Major Differences in the BBA Medicaid Managed Care Regulation
A side-by-side comparison of the original and revised Federal rule for new consumer protection and quality assurance requirements for Medicaid managed care. Side-by-Side Comparison
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States Sue CMS Over Medicaid Work Requirements Rule, Citing Departure from Earlier Guidance on Medical Frailty
Quick InsightsLess than a month after CMS released its interim final rule on Medicaid work requirements, 24 states, including DC, sued the Trump administration over its interpretation of the 2025 reconciliation law’s requirements — including most notably the medical frailty exemption.
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Medical Frailty and Medicaid Work Requirements: Challenges for People with HIV
Policy WatchThis analysis examines Medicaid work requirements and the implementation of medical frailty exclusions for people with HIV in light of CMS's implementing regulation.
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Medicaid and Managed Care: Implications for Low-income Women
ReportThis commentary reviews Medicaid's role for low-income women and examines the implications Medicaid managed care on the delivery of health services to this vulnerable population. Today 40% of the Medicaid population, mostly poor women and their children, is enrolled in managed care. Medicaid agencies are hoping managed care will control spending and address longstanding problems with access to care. Low-income women have a number of characteristics that make them doubly vulnerable to have trouble accessing…
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Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA)
Fact SheetThis fact sheet provides an overview of provisions of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), which was signed into law in February 2009. The Act extends and expands the State Children's Health Insurance Program (now referred to as CHIP, not SCHIP) that was enacted with bipartisan support a decade ago as part of the Balanced Budget Act of 1997 (BBA). Fact Sheet (.pdf) Fact Sheet: State Adoption of Coverage and Enrollment…
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Transitional Medical Assistance (TMA): Medicaid Issue Update
Fact SheetThis fact sheet presents the key questions and answers regarding transitional medical assistance as a part of the Medicaid program and its relationship to Temporary Assistance to Needy Families (TANF), the welfare program. Fact Sheet
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How Well Does the Employment-Based Health Insurance System Work for Low-Income Families?
Other PostPart 2 Even when insurance is offered to low-wage workers, its costs to these workers may be substantial, and, for some, a barrier to coverage. In 1996, workers had to contribute an average of $1,615 per year for family coverage, or about 30% of the total premium.5 Thus, a worker who earned $10 an hour in 1996, with annual wages of about $20,000, would have had to spend 8% of earnings to buy family coverage.*…
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Medicare Chartbook
ReportThe Medicare Chartbook includes data and background information critical to understanding the Medicare program and the challenges it faces in keeping up with the rising costs of health care and in ensuring the program s future financial security.
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Managed Care and Low-Income Populations: A Case Study of Managed Care in Oregon
Report1996 Update This report is an update to the July 1995 case study on managed care in Oregon released as part of the Kaiser/Commonwealth Low-Income Coverage and Access Project. Report:
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Medicaid Eligibility for the Elderly
ReportThe purpose of this issue paper is to explain Federal Medicaid eligibility policy for the low-income elderly population and discusses Federal and State policy options to improve coverage. Issue Paper