Unwinding the Continuous Enrollment Provision: Perspectives from Current Medicaid Enrollees March 9, 2023 Issue Brief This brief describes 10 key points about the unwinding of the Medicaid continuous enrollment requirement, highlighting data and analyses that can inform the unwinding process as well as recent legislation and guidance issued by the Centers for Medicare and Medicaid Services (CMS) to help states prepare for the end of the continuous enrollment provision.
An Overview of Medicaid Work Requirements: What Happened Under the Trump and Biden Administrations? May 3, 2022 Issue Brief The Trump Administration aimed to reshape the Medicaid program by newly approving Section 1115 demonstration waivers that imposed work and reporting requirements as a condition of Medicaid eligibility. However, courts struck down many of these approvals and the Supreme Court recently dismissed pending challenges in these cases. Available implementation data suggests that work requirements were confusing to enrollees and result in substantial coverage loss, including among eligible individuals.
Will Insurance Cover Over-the-Counter Contraceptive Pills? A Discussion of Coverage Options and Challenges September 15, 2023 Event The U.S. Food and Drug Administration recently approved Opill—the first over-the-counter daily oral contraceptive pill in the United States. Beginning in early 2024, people will be able to purchase Opill without a prescription, expanding options for contraceptive access across the country. While federal policy requires most private health insurance plans…
Six Months into the Medicaid Unwinding: What Do the Data Show and What Questions Remain? October 17, 2023 Blog Six months into the unwinding of the Medicaid continuous enrollment provision, KFF tracking shows states are reporting outcomes for over 28 million renewals, accounting for three in ten people who were enrolled as of March 2023 when continuous enrollment ended. This policy watch examines the latest data and key questions as the unwinding continues to unfold.
The Impact of the “Medigrant” Plan on the Federal Payments to States November 29, 1995 Report The Impact of the “Medigrant” Plan on the Federal Payments to States The analysis examines the conference agreement plan for the redistribution of federal funds under a block grant for the Medicaid program. It also discusses the implications of the reductions in federal spending for beneficiary coverage. Report: The Impact…
A Comparison of Medicaid Provisions Under Current Law, The President’s Balanced Budget Proposal, The MediGrant Provisions of HR 2491 and The Medicaid March 30, 1996 Report This side-by-side compares proposals for restructuring of the Medicaid program and with current law. Report: A Comparison of Medicaid Provisions Under Current Law
In Response to Home-Care Workforce Shortages, Most States Report Increasing Medicaid’s Payment Rates and Expanding Worker Opportunities October 24, 2023 News Release Almost every state reported increasing Medicaid payment rates for home- and community-based services to recruit and retain workers as part of their strategy to address long-standing workforce challenges, according to a new report from a survey of state officials administrating those programs. Most states also report developing or expanding worker…
Payment Rates for Medicaid Home- and Community-Based Services: States’ Responses to Workforce Challenges October 24, 2023 Issue Brief In response to long-standing workforce challenges in home- and community-based services, states have reported increasing Medicaid payment rates, providing more education and training or leveraging other strategies to recruit and retain workers.
What Share of Nursing Facilities Might Meet Proposed New Requirements for Nursing Staff Hours? September 18, 2023 Issue Brief This issue brief analyzes the percentage and characteristics of facilities that would meet the rule’s proposed requirements for the minimum number of RN and nurse aide hours to better understand the implications of the rule.
Strategies to Manage Unwinding Uncertainty for Medicaid Managed Care Plans: Medical Loss Ratios, Risk Corridors, and Rate Amendments April 10, 2023 Issue Brief This brief provides a high-level snapshot of states with minimum medical loss ratio (MLR) and remittance requirements and risk corridors in place as of July 1, 2022 that may provide financial protection and limits on financial risk for states and plans as the unwinding unfolds.