Under the highly effective Medicaid Drug Rebate Program (MDRP), drug manufacturers must provide substantial rebates to state Medicaid programs in order for their prescription drugs to be covered by Medicaid. Because of the MDRP, the Congressional Budget Office has found that Medicaid obtains the lowest prescription drug prices, net of rebates and discounts, among other […]
By: Sheila Smith, Maribel R. Granja, Elisabeth Wright Burak, Kay Johnson, and Daniel Ferguson; Representing the National Center for Children in Poverty, Georgetown University Center for Children and Families, and Johnson Policy Consulting Full report available here. INTRODUCTION Young children covered by Medicaid are growing up in low-income households and are more likely to experience […]
By Georgetown University McCourt School of Public Policy Center on Health Insurance Reforms The U.S. House of Representatives Education & Workforce Committee is poised to advance a bill, H.R. 2813, that would encourage the expansion of self-funded employer-based insurance exempt from key Affordable Care Act (ACA) protections and preempt states’ efforts to stabilize premiums for small […]
Editor’s Note: Since this post was published, CCF submitted formal comments on both the Medicaid Access and Managed Care proposed rules. Transparency has long been underrated as a way of improving access to care in Medicaid. This may be about to change. Two proposed rules that CMS published on May 3 use transparency—making information about […]
There’s a new box on the Center for Medicaid & CHIP Services (CMCS) organization chart! It’s the Managed Care Group, one of (now) eight Groups within CMCS that manage the Medicaid program for the federal government. You’re probably thinking, “So what? A federal bureaucracy gets a new Group. What difference will that make for children […]
On May 24, 2023, the Congressional Budget Office issued new health coverage estimates for people under age 65 through a Health Affairs article and an updated May 2023 “Federal Subsidies for Health Insurance Coverage” baseline. The estimates show the expected adverse impact of unwinding of the Medicaid continuous coverage protection in substantially reducing Medicaid enrollment […]
