Ten Things to Know About Consolidation in Health Care Provider Markets April 19, 2024 Issue Brief As policymakers and regulators pay more attention to consolidation in health care provider markets, this brief examines and summarizes the evidence about consolidation, including recent trends, the impact on prices and quality, and proposals to address consolidation and increase competition.
Section 1115 Waiver Watch: Medicaid Pre-Release Services for People Who Are Incarcerated April 16, 2024 Issue Brief In April 2023, the Centers for Medicare and Medicaid Services (CMS) released guidance encouraging states to apply for a new Section 1115 demonstration opportunity to test transition-related strategies to support community reentry for people who are incarcerated. To date, CMS has approved Section 1115 reentry waiver requests from three states (California, Montana, and Washington). This Waiver Watch reviews CMS guidance and summarizes key features of the three approved 1115 reentry waivers.
Retiree Health Benefits: Going, Going, Nearly Gone? April 12, 2024 Issue Brief This data note analyzes five national surveys to assess trends in retiree health coverage among people ages 65 and older. These five surveys produce somewhat different estimates of retiree health coverage, but together paint a clear picture: the share of Medicare-age adults with employer- or union-sponsored retiree health coverage has been shrinking and appears to be on the way to extinction.
Nearly a Quarter of People Who Say They Were Disenrolled from Medicaid During the Unwinding Are Now Uninsured April 12, 2024 News Release Nearly a quarter (23%) of adults who say they were disenrolled from Medicaid since early 2023 report being uninsured now, finds a new KFF national survey examining how the unwinding affected enrollees. Overall, 19% of adults who had Medicaid prior to the start of unwinding say they were disenrolled at…
Gaps in Medicare Advantage Data Remain Despite CMS Actions to Increase Transparency April 10, 2024 Issue Brief The Centers for Medicare and Medicaid Services has recently taken actions to increase transparency in Medicare Advantage, however substantial data gaps remain that limit the ability of policymakers and researchers to conduct oversight and assess the program’s performance, and for Medicare beneficiaries to compare Medicare Advantage plans offered in their area.
Upcoming SCOTUS Case Could Weaken the Impact of Regulation on Key Patient and Consumer Protections April 9, 2024 Issue Brief This brief discusses the longstanding legal doctrine, Chevron deference, being challenged in two cases before the U.S. Supreme Court and includes examples of what could be at stake for health care consumers should federal courts no longer use this doctrine to address litigation related to federal health regulations. The focus here is on patient and consumer protection regulation, but overturning the Chevron deference would have implications in all areas of health care.
More On Health and Politics: The Peculiar Timing of Republican Health Policy Plans April 9, 2024 From Drew Altman In this column, KFF President and CEO Drew Altman examines the conservative Republican Study Committee’s sweeping proposals to remake Medicare, Medicaid and the Affordable Care Act and their potential to make waves in this year’s elections. Whether former President Trump ignores, embraces, or repudiates their ideas will be key.
Election 2024 April 5, 2024 Topic Landing Page This topic page houses KFF resources that are relevant to policy debates in the 2024 elections, including those about abortion, the Affordable Care Act, and Medicare.
Experience of the Five Largest Publicly Traded Companies Operating Medicaid Managed Care Plans During Unwinding April 3, 2024 Issue Brief This brief takes a closer look at the five largest publicly traded companies (also referred to as “parent” firms) operating Medicaid MCOs, which account for half of Medicaid MCO enrollment nationally. This analysis presents the latest enrollment and financial data (through the end of 2023) as well as key takeaways from the firms’ unwinding experience.
Is Medicaid Too Big to… Block Grant? March 26, 2024 From Drew Altman In his latest column, KFF President and CEO Drew Altman examines how the politics around the Medicaid program have changed as it has grown much larger and more popular, making it even tougher to block grant the program to cut federal Medicaid spending and hand it off to the states.