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The Biden Administration announced today that it will approve Oregon’s request to provide continuous Medicaid coverage to children from birth through age five and for two years for all Oregonians enrolled in Medicaid age six and up. This use of Section 1115 authority is precisely what Medicaid demonstrations are for — as we and colleagues […]
The Inflation Reduction Act (P.L. 117-169) did not include any drug pricing provisions directly affecting Medicaid. But as I have previously written for the Commonwealth Fund, Medicare drug pricing reforms can interact with the highly effective Medicaid Drug Rebate Program, under which drug manufacturers must pay sizable rebates to state Medicaid programs that significantly lower […]
The Inflation Reduction Act (P.L. 117-169), signed into law on August 16, 2022, includes historic Medicare drug pricing provisions such as a requirement for Medicare to directly negotiate prices with drug manufacturers for certain high-cost drugs and a requirement that drug manufacturers pay rebates to Medicare if their prices rise faster than inflation. Unfortunately, the […]
This week in our Unwinding Wednesday blog series, we unpack an element of our 50-state Unwinding Tracker that has been a top issue since discussions about the end of the continuous enrollment protection began: state unwinding plans. In the initial December 2020 guidance, CMS advised states to develop and document a comprehensive plan for eligibility […]
New data from the American Community Survey (ACS) released today by the U.S. Census Bureau suggests that the continuous coverage provision of the Families First Coronavirus Response Act (which prohibits states from disenrolling anyone involuntarily from Medicaid during the duration of the federal COVID-19 public health emergency), has resulted in the child uninsured rate stabilizing and […]
Last week, we launched our new 50-State Unwinding Tracker, which reflects whether states have posted key information or documents for preparation of the end of the public health emergency and the lifting of the Medicaid continuous coverage protection. In the coming weeks, we plan to lift up additional information that can be gleaned from the […]
