California
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Medicaid’s Role in Small Towns and Rural Areas
Key Findings Background One-fifth of people in the United States live in areas that are classified as non-urban. Residents of rural areas and small towns face additional challenges accessing needed health services compared to residents of metro areas for a variety of reasons including acute provider shortages, limited connectivity, and long distances to travel to…
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CMS Announces State Recipients of the Transforming Maternal Health (TMaH) Model
Last year, CMS announced a grant opportunity to boost state Medicaid agency efforts to improve maternal health in the United States. The Transforming Maternal Health (TMaH) Model seeks to help states develop a comprehensive approach to the perinatal period that addresses the whole person’s physical, mental health, and social needs that may be experienced during…
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How Families’ Medicaid Unwinding Experience Can Help Us Advance Health Equity
By: Kristen Golden Testa, Policy Director at The Children’s Partnership In California, more than half of children get health coverage through Medi-Cal, the state’s Medicaid program. Medi-Cal is a critical support system for California families with low incomes, providing children access to the care they need for a healthy start in life. As nearly 75%…
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Postpartum Coverage and Benefits Key, But Merely the Start of Needed Medicaid Work to Address Maternal Health Crisis
Federal and state leaders have prioritized maternal health in Medicaid in recent years with welcome (if overdue) attention. As Say Ahhh! readers know, the new state option to extend postpartum coverage to 12 months for all pregnant women in Medicaid has been adopted or is in progress in all but two states (AR and WI)…
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A Lifeline for Families of Children With Special Health Care Needs
By Gabby Benitez, Kristen Golden Testa and Nick Lutton Nine months after the start of a national effort to renew Americans’ Medicaid coverage, a tidal wave of people, including almost 200,000 children in California from June through October last year, lost their coverage – and an untold number may be joining them. Most disturbingly, this…
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State Medicaid and CHIP Snapshots, 2023
The Georgetown University Center for Children and Families (CCF) and the American Academy of Pediatrics (AAP) created factsheets underscoring the importance of Medicaid in providing coverage for children in all 50 states and the District of Columbia. Sources available here. Previous snapshots can be found here (2019), here (2018) and here (2017). Check out more interactive…
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Medicaid Managed Care: Quality Performance, Sanctions, and Transparency in California
Three years ago, the California Health Care Foundation published a ground-breaking report on Medicaid managed care in the state. Researchers from the University of California at San Francisco presented and analyzed data on the quality of care furnished by each Medicaid managed care organization (MCO) over the 10-year period 2009 – 2018. The researchers found that, over…
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Vermont’s Section 1115 Demonstration: Medicaid Managed Care Meets Single Payer
Vermont is one of ten states that don’t use risk-based Medicaid managed care. It’s not that Vermont isn’t interested in risk-based managed care. The state is very interested—so long as it is the managed care organization (MCO). The state made its case to CMS in its application to extend its section 1115 demonstration beyond June…
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California’s Medicaid Managed Care Waiver: New Potential for Access and Transparency
One of the most significant Medicaid managed care developments in 2021 happened on December 29, when CMS approved federal funding and waivers for California’s reform initiative, Advancing Innovation in Medi-Cal (CalAIM). The approval involved two sets of waivers, one operating under section 1115 of the Social Security Act, the other under section 1915(b)(4). For good…
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States Move Toward Multi-Year Continuous Eligibility for Children in Medicaid
Children need consistent access to health care, especially in their early years when frequent screenings, vaccinations, and well child checkups are so critical to their development and school readiness. And despite efforts to streamline and simplify eligibility processes and improve retention, many children covered by Medicaid (as well as other sources of health insurance) experience…
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New Urban Institute Estimates of 1.7 Million More Uninsured Children if Supreme Court Overturns Affordable Care Act
On Tuesday, November 10, the Supreme Court will hear oral arguments for California v. Texas, a case in which a group of conservative attorneys general led by the Texas Attorney General and the Trump Administration are seeking to overturn the entire Affordable Care Act (ACA). Researchers from the Urban Institute recently projected that the number…
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California Rx: State May Dive Into Generic Drug Market
Kaiser Health News By: Angela Hart and Samantha Young California is poised to become the first state to develop its own line of generic drugs, targeting soaring drug prices and stepping into a fiercely competitive drug market dominated by deep-pocketed pharmaceutical companies… “Other legislative efforts in Congress and in other states have focused on government…
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Coronavirus has not hit Medicaid the way California feared
L.A. Times By: Rachel Bluth and Angela Hart The predictions were dire: Coronavirus lockdowns would put millions of Americans out of work, stripping them of their health insurance and pushing them into Medicaid, the health insurance program for low-income people. In California, Gov. Gavin Newsom’s administration projected that the pandemic would force about 2 million…
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School Reopening Debate Highlights Student Health Concerns
The political debate over reopening schools has brought children’s health to the forefront of the nation’s coronavirus crisis, often in ways contrary to expectations. Conservative leaders, pushing for in-person instruction, are citing the social-emotional needs of children stuck at home for months. Liberal leaders, urging caution, are calling for local control of schools. From a…
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Fact Sheets: Latino Children’s Health Coverage
State officials’ decisions about coverage options, especially in times of crises, have a profound effect on children and can exacerbate pre-existing racial and ethnic disparities. For notes on methodology, visit this page. Arizona Fact Sheet California Fact Sheet Florida Fact Sheet Georgia Fact Sheet Nevada Fact Sheet Puerto Rico Fact Sheet Texas Fact Sheet For…
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‘Why Do We Always Get Hit First?’ Proposed Budget Cuts Target Vulnerable Californians
LAist By: Samantha Young Shirley Madden, 83, relies on a caregiver and her two grown daughters to remain living at home — and not in a nursing home. Her daughters, 55-year-old Carrie and 60-year-old Kristy Madden, both use wheelchairs and need a second caregiver to help them navigate their own daily lives… States that drop…
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The high cost of being Trump’s enemy
Kaiser Health News By: Rachel Bluth President Donald Trump makes his disdain for California clear, lashing out at the Golden State as a “filthy dirty” and “horrible” outpost cursed by homelessness and wildfires. California, in turn, has challenged the Trump administration dozens of times on issues such as auto emissions, immigration and union dues. … In February,…
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Medicaid Managed Care Transparency: A Leap Forward
The California Health Care Foundation has just issued a path-breaking report that marks an important step forward on the road to full transparency about Medicaid managed care. The report, prepared by Dr. Andrew Bindman and his colleagues at the University of California at San Francisco, examines the performance of managed care plans (MCPs) in Medi-Cal…
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National Decline in Child Enrollment in Medicaid and CHIP Slows but Steep Declines Continue in Problem States
In the first four months of 2019, overall child enrollment in Medicaid and CHIP dropped by 122,000 children with declines in 31 states offset by gains in 20 states. As noted in previous blogs and this report, the largest declines are occurring in a handful of states. States with the Largest Percentage Decline – In…
