Medicaid Section 1115 Managed Long-Term Services and Supports Waivers: A Survey of Enrollment, Spending, and Program Policies January 31, 2017 Report This report presents findings from a state survey about Medicaid Section 1115 capitated managed long-term care services and supports waiver enrollment, spending, and program policies for seniors and people with disabilities as of 2015.
JAMA Forum: What Might an ACA Replacement Plan Look Like? January 24, 2017 Perspective Larry Levitt’s January 2017 post explains the logistics of a “repeal and delay” approach to the Affordable Care Act, and outlines key elements of a proposed replacement plan from Rep. Tom Price, who is President Trump’s nominee for Secretary of Health and Human Services. The post is now available at The JAMA Forum.
Data Note: Estimated Medicaid Savings in the House Budget Resolution from March 2016 January 24, 2017 Issue Brief While the current Budget Resolution under consideration will set the framework for a repeal of the ACA, the Budget Resolution that passed in March 2016 provides insight into other Medicaid cuts that could be considered by Congress later this year. This Data Note examines proposed reductions in federal Medicaid funding under the March 2016 House Budget Resolution.
Private Contracts Between Doctors and Their Medicare Patients: Current Law, Proposed Changes and Implications for Beneficiaries January 23, 2017 News Release Under current law, physicians may choose to privately contract with their Medicare patients, though very few do. Under such arrangements, doctors can charge their Medicare patients any amount they determine is appropriate for their services rather than be bound to Medicare’s set fees and balance billing limits, so long as…
An Early Look at Medicaid Expansion Waiver Implementation in Michigan and Indiana January 31, 2017 Issue Brief This brief explains key components of Michigan and Indiana’s Medicaid expansions under Section 1115 demonstration waivers and presents insights from stakeholder interviews and focus groups about early implementation experience.
New Resource Explains the Impact of the Mexico City Policy January 23, 2017 News Release On January 23, President Donald Trump reinstated the Mexico City Policy, which stipulates that in order to receive U.S. global health funding, foreign non-governmental organizations (NGOs) must certify that they will not perform or actively promote abortion as a method of family planning using funds from any source. A new explainer…
High-Risk Pools as Fallback for High-Cost Patients Require New Rules January 23, 2017 Perspective In this Wall Street Journal Think Tank column, Drew Altman examines how Republicans would “split the risk pools” between the healthier and the sick in their Affordable Care Act replacement plans, using state high risk pools as a fallback for higher cost patients, and examines the steps that would be necessary to make them effective based on prior experience in the states.
