Several states are still considering expanding their Medicaid programs, and many will use Medicaid waivers for these expansions. This guide tells advocates when and how they can engage in the Medicaid waiver process.
Thanks to the Affordable Care Act, we’ve made tremendous progress in expanding access to affordable health insurance. However, the findings of our new report show that there is still work to be done to help consumers with their out-of-pocket costs so they can get the care they need. The good news is that there are steps that health insurers and state and federal policy makers can take to address this issue.
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.
Dr. Mary Williard, a mother and a dentist working in Alaska Native communities, describes how our broken dental care system brought her adopted daughter into her life for the first time. And, how an innovation she has made her life's work could change the way we provide dental care to the millions in the United States, like her daughter, who have suffered without it.
In just 10 years, dental therapists in Alaska have been able to expand dental care to 40,000 people here who couldn’t get that care before. They are so effective because they work with dentists as part of a team to bring dental care to communities that dentists can’t get to very often.
The Supreme Court case that will be decided in June threatens the health coverage of millions of Americans.
Earlier this month Congress agreed on a budget that should worry consumer health care advocates. It proposes slashing Medicaid spending and makes other changes that threaten low-income consumers’ access to health care. Expect a busy summer as committees debate these measures.
On May 26, the Centers for Medicaid and Medicare Services (CMS) released long-awaited proposed rule that seek to modernize the regulatory framework governing Medicaid managed care plans. The proposed rule aims to increase efficiency in the managed care program for providers, enrollees, and health plans, while maintaining consumer protections.
Resources to help organizations participate effectively in the rate review process to push back against unfair premium hikes.
We recently reported our findings on the potential problems posed by health insurance plans with high deductibles. Proponents of high-deductible plans assert that making consumers spend more to cover their medical care will encourage them to seek high-value care. But that isn’t possible for many consumers because they don’t have the tools or the basic understanding of how their health insurance works—both of which are necessary to make informed decisions about what care to get at what price.