Medicaid managed care contracting is a promising pathway for securing more sustainable funding for community health workers (CHWs). This issue brief provides examples of contract language that can be used to incentivize or require Medicaid managed care organizations to utilize and fund CHWs and considerations for advocates looking to improve support for CHWs through this pathway.
Today, the Michigan legislature passed a bill that imposes new work and premium requirements on its huge Medicaid expansion population. Families USA and other organizations have written extensively about how work requirements don't belong in a health care program like Medicaid and how Michigan’s legislation is particularly poorly designed and punitive. But the version of the bill that just passed includes several other major problems.
Kentucky’s successful Medicaid expansion is in jeopardy. The Trump administration approved the state’s request to impose work requirements on people who get health coverage through Medicaid which would lead to people being kicked off the program.
Substance Use Disorder (SUD) is a massive public health emergency facing the United States, costing tens of thousands of lives per year and touching every community. Over the past few months, Congress has prioritized addressing this crisis with hearings and legislation aimed at the opioids crisis in particular.
Michigan lawmakers are debating a bill that jeopardizes the Medicaid coverage on which hundreds of thousands of low-income residents rely. While supporters claim the bill will protect people from losing coverage if they take care of family members who are sick or who have disabilities, a close read of the language suggests otherwise.
As the largest single source of health insurance and coverage for behavioral health services in the country, Medicaid plays a pivotal role in addressing substance use disorder (SUD). Medicaid covers nearly 4 in 10 non-elderly adults in the country with opioid addiction. But this coverage could go further: at least 17 percent of opioid addicts are uninsured, a rate nearly 50 percent higher than the general population.
Since the Trump Administration took office, several states have asked the Centers for Medicare and Medicaid Services (CMS) for approval to waive Medicaid requirements or add new ones through requests known as Medicaid Section 1115 waivers. View our timeline below of the different stages that occur before these requests get to CMS.
As of April 2018, 18 states were actively pursuing Medicaid waivers that would kick people off the program or impose punitive requirements. And the list continues to grow. Advocates for affordable, high-quality, and equitable health care can play a vital role in opposing these waivers. Share this toolkit on Twitter.
Today, the Congressional Budget Office (CBO) released a new budget baseline for 2018 to 2028. The baseline report shows a significant increase in projected budget deficits compared to the 2017 baseline.
As trusted members of their communities, community health workers (CHWs) have a proven track record of increasing access to preventive services, improving health outcomes, and even reducing costs. And by addressing the social determinants of health, CHWs can play a key role in reducing health disparities.