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...
Given the substantial costs, Medicare coverage of weight loss drugs could lead to higher Medicare spending but may help reduce access disparities, according to a KFF policy watch.
GLP-1 (glucagon-like...
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...
Need-based subgroups of dual eligible beneficiaries utilized both Medicare- and Medicaid-funded services, identifying the need for an integration program that includes benefits from both payers, a...
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...
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...
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...
Medicare Advantage provider directories are inaccurate, hindering beneficiaries’ access to mental healthcare, according to a secret shopper survey conducted by the Senate Finance Committee.
When...
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...
Half of all Medicare beneficiaries are enrolled in Medicare Advantage, according to the most recent enrollment data from CMS.
The CMS data found that, as of January 2023, 30.19 million of the 59.82...
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...
Implementing a public insurance option would not significantly impact hospital spending, nor would it exacerbate racial disparities in care access for Black and Hispanic populations, an Urban Institute...
Updated 5/2/2023: This article's title has been updated to say "States Use Managed Care, PACE, FAIs to Boost Dual Eligible Care Coordination." A previous version misspelled the acronym FAI as...
Average monthly premiums for Medicare Advantage and Part D plans have increased in 2023, and fewer beneficiaries selected zero-dollar premium plans, a report from eHealth, Inc. found.
eHealth’s...
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...
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...
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...
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 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...
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...
