Medicaid

New & Noteworthy

Fate of Medicaid Expansion May Once Again Depend on the Outcome of State Elections
This post examines the potential for this year’s midterm elections to decide the fate of Medicaid expansion, with gubernatorial races in 10 of the 12 states that have not expanded, including Georgia, Kansas and Wisconsin, where the gubernatorial race is considered a toss-up. South Dakota voters also will decide a Medicaid expansion ballot initiative.
As 2022 Legislative Sessions End, Most States Are Adopting New Option to Extend Medicaid Postpartum Coverage
Two-thirds of states (33 + DC) have extended or plan to extend Medicaid postpartum coverage to 12 months. We review recent action as the rollback of abortion rights has refocused attention on the importance of coverage for pregnancy and postpartum care..
Recent Developments and Key Issues to Watch with Medicaid Section 1115 Waivers
This policy watch summarizes recent developments and issues in Medicaid Section 1115 waivers, including key provisions to watch in waivers that expire at the end of September 2022. As of September 20, 47 states have a total of 65 approved Section 1115 Medicaid waivers, while 28 states have a total of 32 pending waivers.
Medicaid and the Inflation Reduction Act
While the prescription drug reforms in the Inflation Reduction Act mostly apply to Medicare, some provisions interact with the Medicaid Drug Rebate Program and could increase overall Medicaid prescription drug spending, which totaled $33 billion (net) in FY 2020.
10 Things About Long-Term Services and Supports
Nearly $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.

The Essentials

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.
Tracking Social Determinants of Health During the COVID-19 Pandemic
The COVID-19 pandemic exacerbated existing health disparities for a broad range of populations, but specifically for people of color. We examine how adults are faring on a range of social determinants of health.
Who Could Get Covered Under Medicaid Expansion? State Fact Sheets
Twelve states have not adopted the ACA Medicaid expansion. Who would become eligible for Medicaid if these states chose to expand?
Medicaid Spending and Enrollment: Updated for FY 2022 and Looking Ahead to FY 2023
In our mini-survey update, state Medicaid agencies project the state share of Medicaid spending will increase sharply by 14% in FY 2023, following the expected end of the Public Health Emergency and the loss of pandemic-related enhanced federal funding.
10 Things to Know About Medicaid Managed Care
Sixty-nine percent of Medicaid beneficiaries are enrolled in comprehensive managed care plans nationally. We describe 10 themes related to the use of comprehensive, risk-based managed care in the Medicaid program and highlight significant data and trends.