For 15 years, the Kaiser Commission on Medicaid and the Uninsured and Health Management Associates have conducted surveys of Medicaid programs across the country. The National Association of Medicaid Directors has collaborated on the project since 2014.
An HHS report indicates that 78% of new Medicaid enrollees indicated that without Medicaid expansion under the ACA, they wouldn't otherwise have the resources necessary to access regular care, while the majority of new Medicaid enrollees reported being satisfied with their health plans (93%) and their doctors (92%). Among the research's other findings:
This KFF brief summarizes findings from 61 studies of the impact of state Medicaid expansions under the ACA. In the brief and the appendix tables, findings are separated into three broad categories: Medicaid expansion’s impact on coverage, access to care, utilization and health outcomes, and economic outcomes. Key findings from the studies include the following:
CMS is seeking public comment on modular solutions for its Medicaid IT systems to better make decisions about the direction and future of its enterprise architecture. In its Request for Information, the agency wants:
Idaho's legislature finalized a list of hot button topics for state lawmakers to review ranging from health care, faith healing and public school funding. Panels will meet over the summer to find ways on how to provide health insurance for citizens who don't qualify for Medicaid. Another group of lawmakers will spend the summer studying the state's faith-healing exemption, noting Idaho law currently permits families to cite religious reasons for medical decisions without fear of being charged with neglect or abuse.
The federal government, which spends billions of dollars each year covering unintended pregnancies, is encouraging states to adopt policies that might boost the number of Medicaid enrollees who use long-acting, reversible contraceptives (LARC). The federal push reflects the continuing concern over the nation's rate of unintended pregnancies, which is one of the highest among developed countries.
HHS published a report about the Minnesota Senior Health Options (MSHO) program, launched by CMS and the State of Minnesota as a pilot in 1997 to better serve dually eligible beneficiaries age 65 and older, showing that integrated care is improving outcomes. MSHO plans coordinates all the Medicare and Medicaid benefits their members receive, including Medicare coverage of acute medical care and Medicaid coverage of long-term services and supports.
Texas' University Health System received nearly $1 million in federal funds to enroll more uninsured Bexar County children in Medicaid and CHIP. The federal boost aims to address the issue of children lacking coverage, currently at 10% in the county. The University Health System's SVP of research and information claims most families are aware of Medicaid and CHIP but notes fewer are knowledgeable about whether their children are eligible for assistance.
Ohio gave over $22 million to groups in an attempt to lower infant mortality rates. The state's Medicaid department is working with community leaders in eight urban areas in the state to figure out what can help each region in its own way. Projects include efforts to educate both women and men on how to have healthy pregnancies and programs that connect families with health-related resources. According to the department, each urban region got at least $1.5 million with amounts based on the needs and existing resources in each area.
The non-profit community development group Structured Employment Economic Development Corporation, or Seedco, will receive $950,000 over the next two years to help find and enroll children who are eligible for public health insurance in Maryland. The funds are part of the fourth round of funding to states from CMS to be used to sign up children for Medicaid or CHIP, for a total of about $150 million, officials said. About $32 million was doled out in 27 states in this round to 38 groups from community organization and providers to government agencies and school districts.
Financial incentives for Medicaid beneficiaries increased participation in the Diabetes Prevention Program (DPP), but did not increase weight loss during the core sessions, according to results of the We Can Prevent Diabetes study. Investigators from Minnesota presented the findings at the American Diabetes Association (ADA) 76th Scientific Sessions. The aim of the research was to use incentives to promote healthy behaviors in the Medicaid population.
Advocates say a federal change to Medicaid funding for services at tribal clinics may address health gaps for Native Americans in Wisconsin. The change would offer full federal funding for transportation, long-term care and other services provided indirectly by the clinics, as it does for services within clinics. It also applies to specialty care by providers outside of the clinics, as long as the clinics coordinate the patient care. Currently, approximately 60% is covered federally with the state picking up the rest.
In this editorial, The Boston Globe says Governor Charlie Baker has an opportunity to make community-based behavioral health care a priority in his MassHealth overhaul. Baker is expected to unveil a draft version of a reform proposal, which will call for dumping the current FFS payment model in favor of an ACO system. Some worry hospitals will opt to bring behavioral health services in-house - instead of working with outside nonprofits - on the premise it will allow them to exert more control over spending, but that would likely lead to less effective and more expensive treatment.
The Kaiser Family Foundation provided 10 highlights from the CMS final regulations that revise and strengthen existing Medicaid managed care rules. The issue brief focuses on the following items:
In this analysis, Families USA suggests a Quality Rating System (QRS) and Quality Strategies can increase transparency, accountability and quality of services provided by managed care plans, adding states can use the ratings to help determine goals for the state’s quality strategy, provide plan oversight and assist in contracting decisions with managed care plans.