Blog
-
Georgetown University’s CCF Weighs in on Proposed Changes to Managed Care Rule
Last November, the Centers for Medicare & Medicaid Services (CMS) proposed changes to its Medicaid Managed Care Rule. As I explained at the time, these proposals can be seen as part of a broader effort by the agency to weaken access protections for children, parents, and other Medicaid beneficiaries, not just in managed care, but…
-
Help Shape Child and Adolescent Health Priorities by Submitting Comments on Healthy People 2030
Planning is now underway for Healthy People 2030 and advocates have an opportunity to help shape child and adolescent health priorities for the next decade. The U.S. Department of Health and Human Services (HHS) is soliciting written comments on the proposed objectives for Healthy People 2030 until 5:00 p.m. ET on Thursday, January 17, 2019.…
-
What does the Partial Government Shutdown Mean for the Affordable Care Act Marketplaces?
As the clock ticks, the likelihood increases that we are in the midst of the longest-ever shutdown of U.S. government agencies. Hundreds of thousands of federal workers are either furloughed or working without pay and critical government services are going unperformed. For the millions of Americans who rely on the federal government for their health care, many likely have…
-
Oklahoma’s Medicaid Waiver Proposal Will Harm Its Most Vulnerable Families
Unfortunately, our series of reports looking at harmful state Medicaid work requirement rules targeting very poor parents is getting longer. Today we are releasing an updated look at Oklahoma’s proposal, which is currently up for public comment at the federal level. Six states now have active proposals – Mississippi, Alabama, and South Dakota have proposals…
-
New CCF Issue Brief on Strengthening Effective Medicaid Drug Rebate Program
Today, we issued our fifth issue brief in our Future of Children’s Health Coverage series. It focuses on how to build upon and improve the Medicaid Drug Rebate Program at both the federal and state levels in order to help state Medicaid programs better address their rising prescription drug costs. This, in turn, would ensure continued…
-
First Steps: A Spotlight on Check-ups and Developmental Screenings for Young Texans
A baby’s brain forms more than 1 million new neural connections every second. This incredible rate of early brain development, supported by nurturing and engaged caregivers, provides a foundation for children to master new skills like crawling, walking, language, and social interactions. Experiences during this period of rapid growth and early brain development pave the…
-
There’s Always Opportunity to Make Medicaid and CHIP Work Better: A Look at Connecticut
Recently, I had the opportunity to take a close look at how well Connecticut’s Medicaid and CHIP programs – known as Husky Health – are serving children. My assessment and recommendations were published in a new brief released recently by the Connecticut Health Foundation. In many ways, Husky Health is a high performing Medicaid and…
-
MACPAC Releases Medicaid Eligibility, Enrollment and Renewal Case Studies Examining New Data-Driven Processes
Before the holidays, MACPAC and its contractor, SHADAC, (the State Health Access Data Assistance Center at the University of Minnesota) released findings of a study that examined the status of the new data-driven enrollment and renewal processes enacted as part of the Affordable Care Act. The case studies report on how six states – Arizona,…
-
What Does the Partial Government Shutdown Mean for Medicaid and CHIP?
A year ago, the entire federal government was shut down for three days over a dispute about DACA. My colleague Kelly Whitener explained the implications of that full shutdown for Medicaid and CHIP. We are now in the 14th day of a partial government shutdown over a dispute about funding for a border wall. Unlike the full…
-
New Report Finds South Carolina’s Medicaid Waiver Would Leave Thousands of Poor Parents Uninsured
[Editor’s Note: On March 4, 2019 South Carolina posted a revised application for state public comment.] Just before the holidays, South Carolina posted its application for new work-related reporting rules for very low-income parents and caretaker relatives with incomes below 67 percent of the poverty line who are insured through Medicaid. Today we partnered with South Carolina…
-
Call for Nominations for Child and Adult Core Set Annual Review Workgroup
Each year CMS is required to review both the Child and Adult Core Sets of Health Quality Measures in Medicaid and CHIP. To inform the effort, CMS and its partners convene a multi-stakeholder Medicaid workgroup to provide guidance on the core sets. Mathematica Research is coordinating the recruitment of individuals to participate in the 2019…
-
California’s Mandate to Treat Children on Medi-Cal Is Now a Little Clearer
The Medicaid Act, the federal law governing California’s Medi-Cal Program, has long contained specific benefit requirements for covering children and youth under the age of 21 through the Early and Periodic Screening, Diagnostic and Treatment – or “EPSDT” – services mandate. Despite its unmemorable name, this federal mandate critically identifies that children and adolescents are…
-
More Arkansans Lose Medicaid Health Coverage Just Before the Holidays
Earlier this week, Arkansas released the latest round of data showing that their misguided policy requiring adults to prove they are working in order to retain Medicaid coverage is continuing to fail. In December, 4,655 people lost health insurance, bringing the total coverage losses to nearly 17,000 so far, though thousands more will lose coverage…
-
CMS Announces New Connecting Kids to Coverage Outreach and Enrollment Grants
CMS announced the availability of $48 million in “Connecting Kids to Coverage” outreach and enrollment grants and not a moment too soon. As we recently reported, our nation’s progress on children’s health coverage actually reversed course last year registering the first statistically significant increase in the child uninsured rate in a decade. As a majority…
-
Texas Court Decision on the Affordable Care Act: Why Medicaid Expansion Naysayers and Affordable Coverage Opponents Should Be Worried
The Texas federal district court decision striking down the entire Affordable Care Act (ACA) in response to a lawsuit brought by a group of Republican-led states is a radical decision that both conservative and progressive legal experts see as extreme, highly flawed, and unlikely to prevail on appeal. Coming after an election in which Medicaid,…
-
Troubling Trend Emerges for Young Children’s Health Coverage, Threatens Healthy Lifelong Development
Last year saw the nation’s first increase in the number of uninsured children in nearly a decade, and young children were not immune to this troubling trend. Just as the rate of uninsured children increased on a statistically significant basis for all children under age 19 between 2016 and 2017, so it increased significantly for…
-
More State Medicaid Programs Covering Infant and Early Childhood Mental Health Services
Good news: More state Medicaid programs covered infant and early childhood mental health screenings, diagnoses and treatments in 2018 than in 2017. The results from the 2018 update of the National Center for Children in Poverty’s 50-state survey, “How States Use Medicaid to Cover Key Infant and Early Childhood Mental Health Services,” illustrate the growing…
-
Five States Saw Uninsured Rates Rise for Kids Under 6 – Critical Early Development Years at Risk
We have been digging deeper into the American Community Survey that we use for our annual uninsured report, which showed an increase overall for the first time since this data source began in 2008. Younger kids tend to have a higher rate of coverage than older kids, which makes sense as infants and toddlers are…
-
Hundreds of Thousands Weigh in on Proposed Public Charge Rule
This week, we joined over 215,000 individuals and organizations in commenting on the proposed rule to radically change the meaning of public charge. As a reminder, public charge is a term used in U.S. immigration law to refer to a person who is likely to become dependent on the government for financial and material support.…
-
CMS Unveils Latest National Health Expenditures Estimates
On December 6, the Office of the Actuary at the Centers for Medicare and Medicaid Services (CMS) unveiled its latest National Health Expenditures (NHE) estimates for 2017. There were several noteworthy findings related to the Medicaid program: Growth in overall Medicaid spending slowed to 2.9 percent in 2017, down from 4.2 percent in 2016. According…
