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Snapshots of Recent State Initiatives in Medicaid Prescription Drug Cost Control

New Strategies States Are Trying to Control Drug Spending Include:

  • Drug growth caps
  • Closed formularies
  • Promoting lower cost generic drugs
  • Increasing pricing transparency
Health Costs

Chart of the Week

Projections suggest that health spending growth will continue at a moderate pace, but is unlikely to reach the double-digit growth of previous decades.
Health Reform

Short-Term Limited Duration Health Insurance: An Explainer

How do short-term insurance plans differ from ACA-compliant plans?

  • Not renewable
  • Allowed to use medical underwriting and exclude pre-existing conditions
  • Can impose annual and lifetime limits
  • Not required to cover essential health benefits
Women's Health Policy

Abortion Riders in States with Insurance Restrictions

  • 10 states ban abortion coverage in most private plans
  • 9 of these states allow sale of abortion riders
  • No insurers offer abortion riders on individual market in these states

Medicaid: What to Watch in 2018 from the Administration, Congress, and the States

  • What other pending waivers with work requirements will CMS approve? Will such approvals include work requirements for expansion and non-expansion (traditional) populations?  How will these requirements be enforced?
  • Will CMS approve other provisions that restrict eligibility such as time limits, drug testing, lock-outs as well as premiums and cost-sharing?
  • With added complexity, how will these new waivers affect enrollment, program costs and administrative burden and costs?

What's the Evidence on Savings and Quality in Medicare Payment Models?

The latest on ACOs, Bundled Payments and Medical Homes.
Women's Health Policy

Changes to Contraceptive Coverage Rule: Exemptions & Accommodations

  • Which employers are exempt from providing contraceptive coverage without cost sharing.
  • What type of employers may seek an “accommodation” to avoid paying for contraceptives in their plans.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.