Say Ahhh!
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Nebraska Residents Will Have to Wait for Medicaid Expansion While Governor Puts More Obstacles in Path to Coverage
Writer George Orwell would love the Nebraska Governor’s complex plan to implement the simple expansion of Medicaid health coverage passed by Nebraska voters in 2018 that would help an estimated 95,000 of the state’s residents gain coverage. In Orwell’s book “1984”, the fictional state of Oceania asked citizens to accept opposing ideas as both being…
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Medicaid and Early Childhood Home Visiting Collaboration: A Washington Perspective
Early in Washington’s Medicaid and early childhood home visiting collaboration, it was clear we needed a common understanding of home visiting services compared to home-based Medicaid services. As it happens, there are some significant differences! Although the Centers for Medicare and Medicaid Services (CMS) does not authorize home visiting models in their entirety, they do…
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More Sabotage: Trump Administration Cuts Marketplace Premium Subsidies
The Centers for Medicare and Medicaid Services recently issued the Notice of Benefit and Payment Parameters for 2020, which finalized a harmful provision first proposed in January that would effectively reduce the amount of premium tax credits available to purchase marketplace plans over time. Like prior Administration actions that have sabotaged the marketplaces, this would…
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New Data Show Widespread Decline in Child Enrollment in Medicaid/CHIP Coverage in 2018
We’ve been anxiously awaiting the release of final Medicaid and CHIP enrollment data for 2018, which was expected to be posted almost a month ago. The wait is finally over but not our concerns about what’s happening. In the meantime, more stories about eligibility system issues in a handful of states and states conducting more…
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Updated CBO Estimates Find Uninsured Increased by 1.4 Million Between 2016 and 2018
Recently, as part of materials explaining the new version of its health microsimulation model, the Congressional Budget Office issued updated estimates for the number of non-elderly people without health coverage over the past four years. According to the CBO estimates, the number of uninsured people under age 65 rose from 27.5 million in fiscal year…
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Centene’s takeover of WellCare: What would it mean for kids and families covered by Medicaid?
On March 27, the Centene Corporation announced it would acquire WellCare Health Plans, Inc. in a cash and stock transaction valued at $17.3 billion. The transaction is subject to approval by the shareholders of both companies as well as state regulators. The companies “expect to complete the transaction in the first half of 2020.” For…
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New Research Documents Health Benefits of Medicaid Expansion
We like to review the research here at CCF and that certainly goes for papers examining the effects of Medicaid expansion. I pulled together a quick overview of that research last year and recently my colleague, Lauren Roygardner, has highlighted an impressive study showing Medicaid expansion improves access to treatments for opioid addiction. The studies…
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Louisiana Launches Pilot Work Promotion Program Instead of Punitive Work Reporting Requirements
Gov. John Bel Edwards in Louisiana should be commended. Not only did he fulfil a campaign promise to expand Medicaid to thousands of Louisianans, but now he has launched a positive work support pilot program for Medicaid beneficiaries. Positive work support initiatives illustrate there are better ways to assist Medicaid enrollees in improving their employment…
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Who’s Minding the Store for Tennessee Children Relying on Medicaid and CHIP?
When I began my career as a children’s advocate in the 90s, Tennessee led the nation in the percentage of its children with health insurance. It was a proud moment for our poor Southern state that was brought about by the vision and political effectiveness of Democrat Governor Ned Ray McWhether and by the courage…
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Where Does the Trump Administration’s Medicaid Waiver Policy Go Next?
Last week was a busy week with a federal court vacating both Arkansas and Kentucky’s Medicaid Section 1115 waivers on Wednesday and the Trump Administration approving Utah’s partial expansion waiver with a work requirement and an enrollment cap on Friday—but without the full expansion match. (Read more on Utah past and present). Given the immediate…
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Affordable Care Act Back in the Spotlight: Build on its Progress or Scrap it Entirely
It is hard to find a starker example of the different approaches our two political parties take to health care than the events of March 26, 2019. The day started with headlines about the Trump administration’s push to have the Affordable Care Act (ACA) declared unconstitutional, and ended with Democratic legislators in the U.S. House introducing a bill that…
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When Early Childhood Educators are Covered, Kids Win: Stories from North Carolina
If you, like me, have the peace of mind of knowing that your toddler or preschooler is well cared for and supported while you’re at work, you probably know already that you’re incredibly fortunate. I am grateful every day for the many early childhood teachers who make the safety, educational success, and wellbeing of a…
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Judge Blocks Arkansas and Kentucky Medicaid Work Requirement Waivers: What Does This Decision Mean for Other States?
Under the Administrative Procedures Act (APA), federal agencies may not take actions that are “arbitrary or capricious.” If they do, federal courts are instructed to hold the action unlawful and set it aside. Late yesterday afternoon, that’s exactly what Judge James E. Boasberg of the U.S. District Court in the District of Columbia did with…
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Hot Off the Press: Annual KFF 50-State Survey on Medicaid
This 17th annual KFF survey and key resource for Medicaid stakeholders reports eligibility, enrollment, renewal and cost-sharing policies in place as of January 2019 for children, pregnant women, parent/caretakers, and low-income adults in Medicaid and CHIP. Like the previous year, for the most part states continued to refine their efforts in delivering a streamlined, data-driven…
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Harnessing Medicaid Payment Reform to Improve Child Health
Child health stakeholders have eagerly followed the progress in New York State’s First 1,000 Days Initiative aimed at using value-based purchasing (VBP) in Medicaid to assure a healthy start and school readiness. Now, the United Hospital Fund (UHF) – the backbone of New York’s effort – has published a brief that explores the context and…
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How Would Utah’s Medicaid Partial Expansion Waiver Break New Ground if Approved
Utah’s legislature recently passed a bill which rolled back the Medicaid expansion passed by the voters in November and substituted a much weaker replacement. With the Governor planning to start enrollment on April 1st into the more limited version, we expect some action by CMS on Utah’s pending Medicaid Section 1115 proposal in the next…
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CCF Comments to Administration’s Harmful Rebate Safe Harbor Rule
We submitted comments to the Trump Administration’s proposed regulation to eliminate the safe harbor in the federal anti-kickback law for rebates negotiated by pharmacy benefit managers (PBMs) on behalf of Medicaid managed care plans (and Medicare Part D plans). As we have previously written, the proposed regulation raises serious concerns because it would likely…
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More News on T-MSIS – Medicaid’s Transformed Statistical Information System
Say Ahhh! readers know I’ve been following the development of CMS’ new Transformed Medicaid Statistical Information System (T-MSIS) for…well…years. The last news we got on T-MSIS was last August when CMS released a State Health Officer Letter detailing its top 12 priorities for states, which I summarized in this blog. Recently, CMS issued a new…
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Evaluating the Administration’s Narrative on Medicaid Work Reporting Requirements
It turns out that last week was Never Mind Week. Who would have guessed? On Monday the Administration released its “Budget for a Better America,” proposing to cut federal Medicaid spending by nearly $1.5 trillion (with a “t”) over the next ten years. These cuts included a mandate that state Medicaid programs require that “able-bodied,…
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Four Steps to Improve Children’s Oral Health Care in Medicaid and CHIP
Our partners at the Children’s Dental Health Project (CDHP) released a great report recently called, “Medicaid Dental Guidance to States: An Opportunity to Aim for Equity,” highlighting how states, managed care organizations (MCOs), providers, and advocates can work to improve dental care for children covered by Medicaid and CHIP. The report draws from CMS guidance…
