering access to Affordable...

Lacking Medicaid Supplemental Insurance Tied to Racial Care Disparities

by Victoria Bailey

Losing eligibility for Medicaid supplemental insurance was associated with racial care disparities among beneficiaries with incomes above 100 percent of the federal poverty level (FPL), a study...

Medicaid Expansion Could Prevent Coverage Loss During Redeterminations

by Kelsey Waddill

Total Medicaid expansion could prevent massive coverage losses in nonexpansion states as Medicaid redeterminations restart, an issue brief from the Kaiser Family Foundation found. The researchers used...