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 in a series of short analyses explaining certain provisions of the sweeping new standards issued by the Obama administration to guide the operation of state Medicaid managed care plans. Here, we look at changes affecting the enrollment process.
This is the first in a series of analyses that examines the impact of efforts by conservative states to use Section 1115 waivers to modify their Medicaid expansions. Our analysis uses data these states report to CMS. First up: How charging Medicaid patients premiums hurts their care and state budgets.
Beginning in 2017, the Affordable Care Act permits states to apply for waivers to begin experimenting with strategies to provide residents with access to high-quality, affordable health insurance. Known as 1332 state innovation waivers, these waivers can be an important vehicle for the next round of state improvements in health care.
While these waivers are related to private health insurance, there are several ways these waivers could affect Medicaid and CHIP coverage. This analysis describes how new federal guidance on these waivers provides some guardrails designed to protect the Medicaid and CHIP populations.
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.
Resources to help organizations participate effectively in the rate review process to push back against unfair premium hikes.
In late January, the Centers for Medicare and Medicaid Services (CMS) approved Indiana’s request to expand its Medicaid program using a waiver. The good news? Approximately 350,000 uninsured Hoosiers will have a chance to get Medicaid coverage under this waiver.
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.