By Georgetown University Center on Health Insurance Reforms Faculty Health insurers’ use of prior authorization – a medical management tool requiring providers to seek the insurer’s approval before their patient receives a healthcare item or service – appears to be on the rise. While providers and patients raise concerns that prior authorization can inhibit patient […]
Last month the Commonwealth Fund highlighted the role of freestanding birth centers in Community-Led Approach to Transforming Maternity Care. Freestanding birth centers, which use a midwifery and wellness model, provide a choice for families to deliver outside of a hospital or their home. The U.S. hosts 415 freestanding birth centers in 40 states and Washington, […]
The Q2 2024 earnings reports for the “Big Five” Medicaid managed care companies are in. They tell us that the PHE unwinding is winding down, but it’s still driving declines in Medicaid enrollment for the companies as a group. Here are the numbers. For the fifth consecutive quarter, beginning with Q2 2023, Medicaid enrollment for […]
The Project 2025 blueprint, the fiscal year 2025 Republican Study Committee budget plan, and the fiscal year 2025 House budget resolution all propose draconian Medicaid cuts, with a centerpiece of capping and cutting federal Medicaid funding through block grants and/or per capita caps. Together, they signal that radically restructuring Medicaid would likely be a high […]
In this final installment of our series on Medicaid and CHIP outreach, we look at community-based assistance programs and resources in each state. Personalized assistance is critical to helping individuals and families find and access support to navigate confusing processes. CCF’s state outreach snapshot found state-supported outreach assistance programs in 30 states. Most, states with […]
There are many lessons to be learned from the unwinding, but among the top items on the list is the discovery that many states are not following federal renewal regulations that have been in place for more than a decade. Noting that, the Government Accountability Office (GOA) has released a report entitled: “Medicaid: Federal Oversight […]
