The COVID-19 pandemic has unleashed not just death, but also massive unemployment and a steep recession. Among the economic casualties are state budgets, which have been knocked badly out of balance by the resulting drop in revenues and the prospect of increased enrollment in Medicaid and other safety net programs. Among those spared from the […]
In many states, Medicaid is under budgetary siege. The steep recession brought on by the COVID-19 pandemic has led to large revenue shortfalls and budget deficits, most notably an estimated $54 billion in California for the fiscal year ending June 30 and the next. States must balance their budgets, and they have only a few […]
Three months into the pandemic, Medicaid’s role as the nation’s frontline health insurer has come into sharp relief. The focus is on the struggles of frontline hospitals, nursing homes, and health care workers; the vertiginous climb in the number of unemployed and uninsured; the threat to the solvency of pediatric and other primary care providers; […]
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 […]
In June 2018, the Dallas Morning News began publishing a series of in-depth investigative reports on Texans harmed through Medicaid managed care, potential conflicts of interest, and weaknesses in oversight and enforcement of Medicaid managed care contracts. The articles resulted in public hearings in the Texas House of Representatives that further explored the issues and allowed the public to comment. In […]
Earlier this week the data transparency door to Medicaid managed care opened. Not as wide as some of us would hope, but wide enough to start a detailed conversation about the performance of individual MCOs on quality. It happened at a briefing sponsored by the California Health Care Foundation and took the form of a […]
