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”.
Learn about the multiple benefits of Medicaid expansion that are fueling the movement to expand Medicaid across the country.
Oral Health Coverage in the 2019 State Legislatures: Victories, Budget Cuts, and Opportunities for Future Progress
Comprehensive oral health coverage allows us all to have better oral health, better overall health, and improved quality of life. Yet oral health coverage and care remain out of reach for millions of people in America — particularly adults who rely on Medicare and Medicaid for their health coverage. Many states, however, are realizing and elevating the importance of oral health as they improve dental coverage for adult Medicaid participants.
This checklist is designed to help advocates and consumers understand who makes decisions about private insurance in their states. It suggests questions to ask the insurance department, state legislators, and others.
UPDATE: 1/8/19 - Links to Families USA's comments on the proposed Program Integrity Rule are available here.
Resources to help organizations participate effectively in the rate review process to push back against unfair premium hikes.
NOTE (January 17, 2019): From August through December 2018, Arkansas disenrolled over 18,000 from Medicaid for failure to meet the work hours reporting requirement. Each individual disenrolled was locked out of Medicaid coverage from the point of disenrollment until January 2019, when they can reapply for coverage. At the point individuals re-enroll, the three month “clock” for reporting work hours begins again.
Repeal of the Affordable Care Act would give huge tax cuts and tax breaks worth nearly $600 billion to wealthy individuals and large corporations while stripping care from middle-class and low-wage working families.
High and rising drug prices jeopardize consumers’ health and well-being.1 To address the harms of high drug prices, families across America want and deserve meaningful reforms that target and reduce the underlying “list” prices of drugs. Polling shows that nine out of 10 voters support allowing the government to negotiate lower drug prices in Medicare.2
To provide consumers with plans that have lower cost-sharing, policymakers and marketplace officials should consider establishing “standardized plans.” These are plan designs that all insurers are required to sell that have standardized cost-sharing for covered health services.