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Medicaid and CHIP Rules on Chopping Block
As my colleague Edwin Park has written, the House Budget Committee “menu” of Medicaid cuts includes rescinding regulations promulgated by the Biden Administration. Of particular interest to readers of SayAhhh!, the menu includes rescinding the Medicaid and CHIP eligibility and enrollment rule and the two companion rules on improving access to care in fee-for-service and…
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Imposing a Per Capita Cap on the Medicaid Expansion Would Lead to an Effective Cut in the Expansion Matching Rate for States
On March 5, according to Axios, House Energy and Commerce Committee Chair Brett Guthrie (R-KY) is now considering a proposal to impose a per capita cap on the Medicaid expansion as part of budget reconciliation. Chairman Guthrie, as well as other House Republican leaders, may believe that such a cap could be viewed as more…
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What is President Trump Saying About Medicaid?
Asked about broader spending cuts … Trump said we’ll “love and cherish” Social Security, Medicare and Medicaid, the last of which insures more than 70 million Americans. “We’re not going to do anything with that, unless we can find some abuse or waste,” Trump said. “The people won’t be affected. It will only be more…
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Medicaid Managed Care: The Big Five in Q4 2024
The “Big Five” earnings results for Q4 of 2024 are now in. The “Big Five” are the publicly-held companies that together control half of the Medicaid managed care market: Centene, CVSHealth/Aetna, Elevance Health, Molina Healthcare, and UnitedHealth Group. (There are five nonprofit Medicaid managed care organizations (MCOs) with significant regional or single-state market footprints, but…
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Same Playbook: Major Medicaid Cuts under Consideration for Budget Reconciliation Similar to Medicaid Cuts in Failed ACA Repeal Bills from 2017
This week, the House is scheduled to vote on a budget resolution that would require the House Energy and Commerce Committee to make at least $880 billion over ten years in mandatory spending cuts as part of budget reconciliation legislation, most or all of which would come from Medicaid. The draconian Medicaid cuts under consideration…