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First Round of Medicaid Disenrollment Data Is In Quickly: What We Know and Don’t Know
Five states (AR, AZ, ID, NH, SD) started disenrolling people from Medicaid last weekend (April 1st) as the unprecedented Medicaid “unwinding” begins. As readers of SayAhh! know, in exchange for extra federal funds, states have been prohibited from disenrolling anyone involuntarily from Medicaid since March 2020 due to the COVID-19 public health emergency. Quicker than…
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Unwinding Wednesday #27: States Should Figure Out a Way to Share Renewal Month with Enrollees, Assisters, and Health Care Providers
In mid-2022, only a little more than a third of enrollees had awareness of the unwinding of the Medicaid continuous enrollment requirement based on analysis conducted by the Urban Institute. As awareness of the resumption of Medicaid renewals and disenrollments is increasing, some enrollees are getting anxious. And the best way to help quell their…
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Tips and Best Practices for Unwinding the Medicaid Continuous Coverage Protection
Unwinding the Medicaid continuous coverage protection will be a heavy lift. It will be important for states to work together with community partners in the planning process. Our new and improved Tips and Best Practices outline specific action steps states can take now to be better prepared for the end of the public health emergency…
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Medicaid Unwinding Federal Reporting, Strategies/Policies, and Data by State
The analysis on this page is part of a larger suite of Medicaid unwinding data. Please visit our “Unwinding the PHE” landing page to view more. This tracker examines whether the following information can be found on the state Medicaid or state Marketplace website or in public documents: 1) the state’s unwinding plan or a…
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Unwinding Resources
A variety of resources, including template communications materials and toolkits, are available to assist states and stakeholders in planning and preparing for the end of the PHE as we get closer to the unwinding of the Medicaid continuous coverage protection. Tips for Interpreting Unwinding Data The Consolidated Appropriations Act of 2023 requires CMS to publicly post certain unwinding data for all…
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New Brief: An Introduction to Managed Care in CHIP
Some three million kids in states with separate CHIP programs are enrolled in Managed Care Organizations (MCOs). Who are those MCOs, and how are they performing for those children? Unlike Medicaid, there’s no publicly available national database that answers those questions. Our new brief attempts to fill that gap. We utilized a variety of methods,…
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We Just Checked and Medicaid Work Requirements are Still a Terrible Idea
Our world is constantly in flux and that can be stressful. But you can rest assured that Medicaid work requirements are a consistently and unalterably terrible idea. The years may pass, but some things never change. Just a few short years ago, numerous experts weighed in on the expected harms associated with Medicaid work requirements.…
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Unwinding Wednesday #26: As the Medicaid Continuous Coverage Protection Ends This Week, It’s Important to Understand Procedural Disenrollments and Why They Occur
Friday, March 31, 2023, will be the last day that Medicaid enrollees are protected from a loss of Medicaid coverage. As of April 1st, people will begin to lose their coverage if they are determined ineligible and many of those will encounter barriers in transitioning to other coverage. These include affordability, limited special enrollment periods…
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Research Update: Are We Underestimating the Number of Children?
Two recent data analyses highlight a question researchers have been asking for years: why is it so hard to get an accurate count of the number of children and is the undercount getting larger? First, a new report from Count All Kids looks at how well—or rather, poorly—children were counted in the 2020 decennial Census,…
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Medicaid Coverage At Risk for People with Disabilities: How You Can Help
By Michael Atkins, The Arc of the United States Medicaid is the nation’s primary health insurance for people with disabilities, covering over ten million people with disabilities under the age of 65. For many people with intellectual and developmental disabilities (IDD), Medicaid provides even more than insurance – it’s a lifeline. Millions of people with…
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An Introduction to Managed Care in CHIP
DOWNLOAD THIS REPORT Introduction The Children’s Health Insurance Program (CHIP) was enacted 25 years ago. [1] Today it provides coverage for children whose family incomes are too high to allow them to qualify for Medicaid but too low to enable them to afford private health insurance coverage. Together, CHIP and Medicaid insure over half [2]…
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Join Us in Welcoming Hannah and Tanesha to CCF Team
Georgetown University Center for Children and Families is happy to welcome two new members to our team: Hannah Green and Tanesha Mondestin. Hannah Green joins us as the new communications manager. In this role, she will work with CCF Communications Director Cathy Hope to share CCF’s research and analysis with you and others through our…
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North Carolina’s Legislature Passes Medicaid Expansion
Today North Carolina’s Legislature passed Medicaid expansion in a bipartisan vote of 87-24. North Carolina’s Governor is expected to sign the bill early next week. This is a huge victory for better health care that will affect over 600,000 North Carolinians. I wrote last week about the multiple factors that set the stage for expansion…
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Celebrating Health Care Gains Ushered in by Affordable Care Act
It’s been 13 years since the Affordable Care Act (ACA) was signed into law. At the time my daughter was in elementary school and I didn’t much think about what would happen to her health insurance – but now as she seems very grown up and is about to graduate from college and search for…
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Child Medicaid/CHIP Coverage by School District Now Available
[Editor’s Note: These maps were updated on August 3, 2023. See here for updated data.] As we’ve written before, Medicaid is an essential tools for supporting schools in improving children’s health, especially mental health. Research has shown that Medicaid coverage can help boost children’s school readiness and reduce absenteeism, as well as improve high school…
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Unwinding Wednesday #25: Renewal Reports Provide Important Insights to States’ Unwinding Plans
Next week, the continuous enrollment will expire and as a result, some families may lose coverage as soon as April 1. As states undergo final preparations for the unwinding to officially begin, state renewal reports are an important resource for stakeholders to prepare and help monitor the unwinding process. We covered the basics of the…
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How Did We Get Here? An Early Legislative History of Medicaid Managed Care
Here is where we are today. Managed care—more precisely, comprehensive risk-based managed care—is the dominant delivery system in Medicaid. States can require beneficiaries to enroll in Medicaid managed care organizations (MCOs) in order to receive the health care services to which they are entitled, and 40 states now do so. MCOs can limit the network…
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New Brief: States Focus on Improving Maternal Health Outcomes Amid Worsening Maternal Mortality Crisis
The U.S. continues to experience a worsening maternal mortality crisis that the COVID-19 pandemic only exacerbated. New data from the Centers for Disease Control and Prevention shows that the maternal mortality rate for all women nearly doubled between 2018 to 2021, climbing from 17.4 maternal deaths per 100,000 births in 2018 to 32.9 maternal deaths…
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Medicaid Drug Rebate Program News and Notes
As part of its fiscal year 2024 budget, the Biden Administration proposed several Medicaid and CHIP policies related to the Medicaid Drug Rebate Program, which I covered in a recent blog. But over the last few months, there have been two other Medicaid drug rebate developments that are worth highlighting: Puerto Rico joins the Medicaid…
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State Trends to Leverage Medicaid Extended Postpartum Coverage, Benefits and Payment Policies to Improve Maternal Health
Introduction Medicaid and the Children’s Health Insurance Program (CHIP) finance nearly half of all births each year, including a disproportionate share of births to women of color and women living in rural areas. *[1] Medicaid’s foundational role in maternity care financing presents a critical opportunity to leverage the program to respond to the ongoing U.S.…
