Filling the need for trusted information on national health issues
Medicaid
- WAIVERS
Medicaid Emergency Authority: Approved State Actions to Address COVID-19
This resource captures key information on approved Medicaid emergency authorities and will be updated to include details of additional approved waivers and authorities as needed. - Nursing Homes
How Might Coronavirus Affect Residents in Nursing Facilities?
Nearly 40% of nursing facilities across the U.S. had at least one infection control deficiency in 2017. Facilities that have historically reported deficiencies could be at elevated risk of a COVID-19 outbreak. Some states have higher shares than others. - Medicaid and COVID-19
How Can Medicaid Enhance State Capacity to Respond to COVID-19?
Medicaid can play a key role in connecting individuals to testing and treatment for COVID-19. Through Medicaid, states can provide enrollees access to comprehensive benefits with limited out-of-pocket cost and receive federal funding with no pre-set limit to support coverage. - 50-State Survey
Medicaid and CHIP Eligibility, Enrollment, and Cost Sharing Policies as of January 2020
Our 18th annual survey provides data on states’ Medicaid eligibility and enrollmentpolicies in place as of January 2020. It serves a new purpose by providing a benchmark against which we can measure state actions to respond to COVID-19 and the economic crisis.
ACA MEDICAID EXPANSION
Literature Review
What Does the Research Show About the Effects of ACA Medicaid Expansion?
A review of 404 studies finds that Medicaid expansion is associated with increases in health insurance coverage, improvements in access to and affordability of care, reductions in uncompensated care costs and improvements in self-reported health status and certain health outcomes.
- Tracker
Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State
Bookmark our Medicaid waiver tracker page for the latest information on pending and approved Section 1115 Medicaid waivers. - The Basics
10 Things to Know about Medicaid
Medicaid covers 1 in 5 low-income Americans, including many with complex and costly needs for care. - Data Collection
Medicaid Managed Care Market Tracker
Sixty-nine percent of Medicaid beneficiaries nationally get care through managed care organizations. Get state-level, MCO-level and parent firm-level data. - 50-State Survey
A View From the States: Results of a 50-State Medicaid Budget Survey for FY 2019 and FY 2020
We have detailed state-specific information on Medicaid policies and programs, including eligibility, delivery systems, benefits, long-term services and supports, and provider rates and taxes.
Medicaid Work Requirements
Data Analysis
Understanding the Intersection of Medicaid and Work: What Does the Data Say?
Most (63%) of the 23.5 million adults with Medicaid coverage in the U.S. who are not eligible for both Medicare and Medicaid, and who do not receive federal disability payments, are already working full- or part-time.
- Rebates
Understanding the Medicaid Prescription Drug Rebate Program
The rebate program reduces net federal and state Medicaid spending on prescription drugs. In 2017, Medicaid spent $64 billion on drugs and got $34.9 billion in rebates from manufacturers. Net spending was $29.1 billion. - Managing Costs
Management and Delivery of the Medicaid Pharmacy Benefit
Managing the prescription drug benefit and expenditures is a perennial policy priority for state Medicaid programs, in part because policymakers remain concerned about spending growth. We explore key questions about states’ administration of this benefit. - Prices
Pricing and Payment for Medicaid Prescription Drugs
Medicaid payments for prescription drugs are determined by a complex set of policies, at both the federal and state levels, that draw on price benchmarks. Price benchmarks represent prices paid by different parties at different stages in the drug manufacturing, acquisition, and dispensing processes. We explain how it works.
