As my colleague Tricia Brooks wrote last week, the unwinding of the Medicaid continuous coverage provision is now underway in almost half of the states and in a handful of states, terminations for procedural reasons will begin next month. It is more important than ever to inform Medicaid enrollees about the changes that are coming […]
Under the highly effective Medicaid Drug Rebate Program (MDRP), drug manufacturers must provide substantial rebates to the federal government and states as a condition of having their drugs covered by Medicaid. For brand-name drugs, the rebates apply to both fee-for-service and Medicaid managed care and consist of two mandatory components. First, under a basic rebate, […]
The pandemic has shed new light on children’s mental health across the nation. While the evidence is clear that even before the COVID pandemic there was a crisis in children’s mental health, the pandemic has further intensified the crisis, as highlighted by national pediatric provider groups in their declaration of a national emergency in child […]
President Biden’s FY 2024 Budget includes a number of provisions relating to Medicaid and the Children’s Health Insurance Program (CHIP). Two of these would improve Medicaid managed care. One involves recovery of overpayments to managed care organizations (MCOs); the other, a new tool for enforcing MCO compliance with federal rules. Judging from the lack of […]
The ancient Roman historian Tacitus wrote that, “It is the singularly unfair peculiarity of war that the credit of success is claimed by all, while a disaster is attributed to one alone.” In the spirit of this observation from 97 AD, I’ll happily admit to trying for at least some historical involvement in North Carolina’s […]
On March 9, the Biden Administration issued its budget plan for fiscal year 2024. Based on budget documents from the Office of Management and Budget (OMB) and the Department of Health and Human Services (HHS), here’s a brief summary of the provisions related to Medicaid and the Children’s Health Insurance Program (CHIP), along with the […]
