Filling the need for trusted information on national health issues
Medicaid
- Prescription Drugs
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 – for net spending of $29.1 billion.
- Opioids
Opioid Use Disorder among Medicaid Enrollees: Snapshot of the Epidemic and State Responses
We profile the opioid epidemic among the Medicaid population in six states that have been hard hit by the opioid epidemic, and we examine what strategies state officials are using to address the crisis. - Behavioral Health
State Options for Medicaid Coverage of Inpatient Behavioral Health Services
Federal law has generally prohibited using Medicaid to pay for mental health and susbtance use treatment at “institutions for mental disease.” We look at four new mechanisms for states to cover such services.
ACA MEDICAID EXPANSION
Literature Review
What Does the Research Show About the Effects of ACA Medicaid Expansion?
The ACA’s Medicaid expanion has increased health coverage, affordability and access to care while producing budget savings for states, according to a review of more than 300 studies and policy reports.
Medicaid Work Requirements
- work requirements
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. - waivers
Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State
View pending and approved state Section 1115 waivers for work requirements; eligibility and enrollment restrictions; benefit, copay, and healthy behavior provisions; and behavioral health provisions. - Research Findings
The Relationship Between Work and Health
There is limited evidence on the effect of employment on health, with some studies showing a positive effect of work on health, and others showing no relationship or isolated effects.
50-State Medicaid Budget survey
Medicaid’s Future
States Expect Total Medicaid Spending to Rise Faster Than Enrollment in FY 2020
Our 19th Medicaid budget survey finds that states budgeted for total Medicaid spending to increase at a faster pace than enrollment in fiscal year 2020, driven in part by rising prescription drug costs, provider rates and higher costs associated with caring for the elderly and disabled.
- 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. - Interactive
Medicaid State Fact Sheets
Medicaid and CHIP provide health and long-term care coverage to more than 70 million low-income children, pregnant women, adults, seniors, and people with disabilities. What percentage of people are covered by Medicaid/CHIP in your state? - 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. - Managed Care
10 Things to Know About Medicaid Managed Care
Payments to comprehensive managed care organizations accounted for 46% of the nearly $577 billion in total state and federal spending on Medicaid services in FY 2017.
