• BBB Act Would Reduce Disproportionate Share Hospital Payments in Non-Expansion States

    Filling the Medicaid coverage gap would lower uncompensated care costs, so the Build Back Better Act would cut disproportionate share hospital payments and limit uncompensated care pools in non-Medicaid expansion states. We explain the policy and examine the potential implications.
  • State Policies Connecting Justice-Involved Populations to Medicaid Coverage and Care

    Current rules limit Medicaid coverage for incarcerated individuals, but many states have initiatives to expand coverage, coordinate care and increase access for justice-involved populations during and after incarceration. Provisions in the Build Back Better Act would partially lift the inmate exclusion policy by allowing states to use federal Medicaid money to pay for Medicaid-covered services 30 days prior to release for people who are incarcerated. We examine the latest developments.
  • 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.
  • The Role of Community Health Centers in the Territories and Freely Associated States During the Pandemic

    Community Health centers in the U.S. territories and Freely Associated States help fill a need for primary care and other services. We examine the role they have played in the pandemic, including administering vaccines and meeting the rising need for mental health services. Temporary Medicaid and federal grant funding boosts helped health centers during the pandemic. The Build Back Better Act would permanently increase federal Medicaid matching rates and overall funds for the territories.
  • 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.

Browse the Latest from KFF

The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

www.kff.org | Email Alerts: kff.org/email | facebook.com/KaiserFamilyFoundation | twitter.com/kff

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