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Say Ahhh!

  • Groundwork Ohio Seeks to Improve Managed Care Procurement to Advance a Vision for Young Children

    When Governor DeWine took office in January of 2019, we began to see the platforms he campaigned upon, including his Opportunity for Every Ohio Kid agenda, begin to take form as his administration settled in and our state FY20-21 budget deliberations ensued in March. Among the new administration’s varied priorities, immediate attention was placed on…

  • Medicaid Expansion Connects 25,000 More Virginia Kids and 110,000 Parents with Affordable Health Coverage

    In just ten months, Medicaid expansion has helped Virginia connect over 340,000 adults to health coverage – including about 110,000 parents. Because of the well-known Medicaid “welcome mat” effect, so far about 25,000 Virginia children came in the door to coverage along with their parents. Most of these children were likely eligible for Medicaid or…

  • The Opioid Epidemic’s Impact on Children Will Cost the U.S. Billions without Urgent Action

    If we consider what children need as part of their healthy development, prevention and early intervention are most important. Children’s experiences, especially in the earliest years of rapid brain development, have an incredible impact on long-term health outcomes. And those same experiences are impacted by their parents’ health. The latest illustration: The opioid epidemic, which…

  • This Thanksgiving, Idahoans are Extremely Thankful for Medicaid Expansion

    “I just received my acceptance letter that said I was approved for Medicaid! I’m so grateful for everything you have done for my family. You’re amazing, much love and many blessings…” Anita S. “My coverage will start January 1, 2020 and now hoping to get to be able to work again where the pain has…

  • Federal Investigators Discover Improprieties in Medicaid Work Requirement Spending

    My father, a professor, used to always say the most interesting part of a paper can often be found in the footnotes. And a recent report from the Government Accountability Office (GAO) on administrative spending in Medicaid Section 1115 work requirement waivers support his claim. I recently read every word of the report, including all…

  • Medicaid Critics Misconstrue Payment Error Rate Measurement to Undermine Popular Program

    The Centers for Medicare & Medicaid (CMS) recently released new numbers on estimated improper payment rates in Medicare, Medicaid, and CHIP. It will take some time to fully digest the 300+ page financial report and its findings, but in the meantime, it may be worth a quick refresher on the Payment Error Rate Measurement (PERM)…

  • The CMS Administrator Talks to Medicaid Directors About Humility in Government

    Two years ago, CMS Administrator Seema Verma gave a major policy address to the  National Association of Medicaid Directors (NAMD) at which she outlined her agenda for Medicaid.  She invoked Hubert Humphrey and Lyndon Johnson on the moral imperative of meeting the needs of the poor.  She promised to give states more flexibility by, among other…

  • New Resource from Legal Experts about Access to Health Insurance

    Earlier this month, the experts at CLASP, NILC and NHeLP teamed up and released a new resource, 10 Facts About Access to Health Insurance for Immigrants and their Families, breaking down the barrage of anti-immigrant polices in just 2, easily understood pages. This resource comes just in time for open enrollment – for ACA Marketplace…

  • News about Future of Children’s Dental Health Project

    [Editor’s Note: The Children’s Dental Health Project, a longtime partner of Georgetown University’s Center for Children and Families, asked that we share the following news with our readers.] As leader of the Children’s Dental Health Project (CDHP), I have some news to share about our future. After extensive deliberation, CDHP will be moving our oral…

  • Medicaid Expansion Proves Once Again to be Popular with Voters/Work Reporting Requirements are Not

    Health care was one of the top issues on the minds of voters in Kentucky and Virginia last night and they voted in favor of Democrats who support a clean Medicaid expansion and against Medicaid work requirements – a signature issue for CMS Administrator Seema Verma. Kentucky was an early adopter of the Affordable Care…

  • States that Expanded Medicaid are Helping to Protect Children from Becoming Uninsured

    Our annual report on the state of children’s coverage is out. It’s a deep dive into a disturbing trend – children across the country are losing affordable health coverage, rolling back gains started with the Affordable Care Act.  One main cause of this drop in coverage is easily fixed.  The 14 states that haven’t expanded…

  • Renewing Bipartisan Commitment to Help Uninsured Children Should be Top Priority

    Today we released our ninth annual report that tracks children’s health insurance coverage at the state and national level. This report looks at two-year trends from 2016 to 2018 analyzing American Community Survey data from the Census Bureau. We believe this is the first national report to look at this two-year time period, a time…

  • Improving State Administration and Procedures to Regain Medicaid/CHIP Enrollment Momentum for Kids

    See our full blog series on evidence-based policies available to policymakers to prevent more eligible children from losing health coverage. As Say Ahhh! readers know, in May, we released a comprehensive report showing that child enrollment dropped by nearly 1 million children in 38 states in 2018 and have continued to track the growing enrollment…

  • Maximizing the Use of Technology to Regain Enrollment Momentum in Medicaid

    See our full blog series on evidence-based policies available to policymakers to prevent more eligible children from losing health coverage. As Say Ahhh! readers know, in May, we released a comprehensive report showing that child enrollment dropped by nearly 1 million children in 38 states in 2018 and we have continued to track the growing…

  • Here are the Facts About Anti-Immigrant Policies Pushed by the Administration and Their Impact on Children and Families

    It’s hard to keep up these days on the policies pushed by this Administration that unfairly target immigrant families, but it’s important to be aware and to hold those who are in power accountable. Over the last two years, we’ve tracked harmful policies such as “zero tolerance” at the border and changes to public charge…

  • New Georgetown CHIR Report Finds Ability of Insurers, Employers to Respond to Provider Consolidation is Limited

    Most employers are implementing few, if any, changes to their health plans for the 2020 plan year. That’s not surprising – employers are generally reluctant to make big or abrupt adjustments to provider networks or cost-sharing that could cause pushback from employees. But many health care experts believe that if we’re ever to truly tackle out-of-control health care…

  • What’s New for 2020 Marketplace Enrollment?

    On November 1, the seventh open enrollment period begins for marketplace coverage under the Affordable Care Act (ACA). We at CHIR are tracking several policy changes that could affect marketplace enrollment and plan affordability in 2020. These include: Public Charge Rule: In August 2019, the Department of Homeland Security issued a final rule that broadens the types…

  • Most Recent CMS Data Show Child Enrollment in Medicaid/CHIP Dips Again in June 2019

    In June, another 62,000 children lost Medicaid or CHIP coverage, bringing the 18-month enrollment decline (between December 2017 and June 2019) to more than 1.1 million children nationwide or an overall 3 percent drop. Based on CMS or state enrollment data, 37 states have experienced declines of enrollment ranging from less than 1 percent to…

  • GAO To CMS: Set Goals, Measure Progress on EPSDT (Do Better)

    Another day, another area where CMS could be spending its valuable resources to fulfill Medicaid’s mission to provide health care to low-income Americans, including and especially children. The Government Accountability Office (GAO), Congress’s watchdog for federal agencies, has some ideas. Regular Say Ahhh! readers know the great potential of Medicaid’s pediatric benefit, called EPSDT. Medicaid…

  • Medicaid Expansion Debate: A New Phase

    Across the states, moving towards an election year typically means a retreat from policymakers wanting to take on major issues of interest to their constituents for fear of offending one side or the other. In an era of increasing “constant campaigns” rather than actual governance, this can mean even more legislative paralysis. But health care…