Earlier this month, CMS proposed changes to regulations that govern the operation of Medicaid managed care in 41 states. The main purpose of the proposals is to improve access to care (by, among other things, beefing up network adequacy standards), but there are other moving parts. This blog looks at the proposed changes to the […]
Georgetown University Center for Children and Families, with data from the University of North Carolina’s Sheps Rural Health Research Center, has examined the role Medicaid plays in health insurance coverage in rural areas, including how state Medicaid expansions helped reduce uninsurance, as part of our rural health policy project launched in 2017. Now we have […]
My colleagues have been analyzing the highly damaging Medicaid work reporting requirement provisions of the House-passed debt ceiling bill crafted by Speaker McCarthy, including how it would likely harm people with disabilities and parents. There is an overwhelming stack of evidence showing that work requirements are a terrible idea: they don’t actually improve employment rates, […]
May is Mental Health Awareness Month, and last week’s news takes this month to heart with the release of the much-awaited Comprehensive Guide to Medicaid Services and Administrative Claiming by the Centers for Medicare & Medicaid Services (CMS) in consultation with the US Department of Education (ED). The first comprehensive update in two decades, CMS’s […]
The earnings reports for the “Big Five” for the quarter ending March 31—known here as PHE Q13—are in. The “Big Five”—CVSHealth (Aetna), Centene, Elevance Health (formerly Anthem), Molina Healthcare, and United Health Group—need no introduction, either to state Medicaid agencies or investors. Together, they had 44.2 million Medicaid enrollees as of March 31. If children […]
We just received a copy of Florida’s report to CMS on its first month of “unwinding” the Medicaid continuous coverage provisions for April and the data is alarming. Of the 461,322 people whose eligibility was checked, more than half — 54% or 249,427 people — were terminated. Most of those terminated (82%) had their cases […]
