Public Payers News

Medicaid Expansion Shrinks Distance to Care, Improves Equity

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Medicaid expansion may have an impact on transportation for healthcare access among underserved groups, according to an article published in Health Affairs. “As expected, nonmetropolitan areas...

How Medicaid Enrollment Assistance Supports Incarcerated Persons

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Prerelease Medicaid enrollment assistance for incarcerated individuals who have substance use disorders can help improve outpatient utilization after release, a study published in JAMA Open Network...

How Phone Calls Impact Affordable Care Act Marketplace Enrollment

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Personalized phone calls improved enrollment results among certain subgroups enrolling in California’s Affordable Care Act marketplace and the intervention had a positive return on investment,...

More Medicare Beneficiaries with COPD Enrolled in FFS Than MA

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The majority of Medicare beneficiaries with chronic obstructive pulmonary disease (COPD) are enrolled in fee-for-service Medicare, but the share of beneficiaries in Medicare Advantage plans is...

CMS Blocks Work Requirements, Cost-Sharing in 1115 Medicaid Demo

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CMS has revoked the state of Georgia’s ability to impose work requirements or cost-sharing for Medicaid eligibility. CMS had approved the Georgia Pathways to Coverage section 1115 demonstration...

CMS Updates Affordable Care Act, Public Payer Enrollment Numbers

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CMS has released the latest 2022 enrollment data for the Affordable Care Act marketplace and the most recent 2021 public payer enrollment data for Medicare, Medicaid and Children’s Health...

Medicaid Managed Care Organizations Help Address SDOH, Health Equity

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Medicaid managed care organizations (MCOs) may be better equipped to address members’ social determinants of health and health equity compared to fee-for-service models, according to a report...

MA Quality Bonus Program Did Not Boost Overall Performance Quality

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The Medicare Advantage quality bonus program did not lead to any significant improvements in overall performance quality for Medicare Advantage plans, a Health Affairs report found. CMS introduced the...

Medicaid Asset Test Revisions May Increase Dual Eligibility for Seniors

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Adjusting the Medicaid asset test to accurately reflect inflation levels could increase Medicaid eligibility for low-income, elderly, and disabled Medicare beneficiaries, according to a Health Affairs...

Medicaid Expansion May Be Associated with Lower Mortality Rates

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States that implemented Medicaid expansion saw reductions in all-cause mortality rates compared to nonexpansion states, a study from the Keck School of Medicine at the University of Southern California...

How Build Back Better Act Impacts Medicaid Enrollment Churn Rate

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If the continuous enrollment policy from the coronavirus pandemic becomes a thing of the past, policymakers will need to find new mechanisms to control the Medicaid enrollment churn rate, a Kaiser...

Dual Eligible Beneficiaries Prefer Medicare Advantage Over FFS

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Dual eligible beneficiaries were more likely to choose a Medicare Advantage plan over a fee-for-service Medicare plan, a study commissioned by Better Medicare Alliance (BMA) found. To understand the...

ACA Marketplace Open Enrollment Sees 4.6M Enrollees So Far

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Nearly 4.6 million individuals have signed up for 2022 healthcare coverage since the start of the Affordable Care Act (ACA) marketplace open enrollment period, the Department of Health and Human...

Few Seniors Have Changed Plans During 2022 Open Enrollment

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Nearly nine out of every ten American seniors had not changed Medicare plans with less than a month left in the 2022 open enrollment season, according to a MedicareGuide.com survey. MedicareGuide.com...

2022 ACA Marketplace Premiums Depend on Enrollee Income, Location

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Affordable Care Act (ACA) marketplace premiums for 2022 depend largely on where individuals live, what their income is, and which plan they select, according to a Kaiser Family Foundation (KFF) issue...

MS Medicaid Expansion Could Reduce State Medicaid Spending

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Mississippi could achieve lower state Medicaid spending over the course of five years by expanding its Medicaid program with the American Rescue Plan boost to federal matching, a Manatt Health white...

Medicaid Managed Care Models May Improve Outcomes for Elderly, Disabled

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Transitioning elderly and disabled Medicaid beneficiaries from fee-for-service Medicaid to a managed care model may lead to improved health outcomes and more than $100 billion of savings for states and...

Size of Medicaid Expansion Influenced Administrative Spending

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Medicaid expansion did not impact overall administrative spending, but states with large expansions saw slight reductions in spending while smaller expansions led to minor increases, according to a...

Solidifying Coronavirus Policies Might Improve Access to Coverage

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Advance premium tax credits and other coronavirus policies may have bolstered access to coverage during the pandemic, a RAND Corporation report stated. The researchers simulated nonelderly adult...

Trends in 2021 Affordable Care Act Marketplace Insurers, Locations

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The number of insurance options in the Affordable Care Act (ACA) marketplace has increased since 2018 with nearly 1,500 counties having access to three or more marketplace payers, a Health Affairs...