Latest From Andy
The Tennessee “Shared Savings” Waiver: Not a Medicaid Block Grant
As our colleague Edwin Park has explained, there is keen interest on the part of some Congressional Republican leaders in capping federal Medicaid payments to states, ideally by converting Medicaid from a health insurance program into a block grant. Currently, the federal government matches state spending for the costs of health and long-term care services […]
The Truth about Fraud Against Medicaid
As my colleague Edwin Park has explained, capping federal Medicaid payments to states will likely be a key objective for the incoming administration. To lay the groundwork for this radical cost shift, the administration and its allies can be expected to argue that the Medicaid program is riddled with fraud. A leading proponent is Brian […]
Medicaid Managed Care in 2024: The Year That Was
2024 was a year of transition for Medicaid managed care. At the federal level, there were significant revisions in regulatory requirements relating to access to care and increases in transparency about MCO performance. At the state level, the end of the unwinding of the public health emergency continuous eligibility requirement meant the end of the […]
Medicaid Managed Care: Transparency for Young Children in 12 States
Regular Say Ahhh! readers know that most children covered by Medicaid in most states received their coverage through private insurance companies, or managed care organizations (MCOs). We believe that publicly-available data on Medicaid managed care performance is key to fully understanding how well Medicaid MCOs are working for children. Consistent, MCO-level data helps identify gaps […]
Medicaid Managed Care and Early Childhood Development: A 12-state Scan
Summary and Key Findings The first five years of a child’s life are a period of rapid growth and development. During this time, frequent check-ups are essential to monitor a child’s progress so that if a problem is identified an intervention can occur before things get worse. Medicaid, a primary source of health care coverage […]