Say Ahhh!
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New CBO Study Compares Net Prices for Brand-Name Drugs Among Federal Programs, Finds Medicaid Gets Largest Discounts
In a new groundbreaking study, the Congressional Budget Office compared brand-name drug prices, net of rebates and discounts, across select federal programs and agencies including Medicaid, Medicare Part D and the Department of Veterans Affairs (VA). It found that Medicaid gets the lowest net prices, far below that of Medicare Part D plans and well…
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Unpacking the Postpartum Coverage Extension Option in the COVID-19 Relief Bill
Earlier this month, the House Energy and Commerce committee released a COVID-19 relief package that included a slate of Medicaid improvements, including significant incentives for the holdout states to expand Medicaid coverage to all low income adults. The bill also includes a Medicaid state plan amendment option to offer pregnancy-related Medicaid and CHIP coverage for…
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CBO Estimates Confirm Lifting Medicaid Drug Rebate Cap Results in Significant Federal and State Savings
On Monday, February 22, the House Budget Committee plans to mark up the House COVID-19 relief reconciliation bill, with the full House possibly voting on the bill later in the week. As I have previously explained, one sound Medicaid provision — section 3107 of the bill —would, as of January 1, 2023, eliminate the current…
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Medicaid Expansion’s Effects on Families: More coverage, improved maternal health, better preventive care
We’ve been tracking the rates of uninsured children for more than a decade now, and after reaching an all-time low in 2016 nationwide, the number started going in the wrong direction over the past three years. From 2016 to 2019 approximately 726,000 more children became uninsured. The report we released today looks more closely at…
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Once Upon a Time in North Carolina: CHIP Health Services Initiative Funds Early Literacy Promotion as Part of Well-Child Care
by Emma Sandoe, Anna Miller-Fitzwater, Donna Cohen Ross Once Upon a Time So many well-loved stories of early childhood begin with the words “once upon a time” and go on to tell fairy tales of fantastic adventure. Here in North Carolina, we are excited to share our own early childhood story—one that is certainly adventurous and promises…
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Biden Administration Withdraws Medicaid Work Requirements Guidance and More
President Biden was quoted last week as saying that he was not watching the impeachment trial because he had work to do. On Friday afternoon, February 12th, it was clear that the Centers for Medicare and Medicaid Services (CMS), now under new management, was doing a great deal of work to rollback a signature policy…
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Mississippi Joins the Finish Line Network
The Georgetown University Center for Children and Families (CCF) is excited to formally welcome the Mississippi Center for Justice (MCJ) to the Finish Line network. The Finish Line project is a nationwide initiative of the David & Lucile Packard Foundation to support state-based policy and advocacy organizations that are leading efforts to make advances in…
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Executive Director Joan Alker sits down with Georgetown University Provost Bob Groves
Executive Director Joan Alker recently sat down with Georgetown University Provost Bob Groves to discuss the history of the Center for Children and Families, and how our work has grown and adapted to expand and improve access to high-quality health care for our nation’s children and families. Listen now to hear more about our mission,…
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Child Medicaid Enrollment Grew by 10% during the Pandemic in 2020
The chair of the Federal Reserve, Jerome Powell, recently explained that the official unemployment statistics are too low, and that unemployment was closer to 10% in January. With the pandemic still raging and economic conditions looking very troubling, Congress is considering a COVID relief package with some important Medicaid provisions – my colleague Edwin Park…
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House Energy and Commerce Committee Reconciliation Legislation Would Spur Medicaid Expansion and Promote Maternal Health
The House Energy and Commerce Committee has unveiled its portion of the House COVID-19 relief reconciliation bill, with a markup of the Committee’s recommendations scheduled for Thursday, February 11, 2021. Several of the Energy and Commerce Committee’s reconciliation provisions strengthen Medicaid and the Children’s Health Insurance Program (CHIP), including provisions to encourage states to finally…
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House Energy and Commerce Committee Reconciliation Legislation Includes Sound Medicaid Drug Rebate Provision
Last night, the House Energy and Commerce Committee unveiled its recommendations for the House COVID-19 relief reconciliation bill, with a markup scheduled for February 11, 2021. One sound Medicaid provision would, as of January 1, 2023, eliminate the current cap on total drug rebates that manufacturers must pay state Medicaid programs, which would produce significant…
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President Biden’s Executive Order on Public Charge
On February 2, 2021, President Biden issued an Executive Order (EO) on various aspects of the U.S. immigration system, including public charge policies. Readers of SayAhhh! know that the Trump Administration changed longstanding public charge policies to make it harder for lawfully residing immigrants to obtain green cards by imposing a new wealth test. Though…
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Trump’s Farewell Gift to Florida’s Medicaid Program
A few days before departing, former CMS Administrator and Trump appointee Seema Verma handed out ten-year Medicaid demonstration waiver extensions for political allies, with Texas and Florida,[1] approvals being granted late Friday, January 15th. The Friday before (Jan. 8th) CMS had approved the infamous and dangerous Tennessee waiver, which my colleagues explained beautifully here. Ten…
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Assessing the Trump Administration’s Final Medicaid Drug Rebate Rule Changing Best Price Reporting under Value-Based Purchasing Arrangements
On December 31, 2020, the Trump Administration finalized a rule that among other provisions, newly allowed drug manufacturers to report a range of prices offered through value-based purchasing arrangements (VBP) under the “best price” requirement under the highly effective Medicaid Drug Rebate Program (MDRP). This final rule from the Centers for Medicare and Medicaid Services…
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Improving Medicaid Managed Care for Children: What a Dashboard Could Do
This is the season of Medicaid policy options—especially those competing for the attention of a new Administration and a new Congress. But the federal government is not the only audience; this week a terrific report was issued to policymakers in California. Written by Jocelyn Guyer (a former CCFer), Alice Lam, and Madeleine Toups at Manatt…
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A Check-In on Leveraging the Power of Children’s Check-Ups
By Donna Cohen Ross, Jocelyn Guyer, Alice Lam and Madeleine Toups The pediatric primary care setting provides a near-universal opportunity to support the youngest patients and their caregivers, strengthening vitally important foundational relationships and promoting social and emotional development. When it launched in 2017, the Pediatrics Supporting Parents (PSP) initiative set out to explore core practices…
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MACPAC Recommends One Year of Postpartum Medicaid Coverage at 100% Match
The momentum for extending postpartum Medicaid and CHIP coverage accelerated last week, with the Medicaid and CHIP Payment and Access Commission (MACPAC) giving a strong endorsement of the policy. MACPAC voted to recommend that Congress act to guarantee 12 months of postpartum coverage for pregnant individuals in Medicaid, and to align the policy in states…
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Groups Call on HHS to Cut Red-Tape and Remove Barriers to Medicaid Coverage
A total of 116 organizations led by Georgetown University CCF and the Center on Budget and Policy Priorities sent a letter to the Acting Secretary of HHS urging immediate action to protect people who rely on Medicaid for their health insurance and who live in states with proposed or approved section 1115 work and community…
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Medicaid Wars: The Unwinding Begins (Episode I)
Over the past four years, the Trump Administration has tried to undermine Medicaid by capping federal funding and stigmatizing its beneficiaries. This relentless ideological assault continued to the bitter end, even after the January 6 attack on the Capitol. As my colleague Joan Alker has explained, Secretary Azar and CMS Administrator Verma took actions on…
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Biden Administration Announces It Will Reopen Federal Marketplace Enrollment
Today, January 28, 2021, President Biden signed an executive order establishing a new special enrollment period for the Affordable Care Act’s marketplaces in most states, in order to increase health coverage during the COVID-19 pandemic. The special enrollment period will begin February 15, 2021 and run through May 15, 2021 and like the annual open…
