Stories about Medicaid earned top honors in this year’s Pulitzer Prize contest: editorial writer Andie Dominick from the Des Moines Register earned a top prize for her columns on the consequences of Iowa’s transition to Medicaid managed care, and health journalist Andy Marso won a finalist mention for his coverage of the lack of transparency in […]
Introduction Nearly 40 percent of the nation’s children—37 million—are covered by Medicaid. Of those, over two thirds are enrolled in managed care organizations (MCOs). While not all state Medicaid programs enroll children in MCOs, in 24 of the states that do, more than 80 percent of Medicaid beneficiaries who are children are enrolled in “comprehensive […]
Last year, HHS finalized changes to the Medicaid and CHIP managed care regulations to modernize and streamline program rules for the first time in over a decade. Nearly 9 in 10 children enrolled in Medicaid/CHIP get their care through some type of managed care arrangement, so we teamed up with NHeLP to review the rules […]
We are continuing our look at EPSDT, this time turning to EPSDT and managed care. Nearly 9 out of 10 children in Medicaid and CHIP receive services through some type of managed care arrangement, so understanding how EPSDT works in a managed care context is critical. If you followed our work on managed care over […]
Thanks to a grant from the Robert Wood Johnson Foundation, CCF has teamed up with NHeLP to launch a series of explainer briefs that unpack the Medicaid/Children’s Health Insurance Program (CHIP) managed care regulations. The importance of these rules cannot be understated. Nearly nine out of ten children in Medicaid and CHIP receive care through […]
In May 2016, the Centers for Medicare & Medicaid Services (CMS) completed its modernization of the regulations governing managed care in Medicaid and the Children’s Health Insurance Program (CHIP). One of CMS’ primary goals in this regulatory overhaul is to promote transparency, enabling policy makers, beneficiaries, providers, and other stakeholders to better understand and monitor […]
