Public Payers News

Medicaid Spending on Home, Community-Based Services Up by $116B

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Medicaid spending grew to $116 billion on home and community-based services (HCBS) during fiscal year 2020, providing services to 3 million people through waivers and more than 2.5 million people...

Top Benefits, Challenges of NC Medicaid Managed Care Model

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Medicaid managed care enables care coordination, incorporation of social determinants of health into care, trust-building between healthcare stakeholders, stakeholder accountability, and flexibility...

How Ending the Public Health Emergency Impacts Medicaid Enrollees

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With the understanding that the public health emergency will eventually come to an end, experts from Kaiser Family Foundation (KFF) are asking what will happen if the US does not have a plan in place...

Medicare Advantage Plans Boost Supplemental Benefits Offerings

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Medicare Advantage plans expanded their supplemental benefits offerings in 2022, with more health plans offering special supplemental benefits for the chronically ill (SSBCI), according to an issue...

How 2020 Healthcare Spending Trend Fits Within Decades of Growth

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While the nation’s overall healthcare spending trend has been gradually increasing starting in 1970, the US experienced a particularly steep healthcare spending incline in 2020 of nearly 10...

Medicare Premiums, Inflation Create Affordability Challenges

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Medicare beneficiaries are experiencing healthcare affordability challenges in 2022 due to Medicare Part B premiums and inflation, according to a MedicarePlans.com survey. Pollfish surveyed 1,250...

4 Ways That 1115 Medicaid Demonstrations Can Address Health Equity

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Medicaid programs can use 1115 Medicaid demonstration waivers to expand health equity in four key ways, by expanding eligibility and benefits, filling gaps left by the Affordable Care Act,...

Smokers in Medicaid Rarely Accessed Cessation Medication, Counseling

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Medicaid fee-for-service beneficiaries who tried to quit smoking cigarettes rarely accessed cessation medication or counseling despite the wide range of cessation treatments that Medicaid covers, a...

State, Medicaid Coverage For Obesity Treatments Varies Widely

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State and Medicaid coverage for obesity treatments is not uniform, despite the epidemic-level impact of the condition and the selection of tested treatment options, according to a report from the Urban...

High Health Insurance Literacy Tied to Medicare Advantage Enrollment

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Medicare beneficiaries with high health insurance literacy were more likely to enroll in Medicare Advantage and select low-cost plans with high Medicare Advantage star ratings, compared to those with...

MACPAC Shares Spending Trends Among Dual Eligible Beneficiaries

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MACPAC has released data on utilization and healthcare spending trends among dual eligible beneficiaries in calendar year 2019. First, the report assessed dual eligible use of certain Medicare...

How States Are Addressing The Youth Mental Health Crisis With ARPA

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As states face a growing youth mental health crisis, they have relied on the American Rescue Plan Act to support initiatives that broaden access to care, according to a report from the Georgetown...

US Reps Urge CMS to Maintain Medicare Advantage Benefits in 2023

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More than 340 members of the US House of Representatives have penned a letter to CMS asking the agency to continue to uphold Medicare Advantage benefits, including stable premium rates and supplemental...

How OR Plans to Use a Public Option to Advance Health Equity

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As Oregon establishes a public option in order to address health equity, it could merge this work with its efforts to unify health equity goals across health insurance markets and the state, a Manatt...

Adolescents with SUDs in Medicaid Rarely Get Substance Abuse Care

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Adolescents enrolled in Medicaid who had substance abuse-related experiences, including opioid use disorder, had high rates of medical visits but were unlikely to receive substance abuse care,...

Uninsurance Rate Drops to 8.9% in Q3 2021, Nears Record Low

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The uninsurance rate in 2021 fell below pre-pandemic levels, according to a report from the Assistant Secretary for Planning and Evaluation’s (ASPE) Office of Health Policy. CMS followed up by...

Payer Affordable Care Act Marketplace Participation Grew in 2022

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An explosion in enrollment on the Affordable Care Act marketplace coincided with higher payer Affordable Care Act marketplace participation, the Robert Wood Johnson Foundation’s (RWJF)...

The Role of Medicaid Plans in Assuring LGBTQI+ Access to Care

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Medicaid plans have a key role to play in improving access to care and health equity for the LGBTQI+ community, according to a report from the Association for Community Affiliated Plans...

CHIP Coverage Option May Help Improve Prenatal Care for Immigrants

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By implementing the CHIP coverage option for immigrants and their children, policymakers can help reduce maternal and infant mortality and ensure that pregnant individuals receive adequate prenatal...

CMS Releases Medicare Coverage Proposal for Alzheimer’s Treatment

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Updated 1/12/2022: This article has been updated to correct the drug price for Aduhelm. The article previously cited the drug price as the original price, which was $56,000. However,...