Many states that shared budget projections in response to a new KFF survey of state Medicaid officials report that they expect to see Medicaid budget shortfalls due to rising Medicaid spending and enrollment as people lose jobs amid the coronavirus pandemic and more people enroll in the government health insurance program for low-income people.
As people lose jobs and income due to the COVID-19 crisis, a growing number will become eligible for Medicaid. We examine the range of actions states can take to expand Medicaid eligibility and make it easier for people to enroll via existing state options and waivers.
Information on approved Medicaid emergency authorities to address the COVID-19 Coronavirus emergency. We include details on Medicaid Disaster Relief State Plan Amendments (SPAs), other Medicaid and CHIP SPAs, and other state-reported administrative actions; Section 1115 Waivers; Section 1135 Waivers; and 1915 (c) Waiver Appendix K strategies.
States are taking aggressive action to slow down the spread of the novel coronavirus and prepare their health care systems for dealing with those who become ill with COVID-19, the disease the virus causes. This tool features state-level data on COVID-19 cases and deaths, state policy actions, and data about health coverage and provider capacity within each state.
Low-wage workers tend to work in service industries — such as the restaurant, hospitality and retail sectors – that are especially at risk for loss of income during the COVID-19 pandemic, or in jobs such as health care workers, grocery store workers and delivery drivers, where they may continue to work but face a higher risk of contracting the disease
State-level data show that there have been nearly 51,000 infections and more than 10,000 deaths from COVID-19 among residents and staff at more than 4,000 long-term care facilities in the U.S. Residents of nursing homes and other facilities are among the most vulnerable to infection and serious illness from COVID-19, given the population density in such settings and residents’ underlying health conditions.
After a sharp spike in 2014 due to specialty drug costs and ACA coverage expansion, Medicaid drug spending growth has slowed. However, state policymakers remain concerned and Medicaid prescription drug spending is expected to grow in future years. Policymakers’ actions to control drug spending have implications for beneficiaries’ access to needed prescription drugs.
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.