On May 16th, the Centers for Medicare and Medicaid Services announced a final regulation for Medicare’s Part D drug benefit for 2020. The regulation backed off of a proposal that would have created significant exceptions to requirements that Part D plans cover all drugs in six “protected classes”.
The Return of Churn: State Paperwork Barriers Caused More Than 1.5 Million Low-Income People to Lose Their Medicaid Coverage in 2018
In 2018, enrollment in Medicaid and the Children's Health Insurance Program decreased by about 1.6 million enrollees, 744,000 of which were children. There is strong evidence that a driving factor of the decline in enrollment is state policy decisions to engage in punitive annual (or even monthly) eligibility redetermination processes in which large percentages of Medicaid enrollees lose coverage.
Kansas lawmakers are currently considering legislation that could expand Medicaid to 150,000 nonelderly, low-income Kansans. As lawmakers debate Medicaid expansion in the state’s legislature, Families USA has published a fact sheet on the impact of Medicaid Expansion on Kansas’s state budget. Click here to view the fact sheet.
From Trump administration block grant proposals, to work requirements in the federal courts, to the waiver restrictions faced in the Capitol hallways of West Virginia; Medicaid waivers are under scrutiny.
Speakers examine what's happening in the Trump administration and in the state capitols, as well as the hearings before US District Judge James Boasberg on work requirements in Arkansas and Kentucky. You will also learn how West Virginia advocates stopped a work requirement proposal in their state.
Not measuring and paying for equity risks worsening disparities and it is a key missed opportunity for reducing disparities. This issue brief describes actionable opportunities at the state and federal level to measure and pay for equity.
The Administration’s proposed budget is in part a return to policies that Americans have overwhelmingly rejected. It proposes to gut core insurance protections, end the expansion of Medicaid to low income adults, and block grant the Medicaid program, cuts amounting to over a trillion dollars over ten years. But the budget also signals new and deeply concerning policy changes including mandatory new work documentation requirements in Medicaid, and increasing the cost of health insurance premiums for low income people in the non-group market.
The Utah Senate approved a bill this week that would repeal and replace the voter-approved Medicaid expansion ballot initiative, Proposition 3, which passed with 54 percent of the vote in Utah’s election this past November. Proposition 3, if implemented, is poised to bring health care coverage to over 150,000 Utahns with annual incomes below $17,236 for an individual and $29,435 for a families of three.
NOTE: This blog was orginally published in Health Affairs on January 24, 2019.
Hundreds of Thousands of People Are Losing their Health Insurance Because of Trump Administration Policies
The Trump Administration has announced initial enrollment numbers for the federally-run Healthcare.gov exchange, which provides individual and small group coverage for the 39 states that do not operate their own state-based exchange. Enrollment was significantly lower than last year—a total of 8.45 million people enrolled representing a drop of 4.2 percent from 2017’s level of 8.82 million and an aggregate drop of over 8 percent from 2016’s level of 9.2 million. This represents a significant blow to the financial security and health of America’s families.
The ongoing effort to transform health care in the United States is an important opportunity to address racial, ethnic, and other health inequities directly and deliberately. A central pillar in delivery system and payment reform is promoting evidence-based care: incentivizing treatments with strong evidence of success and appropriate value, and disincentivizing those that are not supported by a strong evidence base.