Say Ahhh! – Page 38 – Center For Children and Families

New Inspector General Report Finds Manufacturers Would Have to Pay Substantial Rebates if the Medicaid Drug Rebate Program Applied to Separate State CHIP Programs

The Office of Inspector General (OIG) at the Department of Health and Human Services issued a new report estimating that applying the Medicaid Drug Rebate Program (MDRP) to separate state CHIP programs would have resulted in drug manufacturers paying $641.2 million in rebates in calendar year 2020 alone, with the federal government receiving $515.7 million […]

Edwin Park

August 14, 2023

Limited Child Medicaid Unwinding Data Begins to Paint Bleak Picture, Highlights Need for More Transparency

As we continue to unpack the first round of unwinding data released by CMS a few weeks ago, it remains disappointing that there is not more data on children. As readers of SayAhhh! know, the stakes for children are very high with over half of the children in the country insured through Medicaid, and they […]

Allexa Gardner, Joan Alker August 9, 2023

Medicaid Managed Care: Early Results of the PHE Unwinding for the Big Five in Q2 2023

The Medicaid enrollment results for the “Big Five” during the quarter ending June 30 are now in. The Big Five have the largest share of the Medicaid managed care market: Centene, CVSHealth (Aetna), Elevance Health (formerly Anthem), Molina Healthcare, and UnitedHealth Group. They, along with two large nonprofit companies, were the focus of a recent […]

Andy Schneider, Hannah Green, Ella Mathews August 8, 2023

Understanding the Medicaid Unwinding Data: Marketplace Enrollment

On July 28, 2023, the Centers for Medicare and Medicaid Services (CMS) finally released renewal outcome data from the first two months — March and April 2023 — of unwinding of the Medicaid continuous coverage protection. The data is largely consistent with data that we have already posted in our tracking of state administrative unwinding […]

Edwin Park

August 7, 2023

Data shows kids greatly impacted by KanCare redeterminations

By Heather Braum, Kansas Action for Children Kansas released the second set of data for how the year-long KanCare unwinding process is going, with data available through June 30, 2023, and has now broken out the data into age ranges and by county for those who had not returned a renewal form in April or May. Since […]

Guest

August 4, 2023

First Batch of CMS Unwinding Data Includes Key Call Center Statistics

Last Friday, CMS released the first round of long-anticipated Medicaid unwinding data. The main focus has been on the renewal outcome data submitted in state monthly reports, which unfortunately was only available for the 18 states who began terminating coverage as of March 31 or in April 2023 due to a lengthy lag – and […]

Allexa Gardner, Ella Mathews August 2, 2023