Report

Explainer: Medicaid Uncompensated Care Pools

Nine states have uncompensated care pools (also known as a “low-income pool” in Florida), which help health care providers—primarily hospitals—defray the costs of care that is not paid for. Th...

Health Homes in Medicaid

The Affordable Care Act offers states several ways to improve patient care using a coordinated, patient-centered approach. The Medicaid health home is one such model states can pursue with funding fro...

Medicaid Expansion Helps Working People Get Health Insurance

States that have expanded Medicaid are doing more to help working residents than states that choose not to expand Medicaid. In 2014, the first year of Medicaid expansion under the Affordable Care Act,...

States and the Federal Government Working Together to Run Health Insurance Marketplaces

States have three choices when establishing their health insurance marketplaces (also known as exchanges): Run the marketplace on their own Have the federal government run the marketplace W...

Medicaid Managed Care Rule: Improving the Enrollment Experience

In April, the Obama administration issued sweeping new standards to guide the operation of state Medicaid managed care plans. The new rules are a big deal in part because they affect so many people: T...

Brokers and Agents and Health Insurance Exchanges

Health insurance brokers and agents can play an important role in health insurance marketplaces by helping consumers shop for and enroll in health coverage. But brokers and agents may not always act i...

Medicaid Managed Care Rule: Quality Ratings and Delivery System Reforms

This is the second in a series that looks at what advocates should know about the newly released standards for Medicaid managed care plans. The first analysis explained changes to the enrollment pro...

Medicaid Managed Care Rule: Network Adequacy Standards

Recently the Obama administration released standards for the operation of Medicaid managed care plans. This is the final analysis in a series looking at what advocates should know about the new standa...

How the Supreme Court’s Decision Affects Medicaid and the Affordable Care Act

In June 2012, the Supreme Court's decision on the Affordable Care Act ruled that the penalty for states that don't expand Medicaid is unconstitutional. By removing the penalty, the court's decision ch...

Medicaid Managed Care Rule: What Advocates Should Know

Recently the Obama administration released new standards governing Medicaid managed care plans. These managed care rules haven’t been updated since 2002, and a lot has changed in the past 14 years. ...