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Federal and State Policymakers Must Address Alarmingly High Maternal Mortality Rates and Racial Disparities
The United States has an unacceptably high maternal mortality rate and it is getting worse. The latest data from the CDC shows that maternal mortality increased significantly between 2018 and 2019, topping out at the highest recorded rate since the agency began tracking the rate more than 30 years ago. A country’s maternal mortality rate…
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Medicaid Expansion Narrows Maternal Health Coverage Gaps, But Racial Disparities Persist (Online Chartbook)
Introduction The United States is experiencing a maternal mortality crisis. The nation has the highest maternal mortality rate of any industrialized country in the world. More than 750 women died of maternal causes in the United States while pregnant or within 42 days after the end of pregnancy in 2019. The same year, Black women…
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House Energy and Commerce Committee Releases Text of Medicaid/CHIP Reconciliation Provisions
Last night, legislative language was released by the House Energy and Commerce Committee (which has jurisdiction over Medicaid and the Children’s Health Insurance Program (CHIP)) – the “Build Back Better Act”. The Committee plans to “mark up” these provisions starting Monday — so things are now moving quickly inside the Beltway to move forward a…
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Transparency in Medicaid Managed Care: Findings from a 13- State Scan
Report Download the report. Appendix Online appendix tables. Blog Read the blog.
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Scan of 13 States’ Medicaid Managed Care Organizations Uncovers Need for More Transparency
At the beginning of July, North Carolina became the fortieth state to make the switch from fee-for-service (FFS) to Medicaid managed care. With the new system barely off the ground, a recent news report highlighted the stories of providers facing denied prior authorizations, delayed payments, and excessive paperwork. One provider stressed that she hadn’t received…
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Medicaid Expansion Narrows Maternal Health Coverage Gaps, But Racial Disparities Persist (Appendix)
Appendix A: Uninsured Rate for Reproductive Age Women (18-44) by State and Race, 2019 Appendix B: Uninsured Rate for Reproductive Age Women (18-44) by State and Ethnicity, 2019 Appendix C: Uninsured Rate for Reproductive Age Women (18-44) by State, 2013-2019 Appendix D: Number of Uninsured Reproductive Age Women (18-44) by State, 2013-2019 Back to report
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Medicaid Expansion Narrows Maternal Health Coverage Gaps, But Racial Disparities Persist (Methodology)
Methodology Data Sources Georgetown Center for Children and Families uses the U.S. Census Bureau American Community Survey (ACS), an annual survey of approximately 3.5 million individuals, to analyze national, state, and local trends in health insurance coverage. Unless otherwise noted, the data in this report come from the Public Use Microdata Sample (PUMS), a two-thirds…
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Transparency in Medicaid Managed Care: Findings from a 13- State Scan (Appendix)
Appendix A. Characteristics of MCOs Studied (View in full screen) Appendix B. Data Elements Sought (View in full screen) Appendix C. MCO Performance on Child Core Set Metrics (View in full screen) Appendix D. MCO Performance on Maternity Core Set Metrics (View in full screen) Appendix E. MCO Performance on Child Core Set by Parent…
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Research Update: Health Care Spending Differences by Race and Ethnicity
This week, I’m highlighting recent research looking at differences in health care spending by race and ethnicity. Researchers from the Institute for Health Metrics and Evaluation, Johns Hopkins University, and the University of Michigan, Ann Arbor examined health care spending, health system encounters (like office visits, emergency admissions, and prescriptions), diagnosed health conditions, and self-reported…
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CCF Welcomes National Urban Fellow Tomás Guarnizo
Today we are excited to welcome our first National Urban Fellow, Tomás Guarnizo, to the CCF team. Tomás will be completing his Masters in Policy Management at the McCourt School of Public Policy while he works with us on our maternal/early childhood health and managed care projects. The National Urban Fellows (NUF) program, like CCF and…
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CHIP has Proven Its Worth, It’s Time to Modernize it and Make it a Permanent Part of Children’s Health Coverage
Since its inception in 1997, the Children’s Health Insurance Program (CHIP) has established itself as a critical piece of the federal/state response to children’s health care needs and the historic reduction in children’s uninsured rates (which sadly started going in the wrong direction during the Trump Administration). In addition to covering over 6 million children…
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New! Tips for Advocates on Preparing for Unwinding of the PHE Continuous Eligibility Provision
[Editor’s Note: A new version of our Tips and Best Practices for Unwinding the Medicaid Continuous Coverage Protection can be found here.] Although the end of the public health emergency (PHE) remains a moving target, it’s not too early to start planning for phasing out the continuous eligibility maintenance of effort provision and the eventual…
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Wyoming Transitions Its Separate CHIP Program into Medicaid
In May, Wyoming received approval to transition its separate Children’s Health Insurance Program (CHIP) into what we call an M-CHIP program, where all children funded through CHIP coverage expansions are enrolled in Medicaid. Wyoming follows in the footsteps of North Dakota, Michigan, New Hampshire, and California – all of which converted their separate CHIP programs…
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Stakeholders Invited to Engage with DHS to Achieve a Fairer Public Charge Policy
Earlier this week, the Department of Homeland Security (DHS) issued an Advance Notice of Proposed Rulemaking (ANPRM) requesting broad public feedback on the public charge ground of inadmissibility. If you’re scratching your head at the idea of an “A”NPRM, you’re not alone. Think of it as a Request for Information (RFI) specifically tied to the…
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Medicaid Wars: The Unwinding (and Litigation) Continues (Episode IV)
It’s been seven months and change since the Biden Administration took office. What it found waiting for it on January 20 was not just a crisis of democracy and a global pandemic and a surge of unaccompanied children at the border, but also a large pile of policy intended to undercut the Administration’s ability to…
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Future of Children’s Health Coverage: Next Steps for CHIP
The Children’s Health Insurance Program (CHIP) has established itself as a critical piece of the federal/state response to children’s health care needs. In addition to covering over 6 million children directly, CHIP has spurred outreach and enrollment simplification efforts that have resulted in more eligible children receiving Medicaid. Though children enrolled in separate CHIP programs…
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New Report Underscores Need to Help Citizen Children from Mixed Status Families Enroll in Medicaid/CHIP
Ninety-seven percent of children living in the US are citizens, but one in four have an immigrant parent. New research from the Urban Institute shows that coverage gaps for citizen children with noncitizen parents widened relative to other children from 2016-2019, reversing much of the coverage gains these children experienced from 2013-2016. These findings are…
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Commonwealth Fund Blog Series on Medicaid Drug Pricing Issues
Congress and the Biden Administration are currently pursuing substantial drug pricing reforms as part of the reconciliation legislation expected to move this fall. While the focus is primarily on Medicare, Medicaid should not be overlooked. In an ongoing series of posts for the Commonwealth Fund’s To the Point blog, I examine some key Medicaid drug…
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Federal Government Accepting Public Comments on Tennessee Medicaid Block Grant Waiver Restricting Access to Prescription Drugs
The Centers for Medicare and Medicaid Services (CMS) have reopened a 30-day public comment period for Tennessee’s controversial section 1115 waiver, which the Trump Administration approved in January 2021. While the waiver’s radical centerpiece converting the state’s federal Medicaid funding into a block grant has rightfully received the most attention, the waiver would also allow…
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Participation of Eligible, Uninsured Children in Medicaid and CHIP Declined Again in 2019
[Editor’s Note: You can find state level Medicaid/CHIP participation rates on CCF’s State Data Hub.] Since the American Community Survey (ACS) was first released in 2008, the Urban Institute has estimated the share of uninsured children who are eligible but not enrolled in Medicaid and CHIP. Several weeks ago, Urban released its latest analysis based…
