Rural Hospitals Face Renewed Financial Challenges, Especially in States That Have Not Expanded Medicaid
This data note examines rural hospitals’ operating margins in recent years. After seeing higher margins early in the pandemic, likely due to government relief funds, rural hospitals now face renewed challenges, especially in states that have not expanded Medicaid.
10 Things to Know About Medicaid Managed CareManaged care is the dominant delivery system in Medicaid. With 72% of beneficiaries enrolled in comprehensive managed care organizations (MCOs), plans have played a key role in responding to the pandemic and are expected to work with states in conducting outreach and providing support to enrollees during the unwinding of the continuous enrollment requirement.
Enrollment and Spending Patterns Among Medicare-Medicaid EnrolleesIn 2019, Medicare-Medicaid enrollees comprised 17% of the traditional Medicare population but accounted for 33% of traditional Medicare spending. They made up 14% of the total Medicaid population and accounted for 32% of all Medicaid spending.
A Look at Recent Medicaid Guidance to Address Social Determinants of Health and Health-Related Social NeedsNew guidance from CMS expands opportunities for states to cover health-related social needs that contribute to poor health –e.g. housing instability, homelessness, and nutrition insecurity – through 1115 Medicaid waivers and managed care.
A Look at Substance Use Disorders (SUD) Among Medicaid Enrollees7.3% of Medicaid enrollees ages 12 to 64 had at least one clinically-identified substance use disorder (SUD) in 2019. That is a measure of how often SUD is identified & possibly treated in clinical settings. Overall prevalence of SUD is likely higher.
Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by StateBookmark our Medicaid waiver tracker page for the latest information on pending and approved Section 1115 Medicaid waivers.
Medicaid: What to Watch in 2023How many people will lose Medicaid coverage when states resume disenrollments this spring following the end of the pandemic-era continuous enrollment provision? Will more states adopt Medicaid expansion? What’s being done to reduce racial disparities in health? We explore these and other issues to watch in Medicaid in 2023.
Medicaid State Fact SheetsMedicaid and the Children’s Health Insurance Program (CHIP) provide health and long-term care coverage to almost 90 million low-income children, pregnant women, adults, seniors, and people with disabilities in the U.S.
10 Things About Medicaid Long Term Services and SupportsNearly $1 in every $10 spent on health care in the U.S. in 2020 went to long-term services and supports (LTSS). Medicaid was the single largest payer, accounting for 54% of the more than $400 billion spent on LTSS that year. Spending on home and community-based services was $245 billion, while $157 billion was spent on institutional LTSS such as nursing facility care.
50-State Medicaid Budget Survey ArchivesOur annual surveys tracking Medicaid spending and enrollment trends, published since 2000. The surveys also examine state Medicaid policy actions around eligibility and enrollment, provider rates, provider taxes/fees, premiums and cost-sharing, benefits and pharmacy, long-term care and delivery system and payment reform.