March 30, 2018

Troubling Trends for Oral Health in Medicaid Waivers

Today, Medicaid faces unique threats, and these threats are happening largely below the radar screen. So far, we have succeeded in averting multiple attempts to erode Medicaid as we know it through federal legislation, but efforts to undermine coverage continue through legally questionable regulatory actions and destructive Medicaid waivers. These Medicaid waivers have the potential to have a profound impact on children, families, and their oral health coverage. 

November 7, 2017

Trump Administration Will Approve Work Requirements in Medicaid

Today, in a speech to the National Association of Medicaid Directors, CMS Administrator Seema Verma announced that the Trump Administration is approving Medicaid waivers that impose work requirements on adults. These requirements are a deplorable break with decades of Medicaid policy, a threat to the one in five Americans who depend on the Medicaid program, and an abuse of the Medicaid waiver authority. This decision is wrong both on legal and policy grounds. 

September 15, 2016

CMS Rejects Ohio's Request for Harsh Policies in Its Medicaid Program

Erica Turret

Villers Fellow
Last week, CMS rejected Ohio’s request to make significant changes to its Medicaid program. 

With this decision, CMS is making it clear that policies that make it harder for the lowest-income people in the program to get health care are inconsistent with the goals of Medicaid. The decision also defined some boundaries regarding what is and is not appropriate for approval through the Medicaid waiver process.

July 1, 2016

Missouri’s Medicaid Waiver Spends More to Provide Less

Missouri’s 1115 waiver program, named the Missouri Mental Health Crisis Prevention Program, was recently submitted to the Centers for Medicare and Medicaid Services (CMS) and is awaiting approval. The goal of Missouri’s waiver is admirable. Unfortunately, this special population waiver program spends more to provide less coverage for fewer people.

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.

October 22, 2015

What Three State Elections Could Mean for Medicaid Expansion

Patrick Willard

Senior Director of Campaigns, Outreach, and Engagement (CORE)

The off-year elections in Louisiana, Kentucky, and Virginia aren’t dominating the Twitterverse like the presidential primary debates.

But the outcomes will determine the momentum of the ACA in the region that has been most resistant to expansion.

Short Analysis
May 2015

Explainer: Medicaid Uncompensated Care Pools

What are uncompensated care pools (also known as a “low-income pool” in Florida)? And why are they getting attention now? This short analysis explains what these pools are and how they relate to the CMS process of approving Medicaid Section 1115 waivers. 

October 2014

2014 Governors’ Races and Medicaid Expansion

Of the 23 states that have not expanded Medicaid, 15 have gubernatorial races in November—setting the stage for potential Medicaid expansion in 2015.Our infographic shows the five states where the outcome of the governor’s race could be pivotal.

September 9, 2014

Trending: Tackling Affordability Barriers in the Affordable Care Act

The Affordable Care Act did a lot to help uninsured consumers get health coverage, but it did not entirely resolve the very real problems with insurance affordability for low- and moderate-income consumers. These consumers often struggle to meet other living costs and, even once they have health insurance, may not be able to get the health care they need because they have trouble paying for costs associated with their premiums, office visits, and other types of health care. 


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