All Articles In 'Medicaid Reform'
Medicare Special Needs Plans: MedPAC Recommendations on Future of Special Needs Plans
Special Needs Plans (SNP) are part of the Medicare Advantage program and were created by the Medicare Modernization Act of 2003 (MMA). There are three types of SNPs, each intended to provide coordinated care for Medicare [...]
Medicaid Federal Match Rates: Reforming the FMAP Formula
The Government Accountability Office (GAO) says it has found a more fair way to set federal matching rates for state spending on social programs such as Medicaid and the Children’s Health Insurance Program (CHIP). Match rates [...]
Medicaid Expansion Through Health Insurance Marketplaces: Unresolved Questions
The Centers for Medicare and Medicaid Services (CMS) has answered some questions about how Arkansas’s creative plan to expand Medicaid under the Affordable Care Act (ACA). The plan, which Gov. Mike Beebe put forward, would use [...]
Impact of ACA on Health Premiums and Enrollment: Society of Actuaries Estimates of Health Reform Law
Love it or hate it, the Affordable Care Act is unprecedented in size, scope, complexity, and uncertainty. To project its impact, numerous policy, economic, competitive, and behavioral factors must be considered and assumptions made. From an [...]
Medicaid Expansion and Hospitals: Hospital Medicaid Revenue to Outpace Crowd-Out Losses
The Affordable Care Act (ACA) created a trade-off for providers, particularly hospitals: On the one hand, Medicare fee-for-service hospital payments will be cut by $260 billion over 10 years. Some people newly eligible for Medicaid will [...]
Medicaid Expansion Via Health Insurance Exchanges: CMS Answers on Premium Assistance and Waivers
Some states have expressed interest in using premium assistance to expand Medicaid eligibility under the Affordable Care Act (ACA). Instead of serving the new ACA Medicaid expansion population through the Medicaid delivery system (through Medicaid health [...]
Medicare-Medicaid Dual Eligibles: Measuring Quality of Special Needs Plans and State Demonstrations
Medicare-Medicaid dual eligibles are often held up as a prime case for the need for better care management to reduce health costs and spending while improving quality. But doing so can be challenging. Most dual eligibles [...]
Electronic Health Records: Best Practices in Washington State Save Medicaid Money
Health information technology, care coordination, and cost containment have increasingly become entwined in health care policy. Medicare and Medicaid both have electronic health record (EHR) incentive programs to encourage physicians, hospitals, and other providers to use [...]
Medicaid Reform: Lessons from Medicaid Payment and Delivery Reforms in Three States
Today, Medicaid spends nearly $500 billion a year on health care for about 71 million Americans. Responsible for a quarter of state budgets, the highly complex program is poised to grow dramatically under the Affordable Care [...]
A Way to Lower Premiums under Arkansas Medicaid Expansion Plan
Policy circles are abuzz with news about Arkansas Governor Mike Beebe’s creative plan to expand Medicaid under the Affordable Care Act. While details are sketchy and there’s no official federal approval yet, the basic idea is [...]
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