Surprise Bills Vary by Diagnosis and Type of Admission December 9, 2019 Issue Brief A new issue brief looks at the prevalence of potential surprise medical bills based on patient diagnosis, emergency visits, and type of inpatient admission.
Why it Matters: Tennessee’s Medicaid Block Grant Waiver Proposal December 9, 2019 Issue Brief On November 20, 2019, Tennessee submitted an amendment to its longstanding Section 1115 Waiver that would make major financing and administrative changes to its Medicaid program. The Centers for Medicare and Medicaid Services (CMS) certified the waiver as complete and opened a federal public comment period through December 27, 2019. Most significantly, Tennessee is requesting to receive federal funds in the form of a “modified block grant” and to retain half of any federal “savings” achieved under the block grant demonstration. This brief provides a high-level overview of the proposed waiver changes and context for why these changes matter.
Surprise Bills Often Hit in Emergencies December 9, 2019 Perspective In an Axios column, Drew Altman previews new data highlighting that people with critical health issues are especially vulnerable to these bills.
Management and Delivery of the Medicaid Pharmacy Benefit December 6, 2019 Issue Brief States are limited in their leverage when it comes to controlling drug spending and use a variety of strategies to manage utilization, including an increased reliance on managed care and pharmacy benefit managers (PBMs). As policymakers debate proposals that include provisions related to Medicaid pharmacy benefits, it is important to understand the challenges state Medicaid programs face and how policy proposals may impact Medicaid beneficiaries and costs.
Despite ACA Coverage, Only 27% of Women Have Discussed Intimate Partner Violence With Their Provider December 6, 2019 Slide The Affordable Care Act provides protections and requires coverage of specific support services to people who have experienced intimate partner violence (IPV). Despite these protections, only 27 percent of women have discussed IPV with their provider.
Fact Sheet Provides an Overview of Abortion Later in Pregnancy and Policies to Regulate It December 5, 2019 News Release Abortions occurring at or after 21 weeks gestational age are rare (1.4%) and difficult to obtain, yet these abortions are subject to intense public debate in the news, policy and the law. A new KFF fact sheet provides basic information about abortion later in pregnancy in the US, including what it is,…
Policies Aimed at Limiting Access to Abortion May Negatively Impact Pregnancy Loss Care December 4, 2019 News Release Abortion restrictions around the country have the potential to limit clinicians’ ability to manage pregnancy loss.
KFF Media Fellowships 2019 North Carolina Site Visits December 2, 2019 Page In October 2019, KFF invited a group of journalists with a strong focus on health policy and state health reform to participate in a week-long fellowship focused on North Carolina’s health care landscape and the national implications of the state-level policy work there. Rural health, Medicaid reform and expansion, the…
New Resource Outlines Efforts to Expand Screening and Counseling for Intimate Partner Violence December 2, 2019 News Release Two resources give an overview of intimate partner violence (IPV) in the U.S. and insurance coverage for screening and counseling.
Intimate Partner Violence (IPV) Screening and Counseling Services in Clinical Settings December 2, 2019 Issue Brief This brief gives an overview of intimate partner violence (IPV) in the US, the populations most impacted, as well as insurance coverage of IPV screening, counseling, and referral services.