CBO Confirms House Bill Prohibiting Use of “QALYs” Would Undermine State Negotiation of Medicaid Supplemental Rebates

I previously raised significant concerns about a House health bill that would expand an existing Medicare prohibition on the use of Quality-Adjusted Life Years (QALYs) to other federal programs including Medicaid and the Children’s Health Insurance Program (CHIP).  I warned that the bill was overbroad in its prohibition of the use of QALYs and could […]

CMS Takes Swift Action to Require States to Address Medicaid Auto-Renewal Errors and Reinstate Children’s Coverage

We have long feared that large numbers of children were losing Medicaid during the unwinding, essentially by mistake, and the ex parte debacle underscores the fact that this is indeed happening.  As we’ve previously explained, the ex parte issue came to light in August after a CMS investigation found several states were doing automatic renewals […]

Update on Medicaid Unwinding and Marketplace Enrollment

I previously reported that according to data from the Centers for Medicare and Medicaid Services (CMS), of the 715,000 Medicaid beneficiaries who lost Medicaid coverage in April due to unwinding of the Medicaid continuous coverage protection, a total of about 54,000 people or 7.5 percent — who were either previously enrolled in Medicaid in March […]