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…
10 Things to Know About Medicaid Managed Care May 1, 2024 Issue Brief Our updated explainer provides an overview of comprehensive managed care, the most common way states deliver Medicaid services to enrollees, as well as new federal rules that strengthen managed care access standards.
Halfway Through the Medicaid Unwinding: What Do the Data Show? January 30, 2024 Blog Ten months into the unwinding of the Medicaid continuous enrollment provision, KFF tracking shows that states have reported outcomes for roughly half of the people expected to undergo renewals during the unwinding period. This policy watch examines the latest data and key issues to watch during the next phase of the unwinding.
Final Prior Authorization Rules Look to Streamline the Process, but Issues Remain May 2, 2024 Issue Brief This brief examines the final CMS regulations governing prior authorization in Medicare Advantage, Marketplace, Medicaid, and other plans, how they might address some current consumer concerns, and some issues that remain.
Commercialization of COVID-19 Vaccines, Treatments, and Tests: Implications for Access and Coverage February 6, 2024 Issue Brief With the depletion of the federal-purchased supply of COVID-19 vaccines, treatments and tests following the end of the public health emergency, this resource provides an overview of the implications of these changes for access to people covered by Medicare, Medicaid and private insurance, as well as those who are uninsured.
SUD Treatment in Medicaid: Variation by Service Type, Demographics, States and Spending March 28, 2024 Issue Brief Substance use disorders contribute to a growing number of deaths, yet they often go undiagnosed and untreated. While nearly three-quarters of Medicaid enrollees with a diagnosed substance use disorder utilized some type of treatment service in 2020, medication treatment rates varied widely, being much lower for alcohol use disorder than opioid use disorder, and lower among Black enrollees and youth compared to their counterparts. Treatment rates varied considerably across states and average Medicaid spending for people with a diagnosed substance use disorder is over twice as high compared to those without a substance use disorder.
Section 1115 Waiver Watch: Continuous Eligibility Waivers February 15, 2024 Blog The pandemic continuous enrollment provision and other research show that continuous eligibility reduces Medicaid disenrollment and “churn” rates and helps to ensure stable coverage. As many Medicaid enrollees are currently experiencing disruptions in coverage as a result of the Medicaid unwinding, a number of states are pursuing strategies to help promote continuity of coverage, including through unwinding waivers and Section 1115 demonstration waivers. This Waiver Watch summarizes approved and pending Section 1115 waivers with continuous eligibility provisions for children and adults in Medicaid.
Domestic HIV Funding in the White House FY 2025 Budget Request March 12, 2024 Issue Brief This data note provides details on the FY25 request for domestic HIV programs and comparisons to the FY23 enacted level, where possible.
Another Year of Record ACA Marketplace Signups, Driven in Part by Medicaid Unwinding and Enhanced Subsidies January 24, 2024 Blog Open enrollment for the Affordable Care Act (ACA) Marketplaces is about to wrap up with another record high number of people signing up for coverage. Factors that contribute to this increase include unwinding of the Medicaid continuous enrollment, increased subsidies from the American Rescue Plan and Inflation Reduction Act, and increased marketing, outreach, and enrollment assistance.
Section 1115 Medicaid Waiver Watch: A Closer Look at Recent Approvals to Address Health-Related Social Needs (HRSN) March 4, 2024 Issue Brief This issue brief provides an overview of how Section 1115 waivers have been used to address the health-related social needs of enrollees, including a summary of recent approvals for eight states.