Search Results for “arbitrary and capricious” – Page 2

Lawsuit Challenges Arkansas’s Medicaid Work Requirement

Back in 2014, Arkansas expanded Medicaid through a section 1115 demonstration waiver referred to as the ‘private option.’ Newly eligible Medicaid beneficiaries enrolled in private market plans on the ACA’s Marketplace and the state defrayed the costs and offered wrap-around benefits. A preliminary evaluation of the private option showed that Arkansas cut its uninsured rate…

August 15, 2018

By

Kelly Whitener

Say Ahhh!

Medicaid Waiver Wars: CMS Strikes Back

Late last month, a federal District Court ruled that the approval of the Kentucky Medicaid work requirements waiver by the Secretary of Health and Human Services was “arbitrary and capricious” because, among other things, even though the record showed that 95,000 people would lose Medicaid coverage, “the Secretary paid no attention to that deprivation.” The…

July 26, 2018

By

Andy Schneider

Say Ahhh!

Medicaid and Work: Fact and Fiction in Government Reports

Last week saw the release of two reports on Medicaid and work. One, from the nonpartisan Medicaid and CHIP Payment and Access Commission (MACPAC), an arm of the Congress, is fact. The other, from the White House Council of Economic Advisors (CEA), is fiction. The difference matters, because it goes to the basic identity of…

July 25, 2018

By

Andy Schneider

Say Ahhh!

Public Comments Reflect Strong Opposition to Proposed CMS Medicaid Access Rule

Public comments matter – the recent federal court decision on the Kentucky HEALTH waiver proved that. And they matter not just on Section 1115 waivers; they matter on regulations as well. Under the Administrative Procedures Act, federal agencies have to provide the public with an opportunity to comment on a proposed regulation, and it has…

July 20, 2018

By

Allexa Gardner

Say Ahhh!

A Disturbing Trend of Hiding the Coverage Losses is Emerging in Medicaid Waivers

For those of us closely watching the action on new Section 1115 Medicaid research and demonstration waivers that the Trump Administration has been inviting and approving this year, the recent court decision putting a hold on Kentucky’s plans was welcome news. The court ruled that the Secretary’s decision in granting the Medicaid waiver was “arbitrary…

July 17, 2018

By

Joan Alker

Say Ahhh!

The Kentucky Medicaid Waiver Approval: How Do You Spell “Arbitrary and Capricious”?

Late last Friday, a federal District Court overturned the approval of the Kentucky HEALTH waiver by the Secretary of HHS and sent it back to the agency. As a result, Kentucky could not implement work requirements or other harmful changes – premiums, lockouts, elimination of retroactive coverage, etc. – on July 1, as it had…

July 3, 2018

By

Andy Schneider

Say Ahhh!

Arbitrary and Capricious: Kentucky Can’t Require Medicaid Beneficiaries to Document Work in Order to Have Coverage

Seema Verma, the CMS Administrator, has been relentless in her efforts to rewrite the Medicaid statute by encouraging states to require “able bodied” adults to document work in order to qualify for Medicaid. The resulting blizzard of red tape would predictably lead to large coverage losses and redefine Medicaid as a welfare rather than a…

June 29, 2018

By

Andy Schneider

Search

Filter By

Date

Results

Lawsuit Challenges Arkansas’s Medicaid Work Requirement

Medicaid Waiver Wars: CMS Strikes Back

Medicaid and Work: Fact and Fiction in Government Reports

Public Comments Reflect Strong Opposition to Proposed CMS Medicaid Access Rule

A Disturbing Trend of Hiding the Coverage Losses is Emerging in Medicaid Waivers

The Kentucky Medicaid Waiver Approval: How Do You Spell “Arbitrary and Capricious”?

Arbitrary and Capricious: Kentucky Can’t Require Medicaid Beneficiaries to Document Work in Order to Have Coverage