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 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.
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.
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.
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.
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 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.
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.