Short Analysis
July 2016

Advocates' Guide to Implementing Value-Based Insurance Design

Learn how to encourage adoption of value-based insurance design (VBID) in our health insurance system. This guide explains options at both the federal and state level. Around the country, advocates working to improve the health outcomes and value that our health care system delivers are exploring ways to implement VBID.

Short Analysis
June 2016

Medicaid Managed Care Rule: What Advocates Should Know

Recently the Obama administration released new standards governing Medicaid managed care plans. These managed care rules haven’t been updated since 2002, and a lot has changed in the past 14 years. There are currently over 72 million people enrolled in Medicaid, and three-quarters are enrolled in managed care.

Short Analysis
June 2016

Medicaid Managed Care Rule: Network Adequacy Standards

The new federal rules, which states must implement by 2018, are a step in the right direction toward ensuring that people with a Medicaid managed care plan can see the right health care provider when they need to.

Short Analysis
May 2016

Medicaid Managed Care Rule: Improving the Enrollment Experience

The first in a series of short analyses explaining certain provisions of the sweeping new standards issued by the Obama administration to guide the operation of state Medicaid managed care plans. Here, we look at changes affecting the enrollment process.

Short Analysis
April 2016

Charging Medicaid Premiums Hurts Patients and State Budgets

This is the first in a series of analyses that examines the impact of efforts by conservative states to use Section 1115 waivers to modify their Medicaid expansions. Our analysis uses data these states report to CMS. First up: How charging Medicaid patients premiums hurts their care and state budgets.

Short Analysis
January 2016

What Advocates Should Know about 1332 State Innovation Waivers

Beginning in 2017, the Affordable Care Act permits states to apply for waivers to begin experimenting with strategies to provide residents with access to high-quality, affordable health insurance. Known as 1332 state innovation waivers, these waivers can be an important vehicle for the next round of state improvements in health care. 

Short Analysis
January 2016

How Could a 1332 Waiver Affect Medicaid and CHIP?

While these waivers are related to private health insurance, there are several ways these waivers could affect Medicaid and CHIP coverage. This analysis describes how new federal guidance on these waivers provides some guardrails designed to protect the Medicaid and CHIP populations.

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