• Medicaid: What to Watch in 2022

    What will happen to Medicaid enrollment when the continuous enrollment requirement tied to federal pandemic funding for states ends? After being hit hard by the pandemic the first two years, how will long-term care settings deal with the virus this year? How will providers respond to the vaccine mandate for health care staff? A number of issues are at play this year that could affect coverage and financing under Medicaid, from the course of the pandemic to state decisions about Medicaid expansion and the fate of the Build Back Better Act. We highlight the key ones to watch.
  • The Intersection of Medicaid, Special Education Service Delivery, and the COVID-19 Pandemic

    An estimated 6.7 million children in the U.S. have special education plans, and over two-thirds of these children have special health care needs. Over half of children with special education plans are covered by Medicaid. We explain how Medicaid and special education services intersect and explore the pandemic’s implications for kids receiving such services.
  • Medicaid Enrollment Churn and Implications for Continuous Coverage Policies

    Before the pandemic, 10 percent of enrollees had a gap in Medicaid coverage of less than a year. Enrollment “churn” went away during COVID-19 because of continuous enrollment requirements tied to special Medicaid funding. But disenrollments will resume when the requirements end. The Build Back Better Act includes provisions to phase out the requirement and place limits on how quickly states could disenroll people.
  • What to Watch in Medicaid Section 1115 Waivers One Year into the Biden Administration

    The Biden Administration has emphasized Section 1115 waivers that expand, rather than restrict, Medicaid coverage and access to care. States’ pending Section 1115 waivers involve eligibility expansions, behavioral health, health equity and addressing social determinants of health. How the Biden Administration handles them could indicate how it will use waivers to advance its policy priorities.
  • State Delivery System & Payment Strategies Aimed at Improving Outcomes and Lowering Costs

    Most states reported having at least one Medicaid delivery system and payment reform initiative in place as of July 2021 aimed at improving quality and costs. However, the research about the effects of such efforts is not conclusive. State efforts to advance Medicaid delivery system and payment reform initiatives will continue to be shaped by the COVID-19 pandemic’s effects, including lack of stability in utilization patterns, labor shortages, and provider capacity.

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