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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…

  • 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…

  • 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…

  • Statement by Joan Alker on Released Draft House Budget Resolution

    The following is a statement by Joan Alker, Executive Director of the Georgetown University McCourt School of Public Policy Center for Children and Families, on the release of the House Budget Resolution February 12, 2025FOR IMMEDIATE RELEASE: Statement by Joan Alker, Executive Director of the Georgetown University Center for Children and Families “In conflict with…

  • Medicaid Provider Taxes: A Critical Source of Medicaid Funding for States

    As my colleague Edwin Park has detailed, House Republican leaders are considering draconian cuts to Medicaid that would decimate the program. Among the House Budget Committee’s list of options for Medicaid cuts being considered is a restriction on states’ current ability to use provider taxes to help finance their share of the cost of Medicaid.…