Medicaid
has transformed health care for low-income families and individuals, especially children, pregnant mothers, parents and children with disabilities and special health care needs.
Unwinding Wednesday #5: Application Processing Times Provide Insight into State Capacity to Manage the Medicaid Workload
In last month’s Unwinding Webinar Part 9, we covered the performance indicator and supplemental unwinding data that will be helpful in monitoring the impact of unwinding the Medicaid continuous coverage protection at the end of the public health emergency (PHE). I often talk about call center statistics being the canary in the coal mine. But […]
Lack of Federal Action Puts Puerto Rico and Other Territories in Peril of Dire Medicaid Fiscal Cliff, Yet Again
With Puerto Rico reeling from the widespread damage caused by Hurricane Fiona, it is critical that Puerto Rico receives all the emergency relief and longer-term assistance it needs to recover from yet another devastating natural disaster. But it is also important to remember that the Medicaid programs in Puerto Rico and the other territories — […]
Unwinding Wednesday #4: PHE Unwinding Related FAQs
Frequently Asked Questions or FAQs are a popular way to provide information based on the types of questions people most frequently ask. But like all types of communications, how well FAQs convey information depends on the audience and how easy the content is to understand. In our 50-State Unwinding Tracker, we have found 28 states […]
Oregon Leads the Nation By Covering Children in Medicaid from Birth to Kindergarten – Which State Will Be Next??
The Biden Administration announced today that it will approve Oregon’s request to provide continuous Medicaid coverage to children from birth through age five and for two years for all Oregonians enrolled in Medicaid age six and up. This use of Section 1115 authority is precisely what Medicaid demonstrations are for — as we and colleagues […]
Assessing the Potential Impact of the Inflation Reduction Act on Federal and State Medicaid Prescription Drug Spending
The Inflation Reduction Act (P.L. 117-169) did not include any drug pricing provisions directly affecting Medicaid. But as I have previously written for the Commonwealth Fund, Medicare drug pricing reforms can interact with the highly effective Medicaid Drug Rebate Program, under which drug manufacturers must pay sizable rebates to state Medicaid programs that significantly lower […]
Congress Could Consider Medicaid and CHIP Drug Pricing Provisions
The Inflation Reduction Act (P.L. 117-169), signed into law on August 16, 2022, includes historic Medicare drug pricing provisions such as a requirement for Medicare to directly negotiate prices with drug manufacturers for certain high-cost drugs and a requirement that drug manufacturers pay rebates to Medicare if their prices rise faster than inflation. Unfortunately, the […]