- Filling the Medicaid coverage gap would lower uncompensated care costs, so the Build Back Better Act would cut disproportionate share hospital payments and limit uncompensated care pools in non-Medicaid expansion states. We explain the policy and examine the potential implications.
- Current rules limit Medicaid coverage for incarcerated individuals, but many states have initiatives to expand coverage, coordinate care and increase access for justice-involved populations during and after incarceration. Provisions in the Build Back Better Act would partially lift the inmate exclusion policy by allowing states to use federal Medicaid money to pay for Medicaid-covered services 30 days prior to release for people who are incarcerated. We examine the latest developments.
- Before the pandemic, 10 percent of enrollees had a gap in Medicaid coverage of less than a year. Enrollment “churn” went away during COVID-19 because of continuous enrollment requirements tied to special Medicaid funding. But disenrollments will resume when the requirements end. The Build Back Better Act includes provisions to phase out the requirement and place limits on how quickly states could disenroll people.
The Role of Community Health Centers in the Territories and Freely Associated States During the PandemicCommunity Health centers in the U.S. territories and Freely Associated States help fill a need for primary care and other services. We examine the role they have played in the pandemic, including administering vaccines and meeting the rising need for mental health services. Temporary Medicaid and federal grant funding boosts helped health centers during the pandemic. The Build Back Better Act would permanently increase federal Medicaid matching rates and overall funds for the territories.
- Most states reported having at least one Medicaid delivery system and payment reform initiative in place as of July 2021 aimed at improving quality and costs. However, the research about the effects of such efforts is not conclusive. State efforts to advance Medicaid delivery system and payment reform initiatives will continue to be shaped by the COVID-19 pandemic’s effects, including lack of stability in utilization patterns, labor shortages, and provider capacity.
Bookmark our Medicaid waiver tracker page for the latest information on pending and approved Section 1115 Medicaid waivers.
- Social DeterminantsThe 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. Black and Hispanic adults fared worse than White adults across almost all measures.
- Data Collection Sixty-nine percent of Medicaid beneficiaries nationally get care through managed care organizations. Get state-level, MCO-level and parent firm-level data.
- FInancingMedicaid represents $1 out of every $6 spent on health care in the U.S. and is the major source of financing for states to provide coverage of health and long-term care for low-income residents. We explain how financing for the program works.
Medicaid and CHIP Eligibility and Enrollment Policies as of January 2021: Findings from a 50-State SurveyOur 19th annual survey of Medicaid and CHIP program officials provides data on eligibility levels in every state. It also examines key aspects of state enrollment and renewal procedures in place during the COVID-19 public health emergency.