Medicaid

Centers for Medicare and Medicaid Services (U.S.)

State Health Plans

United States

Eligibility Determination

Managed Care Programs

Insurance, Health, Reimbursement

State Government

Medically Uninsured

Medicare

Insurance Coverage

Reimbursement Mechanisms

Health Services Accessibility

Capitation Fee

Insurance, Health

Insurance Claim Review

Health Expenditures

Cost Control

Rate Setting and Review

Child Health Services

Fees, Medical

Reimbursement, Disproportionate Share

Insurance Claim Reporting

Personal Health Services

Patient Protection and Affordable Care Act

Health Services Research

Uncompensated Care

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Poverty

Formularies as Topic

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Health Care Reform

Oregon

Tennessee

Florida

Maryland

Nursing Homes

Health Care Surveys

Budgets

Health Policy

Arkansas

Health Care Costs

Insurance, Pharmaceutical Services

Economics, Hospital

New Jersey

Drug Costs

North Carolina

New York

Dental Care for Children

Insurance Benefits

Michigan

California

Inflation, Economic

Medicare Assignment

Reimbursement, Incentive

Maine

Risk Sharing, Financial

Fraud

Social Welfare

Medical Assistance

Drug Utilization Review

Contract Services

Fee Schedules

Cost Sharing

Long-Term Care

Ohio

Insurance, Physician Services

Legislation, Hospital

Public Assistance

Quality of Health Care

Data Collection

Kentucky

Financing, Government

Utilization Review

Cost Allocation

Drug Utilization

Health Services Needs and Demand

South Carolina

Diagnosis-Related Groups

Case Management

Prenatal Care

Disabled Persons

Costs and Cost Analysis

Drug Prescriptions

Retrospective Studies

Health Care Sector

Ownership

Models, Econometric

Massachusetts

Healthcare Disparities

Legislation, Medical

Missouri

United States Dept. of Health and Human Services

Skilled Nursing Facilities

Home Care Services

Fees, Pharmaceutical

Physicians Health Plan appeals committee recommendation on Medicaid Health Plan - Lansing Regional Chamber of Commerce

HHS: Medicaid patients have limited access to doctors | Human Events

Annual Survey Finds ACA Drove Record Annual Increases in Enrollment, Total Medicaid Spending | Health Management Associates

The Effects of Medicaid Expansion under the ACA: Updated Findings from a Literature Review | The Henry J. Kaiser Family...

Wrap-around Medicaid gives states administrative headaches

CMS Medicaid Analytic Extract (MaxFile) Medicaid Claims Data: 100 Percent of Claims for 14 Southern States, 2004-2007

Q&A: How Medicaid Expansion Put Naloxone in the Hands of the People Who Needed It Most - The National Academy for State Health...

Achieving wellness through Medicaid expansion - Alaska Public Media

Medicaid/CHIP Report Discusses Access to Adults With Disabilities

Medicaid Work Requirements and People with HIV - Data Note - 9395 | The Henry J. Kaiser Family Foundation

Paul LePage is Mad Online After the State Votes for Medicaid Expansion - The Bob and Chez Show | News and Politics Podcast and...

Republish: As Clock Ticks, Chance for Medicaid Expansion Dwindles | The Texas Tribune

Medicaid Outpatient Prescription Drugs: Estimated Changes to Federal Upper Limits Using the Formula under the Patient...

Overview of the Medicaid Program | ResDAC

Medicaid Recipients Have a Little More Time to Spend Down Their Stimulus Money | Moonan Stratton & Waldman

The EBCI Tribal Option and what it means for Medicaid beneficiaries - The Cherokee One Feather

Medicaid Eligibility

Saving Babies: The Efficacy and Cost of Recent Changes in the Medicaid Eligibility of Pregnant Women

CMS Medicaid Analytic Extract (MaxFile) Medicaid Claims Data: 100 Percent of Claims for 14 Southern States, 2004-2007

CMS Seeks Comments on Habilitative Benefit Under Medicaid Program

Clinical and Economic Burden of Patients With Chronic Obstructive Pulmonary Disease in a Medicaid Population - Full Text View -...

Medicaid Matters to All of Us - National Physicians Alliance

Utah Medicaid | The Medicare & Medicaid Center

State Medicaid Programs With MLTSS: The 2019 OPEN MINDS Update | OPEN MINDS

Medicaid Health Plans of America CEO: States must consider hidden costs of work requirements | FierceHealthcare

McCrory, Tillis, Berger: Privatizing Medicaid is unpopular, but we need money to fund our tax cuts for rich people

Iowas Privatized Medicaid in State of Emergency - In the Public Interest

Medicare and Medicaid to Revise Reimbursements for Prescription Drugs

South Carolina: Medicaid enrollment up 8.4% since COVID hit; 189K would gain coverage via #ACA expansion | ACA Signups

Proving That a Transfer Was Not Made in Order to Qualify for Medicaid - Laurel D. Mangan, Attorney at Law

New brief helps states improve dental care for kids in Medicaid/CHIP · Childrens Dental Health Project

Model Program Effective in Helping Individuals with Serious Mental Illness Get Medicaid Coverage Upon Release from Correctional...

Impact of Medicaid Expansion on a States Economy: The Hilltop Health Care Reform Simulation Model

Options for Managing Medicaid Funding and Cost Growth - Citizens Research Council of Michigan

Medicaid stigma keeps some from seeking aid - The Blade

States May Not Terminate Medicaid Benefits During the Coronavirus Pandemic - Laurel D. Mangan, Attorney at Law

Data on the Open Data Network

The Wait Is Over: CMS Issues Final Rule With Comment Period Addressing Medicaid Drug Reimbursement and Rebates | Insights |...

Public Health Insurance and Private Savings

California Medicaid Agency Proposes Significant Restrictions on FQHC and RHC Reimbursement | Blogs | Health Care Law Today |...

HIV Screening Rates among Medicaid Enrollees Diagnosed with Other Sexually Transmitted Infections | fsu.digital.flvc.org

Antipsychotic medication adherence and preventive diabetes screening in Medicaid enrollees with serious mental illness: an...

Policies Limit Medicaid Payment for Transplant in Alcoholic Liver Disease | Physicians Weekly

In Letter to Trump Admin Officials, Pingree Joins 34 Members of Congress in Opposing Plan to Turn Medicaid into Block Grants...

State unsure on Medicaid enrollment launch; headaches expected | Crains Detroit Business

The Effect of Medicaid on Adult Hospitalizations: Evidence from Tennessees Medicaid Contraction

August 8, 2017 Proposed Medicaid Payment Rates Public Hearings - Texas Health and Human Services Commission

Florida Medicaid Formulary - How Changes Affect You

The Indiana chronic disease management programs impact on medicaid claims: A longitudinal, Statewide Evaluation<...

Study reveals Part D shifted government spending from Medicaid to Medicare - Drug Store News

News - Study of Oregon Medicaid Program Reveals No Significant Health Improvements | Heartland Institute

Saying Medicaid Estate Recovery Keeps Families in Poverty, Advocacy Groups Call for Abolishing It | Simpson Estate and Elder Law

Illinois Should Not Expand Its Medicaid Industrial Complex | FreedomWorks

Medicaid Expansion in 2015: Howell Says State Has Already Added 70,000 More People - SuperTalk Mississippi

Medicaid Policy Statement | From the American Academy of Pediatrics | Pediatrics

News Release

State medicaid HIT plan (SMHP) : CMS letter - 9/3/2010, enclosure A :: Documents.OK.Gov

State medicaid HIT plan (SMHP) : CMS letter - 9/3/2010, enclosure A :: Documents.OK.Gov

State medicaid HIT plan (SMHP) : CMS letter - 9/3/2010, enclosure A :: Documents.OK.Gov

medicaid certified home health care agencies

U.S. GAO - Medicare Catastrophic Act: Estimated Effects of Repeal on Medigap Premiums and Medicaid Costs

Statement on Medicaid Expansion Economic Impact Study | Colorado Department of Health Care Policy and Financing

03.09.98 - Impact of cigarette smoking on Medicaid costs is $322 billion in 25 years, says University of California analysis

New Jersey Governor Chris Christie Set to Move Forward on Medicaid Expansion | Healthcare Informatics Magazine | Health IT |...

Medicaid Expansion - Nevada | IRP Poverty Dispatch

Health care utilization among Medicare-Medicaid dual eligibles: a count data analysis | BMC Public Health | Full Text

OpenSecrets: Specific Issue

Longitudinal Study of the Effectiveness of the South Carolina Medicaid by Christine N. Veschusio

HHS/OIG - Audit,Audit of Medicaid Payments for Oxygen Related Durable Medical Equipment and Supplies at the Michigan...

Nebraska Medicaid Health Plans | UnitedHealthcare Community Plan: Medicare & Medicaid Health Plans

Florida Medicaid expansion: Legislators look to private insurers to expand Medicaid - tribunedigital-sunsentinel

U.S. GAO - Medicaid: Improvements Needed in Programs To Prevent Abuse

Strategies to Reduce Instability of Coverage in Public Insurance Programs, Phase 2 - The Commonwealth Fund

Kentucky Sends an Ominous Signal About The Future of Medicaid

Proposed cuts to Medicaid in Trump budget would have devastating impact on New Mexico | New Mexico Center on Law and Poverty

Dartmouth Medicine Magazine :: Vital Signs : DH grapples with a $100-million Medicaid gap

The Impact of Medicaid Expansion on New Jerseys Healthcare System - Lubetkin Media Companies LLC

Health Care Reform and Programs That Provide Opportunities to Promote Childrens Behavioral Health - National Academy of...

Get PDF - The effect of Medicaid status on weight loss, hospital length of stay, and 30-day readmission after laparoscopic Roux...

FACT SHEET: Medicaid Expansion Would Drastically Improve Health Outcomes in Georgia - Democratic Party of Georgia

State medicaid HIT plan (SMHP) :: Documents.OK.Gov

Five Important Numbers to Know for Long-Term Medicaid Benefits | SSB LLC | Samuel, Sayward, & Baler LLC | Dedham, MA lawyers

2017 Indiana Medicaid Data Challenge - MPH: Management Performance Hub

Reform Update: Insurers, States Seek Coverage Continuity Between Medicaid and Private Plans | Northwell Health

Washington Medicaid | Welfare Services

Costs to medicaid of advancing immunosuppression in an urban HIV-infected patient population in Maryland<...

American Lung Association Asthma Guidelines-Based Care Initiative | AsthmaCommunityNetwork.org

Medicaid & CHIP: October Monthly Applications and Eligibility Determinations Report - Paradigm Healthcare

Medicaid Naples, Florida (FL)

Ciclosporin

2018 United States elections

Ronald Reagan UCLA Medical Center

Omeprazole

Electromyoneurography

美國醫療保險 - 维基百科，自由的百科

Resource-based relative value scale

Medicare Part D coverage gap

Lamotrigine

Medicare Prescription Drug, Improvement, and Modernization Act

Mesalazine

Rifaximin

Prolotherapy

Tiotropium bromide

Nursing home care in the United States

Transcranial magnetic stimulation

Rizatriptan

Patient safety

Tadalafil

Federally Qualified Health Center

Contact lens

Medicare (United States)

Implant (medicine)

National Institutes of Health

Massachusetts health care reform

National Science Foundation

Flexible spending account

Economic Research Service

Cerebral palsy

Lisa Desjardins

Medicare80

• On November 1, 2019, the Centers for Medicare & Medicaid Services (CMS) finalized policies that are consistent with the directives in President Trump's Executive Order, entitled "Protecting and Improving Medicare for Our Nation's Seniors," that aims to increase choices, encourage medical innovation, empower patients, and eliminate waste, fraud and abuse to protect seniors and taxpayers. (cms.gov)
• Medicaid also offers benefits not normally covered by Medicare , including nursing home care and personal care services. (wikipedia.org)
• Medicaid, Medicare , Tricare , and ChampVA are the four government sponsored medical insurance programs in the United States and the former two are administered by the U.S. Centers for Medicare & Medicaid Services in Baltimore, Maryland. (wikipedia.org)
• Medicaid, a means-tested entitlement program that provides health coverage to low-income Americans, serves as an important complement to Medicare by assisting low-income Medicare beneficiaries with Medicare premiums and cost-sharing, and by providing coverage for prescription drugs and long-term care services not available through Medicare. (encyclopedia.com)
• On January 1, 2006, the six million Americans who are covered by both Medicare and Medicaid saw a change in how their prescription drugs are covered. (kff.org)
• The dual eligible population was transitioned from Medicaid into the Medicare prescription drug benefit. (kff.org)
• The Kaiser Family Foundation has produced three documentaries to mark the 40th anniversary of Medicare and Medicaid. (kff.org)
• The Medicare and Medicaid health coverage programs were signed into law July 30, 1965. (kff.org)
• The Kaiser Family Foundation has some new resources that examine how Medicare and Medicaid came into existence and how they have evolved over the past 40 years. (kff.org)
• Transitions is a video that explores some of the issues and challenges "dual eligibles" may face during the transition from Medicaid drug coverage to Medicare. (kff.org)
• Approximately 70 million-or one in five Americans- received health and long-term care coverage through Medicaid in 2015, making it the largest source of coverage for low-income individuals, including pregnant women, children, adults and people with disabilities and low-income seniors who are also covered by Medicare. (ncsl.org)
• Indeed, states have adopted a wide range of innovative strategies to improve the value of their Medicaid programs, from aligning incentives and provider payments with their desired patient outcomes to adopting new delivery systems that coordinate and streamline services for individuals who are eligible for both Medicaid and Medicare. (ncsl.org)
• On January 11 2018, the Centers for Medicare & Medicaid Services (CMS) announced new policy guidance allowing states to require certain able-bodied, working-age Medicaid beneficiaries to participate in employment or other community engagement as a condition for Medicaid eligibility. (ncsl.org)
• The Department of Health and Human Services through the Centers for Medicare and Medicaid Services maintains up-to-date information about recent policy issues on this webpage . (ncsl.org)
• Financing Medicaid engagingly intertwines theory, historical narrative, and case studies, drawing on sources including archival materials from the National Governors' Association and gubernatorial and presidential libraries, Centers for Medicare and Medicaid Services data, the Congressional Record, and interviews. (umich.edu)
• The Medicare payment system is being transformed as the Centers for Medicare and Medicaid Services ( CMS ) link payment updates to physicians' efforts to improve quality of care, reduce health care spending and participate in alternative payment models. (ama-assn.org)
• Medicare and Medicaid fraud refer to illegal practices aimed at getting unfairly high payouts from government-funded healthcare programs. (investopedia.com)
• Medicare and Medicaid fraud can be committed by medical professionals, healthcare facilities, patients, and others who pretend to be one of these parties. (investopedia.com)
• There are many types of Medicare and Medicaid fraud. (investopedia.com)
• Medicare and Medicaid fraud are a multibillion-dollar drain on a system that is already expensive to maintain. (investopedia.com)
• The Centers for Medicare and Medicaid Services administers major healthcare programs in the U.S. It is part of the U.S. Department of Health and Human Services. (investopedia.com)
• The Centers for Medicare & Medicaid Services (CMS), the agency within the Department of Health and Human Services (HHS), which oversees Medicaid, matches each state's Medicaid expenditures for health care services with federal funds according to a statutory formula. (gao.gov)
• Medicare And Medicaid Turn 56 Today. (forbes.com)
• The costs of the two big government programs-Medicaid for lower-income people and Medicare for the elderly-also continue to rise. (forbes.com)
• For example, many Americans that are on Medicaid are also on food stamps, and many Americans that are on Medicare are also on Social Security. (theeconomiccollapseblog.com)
• The Centers for Medicare and Medicaid Services stated that the law does not provide care for people in prison. (foxbusiness.com)
• Do Medicare and Medicaid pay when beneficiaries use two-way video visits to get care from their doctors? (gao.gov)
• The Centers for Medicare & Medicaid Services (CMS), which administers Medicare, has various efforts underway that have the potential to expand the use of telehealth in Medicare. (gao.gov)
• For that report, GAO reviewed agency documents and regulations and interviewed Medicare agency officials and Medicaid officials from six states, selected based on multiple factors, including rural population. (gao.gov)
• Moreover, it certainly didn't show that private insurance or Medicare succeeds in ways that Medicaid fails. (businessinsider.com)
• Officials with the Centers for Medicare and Medicaid Services, the office within the Department of Health and Human Services in charge of the federal health-insurance programs, say they wrote the new guide simply to clarify how schools should seek reimbursement for the administrative costs related to serving Medicaid-eligible students. (edweek.org)
• On February 22, 2013, the Illinois Department of Healthcare and Family Services (HFS) received approval from the federal Centers for Medicare and Medicaid Services (CMS) to jointly implement the Medicare-Medicaid Alignment Initiative (MMAI). (illinois.gov)
• The MMAI demonstration project began providing coordinated care to Medicare-Medicaid enrollees in the Chicagoland area and Central Illinois beginning March 2014. (illinois.gov)
• You can view more information on the MMAI on the Centers for Medicare & Medicaid Services Website . (illinois.gov)
• Medicare and its means-tested sibling Medicaid are the only forms of health coverage available to millions of Americans today. (investopedia.com)
• A sizeable chunk of those funds is earmarked for healthcare providers, including those that are Medicare and Medicaid enrolled. (investopedia.com)
• So just how much are Americans paying for Medicare and Medicaid and how much should you expect to pay? (investopedia.com)
• Both Medicare and Medicaid are government-sponsored health insurance plans. (investopedia.com)
• Medicare is federally administered and covers older or disabled Americans, while Medicaid operates at the state level and covers low-income families and some single adults. (investopedia.com)
• Medicare is administered by The Centers for Medicare and Medicaid Services (CMS), which is a component of the Department of Health and Human Services. (investopedia.com)
• If we look at each program individually, Medicare spending grew 6.4% to $750.2 billion in 2018, or 21% of total NHE, while Medicaid spending grew 3% to $597.4 billion in 2018, or 16% of total NHE. (investopedia.com)
• The CARES Act will provide additional funding to healthcare providers and suppliers-including those that are Medicare and Medicaid enrolled-by $100 billion for expenses related to COVID-19. (investopedia.com)
• The Centers for Medicare and Medicaid, the federal entity which oversees the program, received complaint after complaint from beneficiaries, health care providers and advocates. (desmoinesregister.com)
• Herbert said he has discussed the plan with Seema Verma, the administrator of the Centers for Medicare and Medicaid Services, and other federal health officials. (nymag.com)
• However, a state must submit its Medicaid plan and any amendments for review and approval to the Centers for Medicare & Medicaid Services, commonly called CMS. (upi.com)
• The act instead vests responsibility for enforcement with a federal agency, the Centers for Medicare & Medicaid Services. (upi.com)
• The Centers for Medicare and Medicaid Services (CMS) June 26 announced three new initiatives in its efforts to strengthen Medicaid program integrity. (aamc.org)
• We're trying to get people to behave more responsibly, not less responsibly," said Gail Wilensky, an economist who oversaw the Medicaid and Medicare programs in the early 1990s under President George H.W. Bush. (cnn.com)
• It also engages Centers for Medicare & Medicaid Services (CMS), Centers for Disease Control and Prevention (CDC), Health Resources and Services Administration (HRSA), and Substance Abuse and Mental Health Services Administration (SAMHSA) to provide technical assistance and consultation to participating states. (hhs.gov)
• He's disabled, and gets his health coverage through both Medicaid and Medicare, which the government calls a "dual eligible. (npr.org)
• McClellan heads both the Medicare and Medicaid programs for the federal government. (npr.org)
• And while the initial transition may be rocky, McClellan says those switching from Medicaid to Medicare drug coverage should find themselves better off. (npr.org)
• In many cases they are going to have significantly better prescription drug coverage because the [drug lists] are broader," McClellan says, "and because the Medicare program will not impose limits on the number of prescriptions or the number of drugs in the same way as many state Medicaid plans do. (npr.org)
• Many Medicaid beneficiaries are finding their out-of-pocket costs are going up with the new Medicare plans, at least at first, or that they can't use their regular pharmacy. (npr.org)
• Medicaid also provides services not covered through Medicare or private health insurance, including long-term care in a nursing home or in the community, says Mary Ann Parker, staff attorney with AARP's Legal Counsel for the Elderly program. (aarp.org)
• Medicaid is often of importance to middle-income Americans because Medicare does not cover the costs of long-term care for illnesses such as Alzheimer's disease or paralysis caused by a stroke. (aarp.org)
• The annual report rates more than 1,000 commercial, Medicaid and Medicare plans based on consumer satisfaction, prevention and treatment. (prnewswire.com)
• WCG ) focuses exclusively on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. (prnewswire.com)
• A federal appeals court on Monday upheld an injunction blocking the U.S. Centers for Medicare & Medicaid Services from enforcing a 2010 policy that altered how Medicaid payments to hospitals that treat high numbers of low-income patients are calculated. (reuters.com)
• But if Democrats focus too much of their attention on Medicare, they may inadvertently assist the quieter war on Medicaid - one that could deny health benefits to millions of children, seniors, working families and people with disabilities. (nytimes.com)
• Medicare and Medicaid: Alignment of Managed Care Plans for Dual-Eligible Beneficiaries ," (GAO-20-319, March 2020, .pdf format, 36p. (wisc.edu)
• Medicaid Enrollment and Capitation Rates: Evidence from Medicare Part D ," by Laura D. Quinby and Gal Wettstein (IB No. 19-13, August 2019, .pdf and Excel format, 6p. (wisc.edu)
• The Department of Health and Human Services' Centers for Medicare and Medicaid Services, which administers the nation's health-care programs for the elderly and the poor, estimates it can save $615 million in fiscal 2007, and $3.65 billion over five years, by not reimbursing schools for the costs of transporting students to the services and for administering the program. (edweek.org)
• In addition, the proposal attempts to clarify requirements for states to get payments from the Centers for Medicare and Medicaid Services, or CMS. (edweek.org)
• The federal Medicare Catastrophic Coverage Act of 1988 allows schools to receive payment for certain health services provided to children eligible for Medicaid, the main federal health-insurance program for the poor. (edweek.org)
• They would take place after the Health and Human Services Department's budget is approved unless Congress specifically blocks the Centers for Medicare and Medicaid Services from enacting them. (edweek.org)
• The reimbursement program has been troublesome, both for school districts and for the federal government, ever since the Medicare Catastrophic Coverage Act of 1988 spelled out that districts were allowed to receive payment for health services delivered to children with disabilities enrolled in Medicaid. (edweek.org)
• Medicare and Medicaid , two U.S. government programs that guarantee health insurance for the elderly and the poor, respectively. (britannica.com)
• Mitch McConnell wants to cut Social Security, Medicare and Medicaid to pay for Republicans' massive giveaway to the rich and large corporations," said Sen. Bernie Sanders. (commondreams.org)
• Indiana's Medicaid expansion is being closely watched in part because it was spearheaded by then-Gov. Mike Pence, who is now vice president, and his top health consultant, Seema Verma, who now heads the federal Centers for Medicare & Medicaid Services. (governing.com)
• Medicaid enrollment itself has been available to an additional 4,000 to 6,000 of some of Utah's very poorest since Nov. 1 , the day Centers for Medicare and Medicaid Services approved an eligibility expansion requested by the Utah Legislature in 2016. (insurancenewsnet.com)
• Spending on the program has grown at an annual average rate of 7.2 percent over the past decade, and that growth rate is projected by the Centers for Medicare and Medicaid Services to increase to 8.1 percent in the current decade. (governing.com)
• Philip Esformes orchestrated one of the largest health care fraud schemes in U.S. history, defrauding Medicare and Medicaid to the tune of over a billion dollars,'' Assistant Attorney General Brian Benczkowski said in a statement, adding that because of Esformes' actions, "American taxpayers and vulnerable beneficiaries … were denied the level of care that they needed and deserved. (usatoday.com)
• The facilities then billed Medicare and Medicaid even though the patients did not get the services they needed or got treatment that was not necessary. (usatoday.com)
• The new report shows that Florida and other state Medicaid programs could make more use of the tools Medicare, unions, and employers rely on to curb wasteful pharmacy spending. (prweb.com)
• Negotiating market-based pharmacy dispensing fees: At up to $3.73 per prescription, the average dispensing fee that the Florida Medicaid FFS program pays to retail pharmacies is significantly higher than average dispensing fees (approximately $2) paid by Medicare Part D plans, Medicaid managed care organizations (MCOs), and other health plans. (prweb.com)
• The main difference between the two programs is that Medicaid covers healthcare costs for people with low incomes while Medicare provides health coverage for the elderly. (wikipedia.org)
• There are also dual health plans for people who have both Medicaid and Medicare. (wikipedia.org)
• Along with Medicare, Tricare, and ChampVA, Medicaid is one of the four government sponsored medical insurance programs in the United States. (wikipedia.org)
• Medicaid, along with Medicare, are administered by the U.S. Centers for Medicare & Medicaid Services in Baltimore, Maryland. (wikipedia.org)

Centers2

• Are there any birthing centers around the west suburbs of Chicago that accept Medicaid or is a hospital my only bet? (mothering.com)
• approval of the waiver also included lifting a decades-old restriction barring the use of Medicaid funds at addiction treatment centers with more than 16 beds. (insurancenewsnet.com)

Limited Medicaid coverage1

• Other populations with limited Medicaid coverage are also eligible for coverage under this state option. (investopedia.com)

Beneficiaries24

• A recent Deloitte survey revealed that most Medicaid beneficiaries have the technology and appetite for digital health. (slideshare.net)
• 2. Adult Medicaid beneficiaries are increasingly adopting digital technologies. (slideshare.net)
• Q What is the prevalence of health services for asthma among Medicaid beneficiaries? (cdc.gov)
• Q What is the prevalence of "persistent" asthma among Medicaid beneficiaries? (cdc.gov)
• Q What percentage of Medicaid beneficiaries with asthma are receiving appropriate long-term control medications? (cdc.gov)
• Q What are the different asthma medications that Medicaid beneficiaries are receiving? (cdc.gov)
• Q What are the annual rates of ED visits, hospitalizations, and office visits for asthma among Medicaid beneficiaries? (cdc.gov)
• Instead, the state will pay a screening fee of about $50 if the patient is in a private-plan version of Medicaid, which currently enrolls about 60% of beneficiaries and is slated to grow. (wsj.com)
• These expenditures include payments for care provided to Medicaid beneficiaries, such as base payments directly to providers for services rendered, and supplemental payments, which are not tied to care for individual beneficiaries, but may help offset any remaining costs of care for Medicaid beneficiaries. (gao.gov)
• Other possibilities include adding premium cost-sharing for some beneficiaries or co-pays for certain services, promoting job training for unemployed Medicaid beneficiaries, or adding financial incentives to promote healthier lifestyles. (wsj.com)
• How are health insurance providers serving Medicaid beneficiaries? (ahip.org)
• Moreover, beneficiaries enrolled in Medicaid health plans are more likely to receive preventive services, as well as have fewer hospital admissions, and better access to primary care than the fee-for-service program. (ahip.org)
• State lawmakers recently asked if they could attend informal meetings the state is holding with agencies who serve Medicaid beneficiaries. (desmoinesregister.com)
• But before CMS could complete its review, Medicaid providers and beneficiaries filed a series of cases asking for an injunction against the rate reductions, saying they were pre-empted by federal Medicaid law. (upi.com)
• whether [the Medicaid providers and beneficiaries] may maintain Supremacy Clause actions now that CMS has approved the state statutes. (upi.com)
• Nothing in the Medicaid Act allows providers or beneficiaries (or anyone else, for that matter) to sue to enforce [the law]. (upi.com)
• Unlike the commercial insurance market where re-enrollment through someone's employer is routine, Medicaid requires that beneficiaries' eligibility be reassesed every year. (cnn.com)
• The Hepatitis C Medicaid Affinity Group (Affinity Group) aims to increase the number and percentage of Medicaid beneficiaries diagnosed with hepatitis C virus (HCV) who are successfully treated and cured. (hhs.gov)
• Increase the number and percentage of Medicaid beneficiaries diagnosed and successfully treated (or cured) for HCV. (hhs.gov)
• But as of January 1, 6.5 million of the poorest and most vulnerable beneficiaries will lose their existing drug coverage, currently provided through the Medicaid program. (npr.org)
• I have previously offered the economic case against Medicaid expansion, along with the moral case from the perspective of Medicaid beneficiaries. (forbes.com)
• The measure, approved by mostly party-line votes in both chambers of the state Legislature, would prohibit enrollment of new Medicaid recipients, or re-enrollment of lapsed beneficiaries, after July 2018. (reuters.com)
• Most of the new beneficiaries, 91,000 of them, were enrolled in Medicaid managed care. (crainsnewyork.com)
• Dunnigan said some of the childless adults being made eligible for Medicaid "actually have children, they just don't have legal custody anymore," meaning the expansion will ultimately help more than just the new Medicaid beneficiaries themselves. (insurancenewsnet.com)

Enrollment19

• The eligibility file includes everyone with at least one month of enrollment in Medicaid during that quarter. (cdc.gov)
• Another contributor to the enrollment increase was states expanding Medicaid coverage as part of the Affordable Care Act (Obamacare). (forbes.com)
• In the following video, Motley Fool health care bureau chief Brenton Flynn continues his coverage of all things related to the Affordable Care Act, and discusses an article from Kaiser Health News highlighting the massive enrollment opportunity offered to Medicaid-focused managed care companies. (aol.com)
• Medicaid helps cover schools' medical costs for treating low-income students from the general enrollment at school-based health clinics. (edweek.org)
• More than 56 million low-income individuals-representing about 78% of total Medicaid enrollment-rely on private health plans for their Medicaid coverage. (ahip.org)
• Enrollment for the majority of Medicaid recipients, more than half of whom are children, started in Miami-Dade, Broward and Monroe counties Tuesday and has already completed in 54 of 67 counties. (washingtontimes.com)
• Todd Harris, 40, known as DJ Flex at radio station KISS 98.7, was among those signing up for Medicaid at the Medicaid enrollment session held Thursday at Pineville's Main Street Community Center. (thetowntalk.com)
• A. " Medicaid Home and Community-Based Services Enrollment and Spending ," by Molly O'Malley Watts, MaryBeth Musumeci, and Priya Chidambaram (February 2020, .pdf and HTML format, 23p. (wisc.edu)
• Enrollment has increased over the past few years-particularly during the recent economic recession-with 40 million children insured by Medicaid or CHIP in 2009. (rwjf.org)
• This Health Policy Brief examines recent efforts to increase enrollment in these programs and how they may inform enrollment efforts under the planned expansion of Medicaid in 2014, and was published online on January 27, 2011 in Health Affairs . (rwjf.org)
• CLEVELAND (Reuters) - Ohio's Republican-controlled legislature voted on Wednesday to freeze enrollment in the state's Medicaid healthcare insurance for the poor, setting the stage for a showdown with Republican Governor John Kasich, who favors expanding the program. (reuters.com)
• Ohio is among more than 20 U.S. states that have expanded Medicaid enrollment under the Affordable Care Act, also known as Obamacare, largely with funding through federal dollars, according to the National Conference of State Legislatures. (reuters.com)
• New Medicaid enrollment totaled 396,261 from Oct. 1 to Nov. 2. (yahoo.com)
• The Congressional Budget Office has expected Medicaid enrollment to initially outpace exchange enrollment - 9 million vs. 7 million in 2014. (yahoo.com)
• But first-month enrollment even in state-operated exchanges was tilted far more toward Medicaid: 213,000 to 79,000. (yahoo.com)
• Total new Medicaid enrollment has now topped 700,000, according to the latest available federal and state data. (yahoo.com)
• But he acknowledged that the state is "challenged" by rising enrollment: an estimated 101,500 new Medicaid members, up 2% since April, with a total Medicaid population of just under 5 million New Yorkers. (crainsnewyork.com)
• Medicaid participants who fail to submit in a timely manner their paperwork showing they still qualify for the program will be blocked from enrollment for three months, according to the updated rules. (governing.com)
• The new rule will lead to a 1 percent cut in Medicaid enrollment in the first year, state officials said. (governing.com)

Expansion92

• However, the Supreme Court of the United States ruled in National Federation of Independent Business v. Sebelius that states do not have to agree to this expansion in order to continue to receive previously established levels of Medicaid funding, and some states have chosen to continue with pre-ACA funding levels and eligibility standards. (wikipedia.org)
• 5 Years Later, States That Rejected Medicaid Expansion May Get Their Reward Nineteen states rejected the ACA's Medicaid expansion, mostly out of sheer ideological stubbornness. (nymag.com)
• The authors, which include the American Heart Association, the Cystic Fibrosis Foundation, the American Diabetes Association, the COPD Foundation, the American Cancer Society Cancer Action Network and other leading medical and health care organizations, said they "vehemently oppose converting Medicaid's funding into a capped financing structure, as well as phasing out Medicaid expansion. (aarp.org)
• The Senate proposal, which hasn't been made public, reportedly would phase out Medicaid expansion, which is widely credited with leading to a dramatic decline in the number of Americans without health insurance. (aarp.org)
• Compensating variation calculations indicate that current retirees value Medicaid insurance at more than its actuarial cost, but that most would value an expansion of the current Medicaid program at less than its cost. (nber.org)
• For Medicaid, the CARES Act clarifies that non-expansion states can use the Medicaid program to cover COVID-19-related services for uninsured adults who would have qualified for Medicaid if the state had chosen to expand. (investopedia.com)
• Here's a look back at the controversial Medicaid expansion fight . (bankrate.com)
• Watch our new video to learn how Medicaid expansion could help these providers stay afloat. (commonwealthfund.org)
• A new video shows how Medicaid expansion could help community hospitals stay afloat. (commonwealthfund.org)
• Representatives voted 75-32 to concur with modifications of a bill that they had approved in June and agreed to send it to Michigan Governor Rick Snyder, a Republican who has backed the expansion of the Medicaid program. (yahoo.com)
• Snyder broke with other Republican governors this year to support a Medicaid expansion he said would save taxpayers and businesses money while improving the quality of life for Michigan residents currently not covered. (yahoo.com)
• Medicaid expansion is one of the healthcare law's biggest provisions. (yahoo.com)
• PHOENIX (AP) - A lawsuit challenging Arizona Gov. Jan Brewer's Medicaid expansion plan that was filed by fellow Republicans in the state Legislature was dismissed in a ruling released Saturday, handing Brewer a major victory in her battle against conservative members of her own party. (yahoo.com)
• Brewer is one of only a handful of Republican governors who embraced Medicaid expansion, a key part of President Barack Obama's health care overhaul law. (yahoo.com)
• Brewer spent months trying to get Republicans who control both chambers to support Medicaid expansion. (yahoo.com)
• Since 2017, five other states decided to expand their Medicaid programs, bringing the total to 36, while several others are considering expansion. (forbes.com)
• Will Obamacare's Medicaid Expansion Pay Off? (aol.com)
• Any expansion of Medicaid in Ohio will further increase the financial burden for future generations of Ohio residents. (ipetitions.com)
• We strongly believe that continuing the proposed expansion of Medicaid is not only fiscally irresponsible, but does not solve the issue of quality, affordable care through a balanced free market approach. (ipetitions.com)
• Please be advised that the undersigned Ohio residents will remain engaged and active in the legislative process to do our part to stop any expansion of Medicaid in Ohio under, or in conjunction with, the Federal Patient Protection and Affordable Care Act . (ipetitions.com)
• We request that you please reconsider your proposed expansion of Medicaid so we can all concentrate our efforts in moving our state forward rather than saddling us with further financially unsustainable entitlements. (ipetitions.com)
• Arkansas nearly fell out of the Medicaid expansion debate. (aol.com)
• The close call for Medicaid expansion's favorite example shows how fluid the expansion debate remains -- and there's no end in sight. (aol.com)
• Medicaid expansion is still up for consideration in the majority of states. (aol.com)
• Under the Affordable Care Act's expansion of Medicaid, 25 states and the District of Columbia have broaden their health coverage for low-income individuals and the uninsured-the population the law was originally intended to help. (foxbusiness.com)
• Paul Howard, director of the Center for Medical Progress at the Manhattan Institute, says Medicaid expansion naturally winds up encompassing the prisoner population because so many of its members are childless adults and low-income men. (foxbusiness.com)
• The plan would be paid for with Medicaid expansion funds approved as part of the health care law, which he wants to repeal. (c-span.org)
• In the struggle between pragmatism and ideology over Medicaid expansion in red states, pragmatism may slowly be winning. (wsj.com)
• Meanwhile, a constituency for the ACA is slowly being built in Republican states that will have a stake in their own Medicaid expansions under the ACA and the substantial federal funding expansion brings. (wsj.com)
• But whatever term you choose, it's hardly a good harbinger for Obamacare and its dramatic Medicaid expansion. (businessinsider.com)
• Again, the Medicaid expansion is, in the words of the Center for American Progress , "a centerpiece of the Patient Protection and Affordable Care Act. (businessinsider.com)
• NEW ORLEANS - Gov. John Bel Edwards laid out his defense for Louisiana's Medicaid expansion Thursday by having a handful of the 378,000 people receiving the insurance coverage describe the medical care they've received, even as Republicans in Congress work to dismantle the federal law that created the program. (shreveporttimes.com)
• On the advice of a social worker, the uninsured college student applied for Medicaid expansion, and the program covered the cost of her surgery, radiation and chemotherapy. (shreveporttimes.com)
• Calderon and Miles stood with the Democratic governor at University Medical Center to praise the Medicaid expansion - even as Congress took the first steps this week to repeal the law championed by President Barack Obama. (shreveporttimes.com)
• Hopefully, people around our state will gain a fuller appreciation of how important this Medicaid expansion is," Edwards said. (shreveporttimes.com)
• Thursday was the one-year anniversary of Edwards' issuance of an executive order that started the creation of Medicaid expansion in Louisiana, the first Deep South state to participate. (shreveporttimes.com)
• The Louisiana Department of Health said more than 50,000 Medicaid expansion patients have received preventive care visits since gaining coverage. (shreveporttimes.com)
• PORTLAND, Maine (AP) - A national health care analyst is questioning a study of Medicaid expansion commissioned by the LePage administration, including what she says is a miscalculation that produced a $575 million error. (washingtontimes.com)
• Gov. Paul LePage has cited the study to recommend that lawmakers reject expansion of the state Medicaid program because it would add 124,000 recipients and increase costs by $807 million over 10 years. (washingtontimes.com)
• Amid the fallout from the theater shooting in Colorado, Melissa Harris-Perry and her guests talk about what went right in the emergency response, and how it ties in with the Medicaid expansion under the Affordable Care Act. (msnbc.com)
• Utah's Republican legislators and their governor have followed through on their threat , taking action to put aside a voter-approved ballot initiative to accept the Medicaid expansion offered in the Affordable Care Act. (nymag.com)
• Full Medicaid expansion was to be covered entirely by the sales tax increase that was already passed as part of the ballot referendum. (nymag.com)
• But the enhanced match rate for proposing a partial expansion, even with the policy riders, could create an expensive incentive for Republican states that have rejected Medicaid expansion to rethink their position. (nymag.com)
• And some states that have expanded Medicaid might prefer a partial expansion with a higher federal match. (nymag.com)
• Rates increased from 49.6% to 52.5% in states that expanded Medicaid between 2014 and 2016, and from 44.2% to 48% in non-expansion states. (webmd.com)
• States deemed "high risk" by the Department of Health and Human Services (HHS) Office of Inspector General (OIG) will be audited to look at how they determine eligibility, as well as how Medicaid expansion has affected those eligibility policies. (aamc.org)
• When Florida Gov. Rick Scott buckled and said he'd support Obamacare's Medicaid expansion, I urged caution because the GOP-run state legislature would get a say on this. (slate.com)
• With a straight party-line vote on Monday, the House Select Committee on Patient Protection and Affordable Care Act voted against expanding Medicaid… Republicans hold a majority of seats on the committee and the final vote was 10-5 in favor of Rep. Matt Hudson's motion to direct staff not to write any legislation that would implement Medicaid expansion. (slate.com)
• In contrast to Iowa, the waivers in Arkansas, Indiana and New Hampshire generally apply only to adults who gained coverage under the law's Medicaid expansion. (cnn.com)
• In the aftermath of the Supreme Court's controversial decision on Obamacare, they've looked past the convoluted ruling on the individual mandate and zeroed in on the clearer 7-2 decision that Washington may not compel the states to go along with the law's massive expansion of Medicaid. (nationalreview.com)
• So now let's consider the moral calculus surrounding Medicaid expansion from the perspective of taxpayers and society in general. (forbes.com)
• Indeed, in reacting to this month's decision by Ohio Governor John Kasich to agree to the Medicaid expansion, Families USA President Ron Pollack said in a statement that any other decision by Kasich would have been "fiscal malpractice. (forbes.com)
• Advocates are pitching Medicaid expansion as a painless way for everyone to eat another free lunch on Uncle Sam's dime -when Uncle Sam doesn't have a penny to his name. (forbes.com)
• Even without counting the repeal of the A.C.A. coverage expansion, the Price plan would cut remaining federal Medicaid spending by $169 billion - or one-third - by the 10th year of his proposal, with the reductions growing more severe thereafter. (nytimes.com)
• Current Republican plans to eliminate the marketplace subsidies and A.C.A. Medicaid expansion in 2019 would create a health care cliff where all of the Medicaid funds and subsidies for the A.C.A. expansion would simply disappear and 30 million people would lose their health care. (nytimes.com)
• In the face of such a manufactured crisis, the Trump administration could cynically claim to be increasing Medicaid funding by offering governors a small fraction of the existing A.C.A. expansion back as part of a block grant. (nytimes.com)
• Maintaining a small fraction of the current Medicaid expansion within a tightly constrained block grant is not an increase. (nytimes.com)
• The 89th General Assembly convenes Monday at noon to tackle, among other things, a projected Medicaid funding shortfall, a proposed Medicaid expansion and possible tax cuts. (arkansasonline.com)
• When the Supreme Court made Medicaid expansion optional in the states, many states, including Wisconsin, refused to expand and strengthen their Medicaid programs because of political ideology. (jsonline.com)
• The Congressional Budget Office estimates that by 2019, 16 million more children and adults will be enrolled in Medicaid because of the expansion. (rwjf.org)
• Arkansas Gov. Mike Beebe, a Democrat, is trying a novel route on Medicaid expansion in the hopes of winning over the Affordable Care Act's critics in his GOP-led legislature. (philly.com)
• FRIDAY, Aug. 17, 2018 (HealthDay News) -- The expansion of Medicaid that came along with the Affordable Care Act has made it easier for some opioid users to get treatment, new research suggests. (medicinenet.com)
• People who were uninsured before Medicaid expansion were less able to go to a private doctor to get a prescription for buprenorphine and naloxone. (medicinenet.com)
• The new findings aren't what opponents of Medicaid expansion predicted. (medicinenet.com)
• My hope is that Medicaid expansion is going to bring more people into the treated population," Saloner said. (medicinenet.com)
• They added that factors other than Medicaid expansion might explain them. (medicinenet.com)
• Their study found that in 2010, before Medicaid expansion, about 70 patients per 100,000 filled prescriptions for buprenorphine with naloxone, and nearly 5,300 per 100,000 filled prescriptions for opioids. (medicinenet.com)
• But compared to non-expansion states, prescriptions for opioids did not change much in Medicaid expansion states, the researchers found. (medicinenet.com)
• On Wednesday, Democrats stood together in the Capitol to declare their opposition to limited waiver initiatives such as Kemp's proposal, and to voice their support instead for full Medicaid expansion to all of Georgia's poor. (ajc.com)
• During the 2018 Georgia gubernatorial race, Democratic candidate Stacey Abrams chose Grady Memorial Hospital as the location to announce her health care plan, emphasizing the impact Medicaid expansion would have on public hospitals that care for the poor. (ajc.com)
• He said they agree with Democrats that Medicaid expansion would be good. (ajc.com)
• The Democrats' biggest concern was a limit in the bill that would restrict the population covered by any Medicaid expansion to those who make up to 100 percent of the federal poverty level, or about $12,000 per year for an individual. (ajc.com)
• Full Medicaid expansion under the Affordable Care Act would cover those who make up to 138 percent of the federal poverty level, or $16,000 per year. (ajc.com)
• Democrats say halting the Medicaid expansion, begun in Ohio under the 2010 federal Affordable Care Act, would leave the state's neediest residents without coverage and ultimately raise healthcare costs for everyone. (reuters.com)
• Kasich, a moderate Republican who sought the 2016 Republican presidential nomination and has been a vocal supporter of Medicaid expansion, could use a line-item veto against the freeze while he considers signing the broader budget legislation before a Friday deadline, his office said. (reuters.com)
• They would be wise to heed the advice of medical professionals, business leaders and a new state-level study that say Ohio should take part in the Medicaid expansion provided for in the 2010 Affordable Care Act as a way to ensure insurance coverage for more state residents while saving the state money. (dispatch.com)
• Twenty-five states rejected ObamaCare's Medicaid expansion. (yahoo.com)
• Households earning less than 100% of the poverty level in non-expansion states aren't eligible for either Medicaid or subsidies that could help them buy private coverage via Healthcare.gov. (yahoo.com)
• The recent Supreme Court decision on the Affordable Care Act ruled that states could decide whether or not they wanted to participate in the health care law's Medicaid expansion. (eurekalert.org)
• The groups that benefitted from Medicaid expansion in this study-older adults, racial and ethnic minorities, and those living in poor areas-are groups that have traditionally had higher mortality rates and faced greater barriers to care. (eurekalert.org)
• Indiana's Medicaid expansion began in February 2015, providing coverage to 240,000 people who were previously uninsured, helping drop the state's uninsured rate from 14 percent in 2013 to 8 percent last year. (governing.com)
• The expansion, known as Healthy Indiana, enabled non-disabled adults access to Medicaid. (governing.com)
• As congressional Republicans step away from Obamacare repeal, some state Republicans are taking another look at Medicaid expansion. (nationaljournal.com)
• Medicaid expansion was consistently on the chopping block last year as Republicans in both chambers of Congress attempted to wind down the program and impose even deeper long-term cuts. (nationaljournal.com)
• I think if the Obama administration had embraced some of those concepts early on, and said 'Hey, yeah, you want to do a partial expansion, you want to do a work requirement,' I think you'd have a lot more states who would've done the expansion by now, a lot more," said Matt Salo, executive director of the National Association of Medicaid Directors. (nationaljournal.com)
• Last week, the Virginia House of Delegates passed its version of the state budget that included a Medicaid expansion proposal with work requirements for able-bodied adults. (nationaljournal.com)
• We have been pushing for Medicaid expansion in North Carolina even before I became governor," he said. (nationaljournal.com)
• Now, the Quinn administration is preparing for an expansion of Medicaid under the Obama administration's Affordable Care Act, with 296,000 Illinois residents expected to gain coverage in 2014. (chicagobusiness.com)
• The federal government splits Medicaid with the states but is picking up the tab for the expansion during the first three years. (chicagobusiness.com)
• In part because of the expansion, Illinois' share of the program is expected to grow 3.9 percent, to $10.2 billion in the fiscal year that started July 1, up from $9.8 billion in fiscal 2013, according to a March 6 report by the Illinois Department of Healthcare and Family Services, which administers Medicaid. (chicagobusiness.com)
• Medicaid coverage gap refers to the group of uninsured people in the states that have opted out of Medicaid expansion under the Affordable Care Act (ACA), who are both ineligible for Medicaid under its previous rules that still apply in these states, and too poor to qualify for the ACA's subsidies and credits designed to allow middle-class Americans to purchase health insurance. (wikipedia.org)
• For example, as of April 2014, someone living in Texas, a non-expansion state, had to be making less than $3,737 per year to be eligible for Medicaid, and had to make at least $11,490 (if a single person) or $23,550 (for a family of four) to be eligible for ACA subsidies. (wikipedia.org)

20183

• WCG ) company, rated among the top Medicaid plans in the state, according to the National Committee for Quality Assurance (NCQA) Medicaid Health Insurance Plan Ratings 2018-2019. (prnewswire.com)
• It will also lead to a $15 million reduction in Medicaid costs in 2018 and about $32 million in savings in 2019, the state estimated. (governing.com)
• Sex education stressing abstinence, Kentucky bourbon and wine, improvements to adoption and foster care and help for pharmacists squeezed by Medicaid payments were among bills that won final passage Monday as the 2018 legislative session wound down. (usatoday.com)

Enrollees13

• Today, all but a few states use managed care to provide coverage to a significant proportion of Medicaid enrollees. (wikipedia.org)
• The policy excludes adults with a disability, pregnant women, and elderly Medicaid enrollees. (ncsl.org)
• In 2012, Kentucky implemented Medicaid managed care statewide, auto-assigned enrollees to three plans, and allowed switching. (cato.org)
• Given the virtually identical and non-existent financial differences across the three Medicaid plans (they were essentially free to Medicaid clients), the standard economic framework with rational consumers and trivial transaction costs would predict all enrollees would switch out of lower quality plans. (cato.org)
• Why would public officials assign Medicaid enrollees to a low quality health care plan? (cato.org)
• Arkansas Gov. Mike Beebe, a Democrat, won support from the GOP legislature and a waiver from Washington to cover new and existing Medicaid enrollees via private insurance. (yahoo.com)
• Indiana on Friday became the second state to win federal approval to add a work requirement for adult Medicaid recipients who gained coverage under the Affordable Care Act, but a less debated "lockout" provision in its new plan could lead to tens of thousands of enrollees losing coverage. (governing.com)
• Since November 2015, more than 91,000 enrollees in Indiana were kicked off Medicaid for failing to complete the eligibility redetermination process, according to state records. (governing.com)
• During the first two years of the experiment, about 10,000 Indiana Medicaid enrollees were subject to the lockout for failing to pay the premium for two months in a row, according to state data. (governing.com)
• Indiana Medicaid officials said they added the newest lockout provision in an effort to prompt enrollees to get their paperwork submitted in time. (governing.com)
• The number of Medicaid enrollees losing coverage for failing to comply with redetermining their eligibility has varied dramatically each quarter from a peak of 19,197 from February 2016 to April 2017 to 1,165 from November 2015 to January 2016, state reports show. (governing.com)
• Nationwide, roughly 80% of Medicaid enrollees are enrolled in managed care plans. (wikipedia.org)
• A 2014 Kaiser Family Foundation report estimates the national average per capita annual cost of Medicaid services for children to be $2,577, adults to be $3,278, persons with disabilities to be $16,859, aged persons (65+) to be $13,063, and all Medicaid enrollees to be $5,736. (wikipedia.org)

20195

• FRIDAY, May 24, 2019 (HealthDay News) -- There were greater increases in colon cancer screening rates in states that expanded Medicaid than in those that did not, a new study finds. (webmd.com)
• As of July 2019, more than 65 million people were enrolled in Medicaid. (aarp.org)
• Long-Term Services and Supports Scorecard: Expediting Medicaid Financial Eligibility Determinations to Promote Access to Long-Term Services and Supports ," by Robert Mollica (November 2019, .pdf format, 13p. (wisc.edu)
• Implications of the Expiration of Medicaid Long-Term Care Spousal Impoverishment Rules for Community Integration ," by MaryBeth Musumeci, Priya Chidambaram, and Molly O'Malley Watts (November 2019, .pdf and HTML format, 15p. (wisc.edu)
• 2019). H.R. 1329 - 116th Congress: Medicaid Reentry Act. (govtrack.us)

Obamacare6

• And Medicaid isn't the only Obamacare variation between states. (aol.com)
• Many of these states are or will be negotiating with the Obama administration to expand Medicaid coverage for adults in ways that match their more conservative policy preferences and allow elected officials who opposed the health-care law to continue to distance themselves from Obamacare. (wsj.com)
• Even worse, a preliminary version of this study was used by Obamacare proponents to argue for states expanding Medicaid. (businessinsider.com)
• Thus, not everyone will agree that my first two arguments provide a bulletproof rationale for a state's refusal to expand Medicaid under Obamacare. (forbes.com)
• But for those gaining eligibility for Medicaid due to ObamaCare, Washington will cover 100% of the cost through 2016, falling to 90% in 2020 and beyond. (yahoo.com)
• ObamaCare gradually halves Medicaid payments to so-called disproportionate share hospitals (DSH). (yahoo.com)

Recipients8

• Medicaid recipients must be U.S. citizens or qualified non-citizens, and may include low-income adults, their children, and people with certain disabilities . (wikipedia.org)
• Under managed care, Medicaid recipients are enrolled in a private health plan, which receives a fixed monthly premium from the state. (wikipedia.org)
• Q How does the prevalence of health services for asthma and "persistent" asthma vary by age, sex, race/ethnicity, and county among Medicaid recipients? (cdc.gov)
• Oh, the Medicaid recipients used more healthcare services and felt happier and experienced less financial hardship. (businessinsider.com)
• MIAMI (AP) - More than three million Medicaid recipients around the state are transitioning into managed care under Florida's massive overhaul to privatize its Medicaid program. (washingtontimes.com)
• Federal funding covers 80 to 90 percent of the cost of the devices for Medicaid recipients in New York, Zucker said. (newsmax.com)
• Under a Medicaid overhaul backed by Mr. Quinn, half of the state's 2.9 million recipients must be transferred by 2015 to ACEs or some other type of managed care, in which health care providers are rewarded for keeping costs down and are penalized for poor care. (chicagobusiness.com)
• Research shows that Medicaid improves health outcomes, health insurance coverage, access to health care, recipients' financial security, as well as provides economic benefits to states and health providers. (wikipedia.org)

Program78

• Medicaid in the United States is a federal and state program that helps with medical costs for some people with limited income and resources. (wikipedia.org)
• The Health Insurance Association of America describes Medicaid as "a government insurance program for persons of all ages whose income and resources are insufficient to pay for health care. (wikipedia.org)
• Under the law as written, all U.S. citizens and qualified non-citizens with income up to 133% of the poverty line , including adults without dependent children, would qualify for coverage in any state that participated in the Medicaid program. (wikipedia.org)
• The program is a federal-state partnership, and both the federal government and the states play important roles in ensuring that Medicaid is fiscally sustainable over time and effective in meeting the needs of the populations it serves. (ncsl.org)
• The new Congress and the Trump administration have promised substantial changes to the Medicaid program, which could give states both new responsibilities and flexibility. (ncsl.org)
• LePage Insists Medicaid Is 'Welfare' With Maine voters having a chance to expand Medicaid over Paul LePage's objections, he wants the ballot to call the venerable program "welfare. (nymag.com)
• Trump Doesn't Know What a Medicaid Cut Is Like Newt Gingrich back in the 1990s, Trump is claiming increased Medicaid funding means the program is not being "cut. (nymag.com)
• Medicaid, however, has grown into the nation's largest intergovernmental grant program, accounting for nearly half of all federal funding to state and local governments. (umich.edu)
• Rose offers a penetrating, detailed analysis of one of the most remarkable and surprising developments in U.S. health policy over the past half century: the transformation of Medicaid from a modest program for welfare families into the nation's largest entitlement after Social Security. (umich.edu)
• Under Title XIX of the Social Security Act of 1965, Medicaid was established as an entitlement program to provide medical assistance for certain low-incomes or disabled individuals. (cdc.gov)
• Additional information and resources pertaining to the Medicaid program can be found at http://www.cms.gov/ external icon . (cdc.gov)
• To underscore the importance of Medicaid to a broad spectrum of Americans, the letter notes that the program covers about 50 percent of all births, approximately 1.5 million adults with cancer, and nearly one-third of pediatric cancer patients. (aarp.org)
• The old age provisions of the Medicaid program were designed to insure poor retirees against medical expenses. (nber.org)
• These findings suggest that for current single retirees, the Medicaid program may be of the approximately right size. (nber.org)
• If an enrollee comes to an emergency room and is diagnosed with one of these conditions, the Washington Medicaid program won't pay the hospital and doctors. (wsj.com)
• This report, based on past work, describes ways states pay for their share of Medicaid, a program that finances health care for certain low-income people and others through a federal-state partnership. (gao.gov)
• Since designating Medicaid as a high-risk area in 2003, GAO has made at least 55 recommendations related to the appropriate use of program dollars. (gao.gov)
• Reuters) - The Republican-led Michigan House gave final approval on Tuesday to a bill that would expand the Medicaid health program for the poor under Democratic President Barack Obama's healthcare reform law. (yahoo.com)
• Coverage began Jan. 1, and the most recent figures from the state' Medicaid program show about 100,000 people have gained coverage so far. (yahoo.com)
• More than 74 million Americans are on Medicaid and CHIP ( Children's Health Insurance Program). (theeconomiccollapseblog.com)
• Medicaid and third-party liability: using information to achieve program goals. (cms.gov)
• Gov. Bill Haslam 's announcement Monday of his plans to expand Medicaid under the Affordable Care Act makes Tennessee the 10th state with a Republican governor to expand the program (if the state legislature approves the plan). (wsj.com)
• In Tennessee, for example, 142,000 uninsured adults would be newly eligible for Medicaid coverage if the state expands its program. (wsj.com)
• In recent years, as more schools began to participate in Medicaid, the CMS promised to put out guidelines to help educators translate federal policies for the program. (edweek.org)
• But the program also covers the broader array of medical services schools must by law provide for students with disabilities who are Medicaid-eligible. (edweek.org)
• Medicaid claims from schools amount to a small fraction of the $177 billion Medicaid program, the main source of federal and state health coverage for the poor. (edweek.org)
• Districts say they fear that lack of such reimbursement may result in decreased student participation in the Medicaid program. (edweek.org)
• Louisiana was the 31st state to expand its Medicaid program. (shreveporttimes.com)
• Medicaid health plans achieve cost savings for states while outperforming the fee-for-service program on key quality measures. (ahip.org)
• Medicaid is the government-run health insurance program for the poor. (medicinenet.com)
• After leaving Kansas' privatized program with an uncertain future, Iowa's new Medicaid director keeps the public from knowing about problems here. (desmoinesregister.com)
• Reynolds' Medicaid director is dedicated to privatization, secrecy After leaving Kansas' privatized program with an uncertain future, Iowa's new Medicaid director keeps the public from knowing about problems here. (desmoinesregister.com)
• The Department of Human Services recently hired Randol to run its Medicaid program, including the controversial shift to private management. (desmoinesregister.com)
• Randol previously was the director of Kansas' Medicaid program, which went through a very controversial transition to private management under his direction. (desmoinesregister.com)
• Medicaid is a publicly funded program. (desmoinesregister.com)
• Medicaid is a health insurance program for certain low-income individuals and their families. (cnn.com)
• Other states have privatized their Medicaid program but the Sunshine State is one of the first to enroll the more vulnerable long-term care group. (washingtontimes.com)
• Medicaid privatization has also been politically factious as federal health officials had to approve the state's request, a lengthy negotiation after the bungled pilot program. (washingtontimes.com)
• Some experts predicted that if the feds approved the program that Republican Gov. Rick Scott would support expanding Medicaid coverage to nearly 1 million additional Floridians under the Affordable Care Act. (washingtontimes.com)
• If you're poor, uninsured and fall seriously ill, in most states if you qualify for Medicaid - but weren't enrolled at the time - the program will pay your medical bills going back three months. (cnn.com)
• It also fits into federal officials' efforts to make Medicaid, the federal-state program that provides health care for low-income adults and children, more like private insurance. (cnn.com)
• When someone has a traumatic health event, the initial focus is to get them stabilized, not figure out how to pay for it, said MaryBeth Musumeci, associate director of the Program on Medicaid and the Uninsured at the Kaiser Family Foundation. (cnn.com)
• They are losing existing drug coverage provided by the Medicaid program. (npr.org)
• Medicaid is a program run by the states following federal guidelines and is the primary payer nationwide for long-term care services. (aarp.org)
• In some states, these services may also be available in an assisted living facility or in your home through a Medicaid waiver program. (aarp.org)
• To prevent abuse of the Medicaid program, almost all states have established a five-year "look-back period" to determine eligibility. (aarp.org)
• And that's exactly the problem: the only reason we see this pattern time and again in the Medicaid program is because the matching-rate formula essentially encourages it. (forbes.com)
• The Texas Health and Human Services Commission is concerned that the unit, Affiliated Computer Services Inc, did not dedicate sufficient trained staff to audit the Medicaid requests, letting dentists get paid for procedures not covered by the program, the WSJ said. (reuters.com)
• Medicaid is a federal-state program that insures lower-income people. (reuters.com)
• Without an intense focus by progressives on the widespread benefits of Medicaid and its efficiency, it will be too easy for Mr. Trump to market the false notion that Medicaid is a bloated, wasteful program and that such financing caps are means simply to give states more flexibility while "slowing growth. (nytimes.com)
• Together, full repeal and block granting would cut Medicaid and the Children's Health Insurance Program funding by about $2.1 trillion over the next 10 years - a 40 percent cut. (nytimes.com)
• The Henry J. Kaiser Family Foundation estimated that a similar Medicaid block grant proposed by Mr. Ryan in 2012 would lead to 14 million to 21 million Americans' losing their Medicaid coverage by the 10th year, and that is on top of the 13 million who would lose Medicaid or children's insurance program coverage under an A.C.A. repeal. (nytimes.com)
• The site visits indicated that decisions about Medicaid were more likely than other social program areas to involve active and highly organized constituencies, especially service providers, and to engage the attention of elected officials, including legislators and sometimes governors and their staff or top appointees. (hhs.gov)
• In such states, Medicaid is more likely perceived as a universalistic program-one that helps many, if not most, communities and populations. (hhs.gov)
• Also, one legislative aide noted that experienced legislators in his state knew every one of the families in their districts who relied on the Continuum of Care program under Medicaid that paid for expensive and intensive services to families caring for dependents with multiple and severe problems. (hhs.gov)
• The attractive "prices" of Medicaid in these states were indeed important factors in maintaining state support for the program, especially during a recession. (hhs.gov)
• On March 10, a state court ruled that Texas could exclude Planned Parenthood from the state Medicaid program, blocking 8,000 patients from accessing essential health care - like cancer screenings, HIV testing, and birth control - at any Planned Parenthood health center in Texas. (plannedparenthood.org)
• In February, the Biden Administration reaffirmed that no state is allowed to refuse Medicaid funding for Planned Parenthood, and that doing so threatens the state's entire Medicaid program - on which 4 million people rely for basic health care. (plannedparenthood.org)
• For decades, Planned Parenthood has been an essential part of the public health safety net in Texas, providing high-quality and accessible health care to thousands of patients through the Medicaid program in a state with a severe provider shortage. (plannedparenthood.org)
• While looking for a job, she applied for MinnesotaCare, the Minnesota Medicaid program, and within three weeks received insurance benefits making it possible for her to have her 'well woman' visit and follow-up mammogram. (jsonline.com)
• Both Medicaid and the Children's Health Insurance Program (CHIP) offer health insurance coverage to children in low- and moderate-income families. (rwjf.org)
• Insurance losses are expected to grow beyond 22 million due to deep cuts to the Medicaid insurance program that are not scheduled to go into effect until 2025. (reuters.com)
• Kasich told the New York Times earlier this month he could accept a gradual phase-out of expanded Medicaid if Congress provided states with more money than the House-passed healthcare bill would furnish with more flexibility for the state to manage its own program. (reuters.com)
• But some people are finding out that they're already eligible for Medicaid, or perhaps that their children are eligible for the federal Children's Health Insurance Program (CHIP). (yahoo.com)
• California, which did expand its Medicaid program, said 140,000 had been cleared for Medicaid as of Nov. 19 vs. 80,000 on Nov. 2. (yahoo.com)
• BOSTON - Pharmaceutical manufacturer Pfizer, Inc. has agreed to pay more than $177,000 to the Massachusetts Medicaid program as part of a nationwide settlement over allegations of illegal off-label marketing, Attorney General Martha Coakley announced today. (mass.gov)
• The Massachusetts Medicaid program provides valuable health care services to thousands in need," AG Coakley said. (mass.gov)
• The state, which this spring became one of a few covering intrauterine devices and contraceptive implants through its Medicaid program, went public encouraging health providers to ensure women get the $350 to $700 devices immediately after delivery. (newsmax.com)
• She said the devices covered under the state's Medicaid program are 99 percent effective, last 3 to 10 years, can be removed anytime and do not affect the ability to get pregnant in the future. (newsmax.com)
• And so starting today people in Utah - individuals who are on the Medicaid program, providers - they can receive immediate reimbursement for these types of services. (insurancenewsnet.com)
• So even under the Affordable Care Act, under the current law of the land, I think there [are] ways to massage and have Utah participate with the Medicaid program, which will be enhanced, and we're looking at that right now. (nationaljournal.com)
• The Trump administration in January showed its willingness to work with states that want to implement work requirements as part of their Medicaid program and has approved such proposals for Kentucky and Indiana. (nationaljournal.com)
• In November, the state's health department submitted a Medicaid waiver with changes to the program, including work requirements. (nationaljournal.com)
• Illinois Medicaid is asking doctors and hospitals to become insurers, a key to Gov. Pat Quinn's plan to contain the soaring expense of the cash-strapped program, which costs the state about $9.8 billion a year. (chicagobusiness.com)
• A new report estimates that upgrading management of drug benefits in Florida's Medicaid program could save $2.1 billion without reducing access or the quality of benefits patients receive. (prweb.com)
• Encouraging the use of more affordable, preferred brands: Through more active formulary management, the Florida Medicaid FFS program could promote greater use of more affordable, preferred brands. (prweb.com)
• SB 5 would require more accountability from the outside companies that run about 70 percent of Kentucky's Medicaid program, including about $1.7 billion a year in pharmacy benefits. (usatoday.com)
• The coverage gap results from this and a number of factors, such as the fact that the ACA was designed so that the poor would receive coverage through Medicaid and so did not include an alternative program for them. (wikipedia.org)

Eligible15

• States choosing to expand Medicaid will receive full federal funding for the newly eligible during the first three years. (aol.com)
• Upon being released for prison, individuals are Medicaid eligible. (foxbusiness.com)
• If they don't get coverage via Medicaid, they would likely be subsidy-eligible on state and federal exchanges, he says. (foxbusiness.com)
• Under the planned new policies, the CMS would not accept claims from schools for the costs of identifying special education students eligible for Medicaid, or of developing plans for their medical care. (edweek.org)
• But federal officials say that schools identify Medicaid-eligible special education students and create IEPs because they are required to do so by the Individuals with Disabilities Education Act. (edweek.org)
• People 65 years of age or older who meet the income and asset limits for their state are eligible for Medicaid. (cnn.com)
• We're making it a lot more likely that Medicaid-eligible members are going to incur significant medical debt," said Mary Nelle Trefz, health policy associate at the Child & Family Policy Center in Des Moines, whose organization opposed the change. (cnn.com)
• Patients may neglect to apply immediately for Medicaid, leaving them financially responsible for days or months of care they received before they got in their application, even though they may have been eligible for Medicaid all along. (cnn.com)
• People who are found to have given away assets or sold them for less than market value during the five-year period preceding their Medicaid application will have an extended waiting period before they are eligible for coverage. (aarp.org)
• In addition, federal funds are available for the costs of school administrative activities that directly support efforts to identify, enroll, and provide services to Medicaid-eligible students. (edweek.org)
• According to an NSBA fact sheet, schools play an important role in identifying children who are eligible for Medicaid and connecting those children with services. (edweek.org)
• However, an estimated 7.3 million children remained uninsured in 2008, with nearly two-thirds of them eligible for, but not enrolled in Medicaid or CHIP. (rwjf.org)
• In early 2010, U.S. Secretary of Health and Human Services Kathleen Sebelius issued a nationwide challenge to find and enroll approximately 5 million uninsured children eligible for Medicaid or CHIP. (rwjf.org)
• Medicaid participation among eligible low-income parents jumped from about 65% to 95% from 2005 to 2007. (yahoo.com)
• Those who were made newly eligible for Medicaid are Utahns without children who earn 5 percent or less of the federal poverty level - and are either chronically homeless or involved in the criminal justice system via court-ordered substance abuse or mental health treatment, or on probation or parole. (insurancenewsnet.com)

Coverage32

• Many Arizonans lost coverage during the recession when the state cut Medicaid access. (latimes.com)
• The Office of Medicaid Policy and Planning (OMPP) administers health coverage programs including the Healthy Indiana Plan and other Indiana Medicaid programs. (in.gov)
• The electronic Medicaid Provider Manual contains coverage, billing, and reimbursement policies for Medicaid, Healthy Michigan Plan, Children's Special Health Care Services, Maternity Outpatient Medical Services (MOMS), and other healthcare programs administered by the Michigan Department of Health and Human Services (MDHHS). (michigan.gov)
• Any changes to Medicaid financing should not undermine coverage gains that occurred under the ACA-particularly for individuals with the lowest incomes. (ama-assn.org)
• Learn what the AMA is doing to ensure patients, particularly those with chronic conditions, don't lose their Medicaid coverage. (ama-assn.org)
• Even so, the White House says 9.7 million Americans signed onto Medicaid over the past 14 months, "the largest coverage gains in four decades. (bankrate.com)
• The Affordable Care Act expands Medicaid coverage to otherwise ineligible individuals and families who earn up to 133 percent of the federal poverty line, or about $15,280 for a single adult and $31,320 for a family of four in 2013. (yahoo.com)
• More: "We found no significant effect of Medicaid coverage on the prevalence or diagnosis of hypertension or high cholesterol levels or on the use of medication for these conditions. (businessinsider.com)
• The Affordable Care Act enables states to expand Medicaid coverage to more people with low incomes - and helps out by providing generous federal funding. (commonwealthfund.org)
• A Manhattan Supreme Court Justice yesterday struck down as unconstitutional a provision of New York's 1997 Welfare Reform Act which eliminated Medicaid coverage for certain lawful immigrants. (law.com)
• The Affordable Care Act let states expand Medicaid insurance coverage to low-income adults, who tend to have poor access to preventive health services. (webmd.com)
• The report also found that breast cancer screening increased only modestly among low-income women in the states that expanded Medicaid coverage. (webmd.com)
• On Nov. 1, Iowa joined three states that have eliminated retroactive coverage for some groups of Medicaid patients since the Affordable Care Act passed. (cnn.com)
• In addition, complications can arise for people who might need Medicaid coverage for long-term care services. (cnn.com)
• We know there's thousands of people like him that the data match didn't catch, and they may be without prescription drug coverage, showing up at a pharmacy on January 1 with a Medicaid card that doesn't cover their drugs. (npr.org)
• If you are the caregiver for someone who needs long-term care, Medicaid coverage may help with some or all of the expenses. (aarp.org)
• Many children, low-income people and those with disabilities receive medical coverage from Medicaid. (aarp.org)
• The arbitrary spending caps proposed by Mr. Price and Mr. Ryan would cut Medicaid to the bone, leaving no alternative for states but to impose harsh cuts in benefits and coverage. (nytimes.com)
• State Rep. Mandela Barnes (right) speaks in support of Wisconsin expanding Medicaid coverage during a news conference in Madison in 2013. (jsonline.com)
• Sarah had access to affordable health care coverage because she lived in a state that fully expanded Medicaid. (jsonline.com)
• A December 2015 memo by the nonpartisan Wisconsin Legislative Fiscal Bureau estimated that state taxpayers would save more than $1 billion between 2016 and 2021 and an additional 83,000 people could access affordable coverage if we fully expanded Medicaid. (jsonline.com)
• While Gov. Scott Walker tinkered with Medicaid eligibility levels in the state, he ultimately shifted thousands of people over to the Health Care Marketplace without the means to afford the coverage. (jsonline.com)
• He wants to offer coverage through private companies - in other words, privatize Medicaid. (philly.com)
• The proposed Medicaid freeze, which would deny coverage to hundreds of thousands of Ohio residents who lack job-related health insurance and cannot afford to purchase their own, was adopted as part of a $65 billion two-year budget plan. (reuters.com)
• By enrolling these uninsured in Medicaid, hospitals can be assured of some reimbursement, and more people will be assured of coverage. (dispatch.com)
• Boston, MA ─ A new study from Harvard School of Public Health (HSPH) finds that expanding Medicaid to low-income adults leads to widespread gains in coverage, access to care, and-most importantly-improved health and reduced mortality. (eurekalert.org)
• It is the first published study to look specifically at the effect of recent state Medicaid expansions on mortality among low-income adults, and the findings suggest that expanding coverage to the uninsured may save lives. (eurekalert.org)
• In the past decade, several states expanded Medicaid from its traditional coverage of low-income children, parents, pregnant women, and disabled persons to include "childless adults," poor adults without any children living at home and the population most directly targeted by the Affordable Care Act (ACA). (eurekalert.org)
• The results showed that Medicaid expansions in three states were associated with a significant reduction in mortality of 6.1% compared with neighboring states that did not expand Medicaid, which corresponds to 2,840 deaths prevented per year for each 500,000 adults gaining Medicaid coverage. (eurekalert.org)
• Expansions also were associated with increased Medicaid coverage, decreased uninsurance, decreased rates of deferring care due to costs, and increased rates of "excellent" or "very good" self-reported health. (eurekalert.org)
• The Catholic League for Religious and Civil Rights opposes the Medicaid contraceptive coverage, saying in an email Thursday that 'anti-child crusaders' in the city and state health departments had declared 'war on kids. (newsmax.com)
• Virginia has also shown recent energy around extending Medicaid coverage to a large population of the state. (nationaljournal.com)

Reimbursement4

• The government attempted to entice physicians into Medicaid with higher rates, then lowers reimbursement once the doctors are involved," he told The Times. (bankrate.com)
• A 1988 law allows districts to apply for reimbursement from Medicaid for certain services they provide to children under the Individuals with Disabilities Education Act-mainly speech, occupational, and physical therapy. (edweek.org)
• The changes in the Medicaid reimbursement policy can be accomplished through regulatory changes, without congressional approval. (edweek.org)
• Medicaid reimbursement for rapid-acting insulin analogs (lispro, aspart, and glulisine) have increased from $3.69 per unit when lispro - the first of the class - appeared on the US market in 1996 to $19.81 per unit in 2014. (medscape.com)

20164

• In 2016, Iowa's then-governor, Terry Branstad, privatized Medicaid without legislative approval and adopted the controversial Kansas model of managed care. (desmoinesregister.com)
• One month into the job, Mike Randol is excluding the public from meetings where social-service agencies are expected to air their problems with Medicaid privatization, a disaster foisted on Iowa by Gov. Terry Branstad in 2016 and championed by Reynolds. (desmoinesregister.com)
• Another 21 states expanded Medicaid in 2014, five states expanded in 2015-2016, and 19 states did not expand. (webmd.com)
• Medicaid spending has increased over $100 billion from 2013 to 2016, and the federal share increased by roughly $100 billion, spawning CMS's reconsideration of its current integrity efforts. (aamc.org)

20178

• [1] Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States, providing free health insurance to 74 million low-income and disabled people (23% of Americans) as of 2017. (wikipedia.org)
• According to NCSL's health innovations database , states enacted over a hundred Medicaid laws in 2017 aimed at reducing costs and improving outcomes through a wide range of delivery and payment reforms, eligibility expansions and Medicaid waivers (Figure 1). (ncsl.org)
• According to Pew, more than twice as many people were enrolled in Medicaid in 2017 than in 2000. (forbes.com)
• From 2014 to 2017, 31 states expanded their Medicaid programs to households earning 138% of the federal poverty level. (forbes.com)
• The states that spent the largest share of their own revenue on Medicaid in 2017 were New York, Rhode Island, Pennsylvania, Missouri, Louisiana, and Massachusetts (figure below). (forbes.com)
• An example of this is Louisiana, which doubled its share of revenue spent on Medicaid from 2000 to 2017. (forbes.com)
• WEDNESDAY, May 10, 2017 (HealthDay News) -- Most people have found themselves twiddling their thumbs while waiting too long to see a doctor, but new research suggests that scenario is more likely if you are on Medicaid. (medicinenet.com)
• As of 2017, the total annual cost of Medicaid was just over $600 billion, of which the federal government contributed $375 billion and states an additional $230 billion. (wikipedia.org)

Adults3

• All four states -- Arkansas, Indiana and New Hampshire, in addition to Iowa -- have expanded Medicaid under the health law, which allowed states to include adults with incomes up to 138% of the federal poverty level, or about $16,000 for one person. (cnn.com)
• The HSPH researchers, including senior author Arnold Epstein, chair of the Department of Health Policy and Management, and Katherine Baicker, professor of health economics, analyzed data from three states-Arizona, Maine, and New York-that had expanded their Medicaid programs to childless adults (aged 20-64) between 2000 and 2005. (eurekalert.org)
• In states that have not expanded Medicaid, eligibility requirements for Medicaid are limited to parents making 44% or less of the poverty line, and in almost all such states, all adults without children are ineligible. (wikipedia.org)

Programs18

• Beginning in the 1980s, many states received waivers from the federal government to create Medicaid managed care programs. (wikipedia.org)
• The States configure their own Medicaid programs. (cdc.gov)
• The move would be the latest cut to Medicaid programs as states struggle to reduce health-care costs-and as the downturn has boosted Medicaid's ranks. (wsj.com)
• With Medicaid programs in most States coming under ever-increasing fiscal pressures, the issue of third-party liability is receiving more attention and scrutiny. (cms.gov)
• The efforts of the Affinity Group are driven by state teams made up of representatives from state Medicaid agencies, public health departments, correctional agencies, and other programs, such as those that address behavioral health care and substance use disorders. (hhs.gov)
• States have developed data use agreements between state Medicaid programs, public health agencies, and corrections departments to share data on HCV screening, diagnosis, and treatment. (hhs.gov)
• Xerox was quoted by the paper as saying it does not face similar scrutiny in other states, adding that it helps administer Medicaid programs in 36 U.S. states and the District of Columbia and processes $54 billion in annual Medicaid spending. (reuters.com)
• Many of these poor states had minimal Medicaid programs, covering relatively few optional services and populations. (hhs.gov)
• Tragically, this decision will most harm women and people of color who disproportionately are enrolled in public health programs like Medicaid. (plannedparenthood.org)
• All 50 states and the District of Columbia offer both Medicaid and CHIP programs, but the structure and eligibility criteria differ from state to state. (rwjf.org)
• As these trends continue, state Medicaid programs are likely to continue to use prescription management strategies to reduce spending, which will disproportionately affect the newer, more expensive analogs and may make it more difficult for physicians to prescribe them, the authors note. (medscape.com)
• The Massachusetts recovery is part of a national settlement that will return more than $5.5 million to the Medicaid programs of 49 states and the District of Columbia and approximately $9 million to other federally-funded health care programs. (mass.gov)
• The cost of Medicaid now exceeds that of K-12 education as the largest area of state spending and is beginning to squeeze out other programs. (governing.com)
• Conservative states that refused to take up Obamacare's offer to expand Medicaid are inching towards this option now that congressional Republicans are backing away from repeal and the Trump administration has given states more flexibility over their programs. (nationaljournal.com)
• Increasing the use of generic drugs: In terms of formulary management, state-administered Medicaid programs are often less aggressive than other programs when it comes to promoting generics. (prweb.com)
• Using limited pharmacy networks: In most state Medicaid programs, every drugstore in the state is entitled to participate. (prweb.com)
• State Medicaid programs could achieve greater savings by using a competitive process and negotiating better discounts from select drugstores that wish to participate in a limited pharmacy network. (prweb.com)
• Reducing drug diversion, polypharmacy, fraud, and waste: Medicaid plans that are more actively managed detect patterns of fraud through use of tools like step therapy, audits, and pharmacy lock-in programs to help detect and avoid inappropriate utilization. (prweb.com)

Americans4

• Democrats' New Health-Care Plan: Medicaid for All (Who Want It) Hawaii senator Brian Schatz is preparing a bill that would allow all Americans to buy into Medicaid, regardless of their income level. (nymag.com)
• People with a history of cardiovascular disease account for 28 percent of all Medicaid patients, and over 6 million older Americans rely on Medicaid for long-term services and supports. (aarp.org)
• Today, 68.5 million people are insured under Medicaid, or 1 in 5 Americans. (bankrate.com)
• Medicaid is our nation's largest insurer, covering 72 million Americans. (commonwealthfund.org)

Fraud9

• The Medicaid Fraud Control Units, or MFCUs, operate in 49 states and the District of Columbia to provide investigation and oversight related to potential fraud. (investopedia.com)
• These entities that provide investigation and oversight related to potential fraud include the Medicaid Fraud Control Units, or MFCUs, which operate in 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands. (investopedia.com)
• TBI's dedicated Agents in its Medicaid Fraud Control Unit provide a layer of protection and accountability to ensure the spending of those funds is legal and appropriate. (tn.gov)
• The TBI investigates two types of Medicaid Fraud cases: provider fraud and patient abuse. (tn.gov)
• To report TennCare provider fraud or patient abuse in Tennessee, call the TBI's Medicaid Fraud Control Unit Hotline: 1-800-433-5454. (tn.gov)
• Medicaid fraud is prevalent, costly and difficult to prevent. (sas.com)
• This IIA Discussion Summary explores the challenges and opportunities in preventing Medicaid fraud in an interview with SAS' Ellen Joyner-Roberson, Principal Marketing Manager for Fraud and Security Intelligence, and Victor Sterling, Principal Solutions Architect. (sas.com)
• Assistant Attorney General Robert Patten of AG Coakley's Medicaid Fraud Division served as leader of the state negotiating team in this national settlement. (mass.gov)
• He was assisted by Assistant Attorney General Joshua Orr and Data Analyst Anthony Megathlin, also of the Medicaid Fraud Division, and by Assistant Attorneys General and data analysts from Ohio and New York. (mass.gov)

Reimbursements4

• Dr Luo and colleagues used the Medicaid State Drug Utilization Database and accounted for different formulations by reporting reimbursements per unit, with each unit representing 1 mL (100 IU) of standard-strength insulin. (medscape.com)
• For all insulins, quarterly Medicaid reimbursements to pharmacies have risen steadily, from $2.36 to $4.43 per unit in the 1990s to $9.64 per unit for short-acting and $9.24/unit for intermediate-acting insulins in 2014. (medscape.com)
• Total reimbursements by Medicaid for insulin increased from $10.7 million in the first quarter of 1991 to $178.5 million in the fourth quarter of 2005. (medscape.com)
• Kentucky's independent pharmacists scored a win with final passage of Senate Bill 5, a proposal aimed at improving Medicaid reimbursements for druggists who claim outside managed care companies have slashed reimbursements to the point that their small businesses are threatened. (usatoday.com)

Patient Protection and Affordable Care Act1

• The Patient Protection and Affordable Care Act (PPACA) significantly expanded both eligibility for and federal funding of Medicaid. (wikipedia.org)

Trump2

• But not only have Speaker Paul D. Ryan and Tom Price, Mr. Trump's choice for secretary of health and human services, made proposals to deeply cut Medicaid through arbitrary block grants or "per capita caps," during the campaign, Mr. Trump has also proposed block grants. (nytimes.com)
• The Kentucky Medicaid waiver approved by the Trump administration in January included a similar lockout provision for both failing to pay the monthly premiums or providing paperwork on time. (governing.com)

Populations3

• 5. Mobile apps could be used to serve a variety of Medicaid populations. (slideshare.net)
• Because Medicaid provides medical assistance to low-income and disabled individuals, any estimation of the burden of asthma that is undertaken using this data will typically reflect low socioeconomic status populations. (cdc.gov)
• States are increasingly relying on Medicaid health plans to promote high-quality, coordinated care for their growing Medicaid populations. (ahip.org)

Waiver2

• One day after House Democrats came out blazing against Gov. Brian Kemp's Medicaid "waiver" bill , they lost perhaps their biggest piece of ammunition. (ajc.com)
• The waiver opens up $70 million in federal Medicaid as well as $30 million from the state level. (insurancenewsnet.com)

Cuts7

• CBO: Medicaid Cuts Will Snowball Down the Road Under Senate Health-Care Bill The design of the Senate health-care bill is to slowly introduce Medicaid cuts that will grow much larger as time goes by. (nymag.com)
• The signers of the letter said proposed cuts included in the House-passed American Health Care Act (AHCA) and now under discussion behind closed doors in the Senate would imperil tens of millions of consumers who rely on Medicaid for life-sustaining care. (aarp.org)
• 2. So if Medicaid spending doesn't boost health outcomes, how can Paul Ryan's Medicaid block-granting "cuts" hurt health outcomes? (businessinsider.com)
• And because many of the costliest school-based Medicaid services are for special education-and therefore mandated by federal law-districts typically would feel the brunt of cuts to general budgets, school officials say. (edweek.org)
• Dave Gendel, special projects manager at a nursing care management company, leads chants during a rally of nursing home workers at the James R. Thompson Center calling for an end to state cuts in Medicaid funding. (sun-sentinel.com)
• The cuts are included in President Bush's $199.4 billion proposed Medicaid budget for fiscal 2007. (edweek.org)
• Sen. Max Wise, a Campbellsville Republican and the sponsor of SB 5, said the efforts should provide significant help to independent pharmacists, many of whom are struggling under cuts from managed care under Medicaid, which covers about 1.3 million people in Kentucky. (usatoday.com)

Republicans1

• Republicans, especially hard-line conservatives, say the Medicaid freeze is needed to help reduce costs. (reuters.com)

Planned Parenthood2

• Dr. Bhavik Kumar, PPGC medical director of primary and trans care, fears that, left with few places to turn, many of the 8,000 Texas Medicaid patients who rely on Planned Parenthood will be forced to forgo health care, including life-saving services like cancer screenings and HIV testing. (plannedparenthood.org)
• The fact remains that there are still not sufficient Medicaid providers to absorb Planned Parenthood patients in Texas," Dr. Kumar said, a fact supported by experts including the American Public Health Association. (plannedparenthood.org)

Services19

• Anglin Transport Services and Anthony R. Anglin received $1.4 million from fraudulent Medicaid ambulance claims, the United States claims in Federal Court. (courthousenews.com)
• Q What is the amount of Medicaid dollars spent for asthma medications and asthma-related services per Medicaid beneficiary? (cdc.gov)
• The Affordable Care Act had intended to permanently correct what is widely viewed as inadequate Medicaid compensation for primary care services. (bankrate.com)
• Stephen Zuckerman, a health economist and co-author of the Urban Institute report, says physicians in some states, including California, Florida, New York and Pennsylvania, could see their fees for Medicaid services reduced by 50 percent or more. (bankrate.com)
• As Medicaid spending consumes more of states' revenue there is less to spend on other government goods and services, such as infrastructure, education, and parks. (forbes.com)
• Medicaid Services. (cms.gov)
• Under Medicaid, states may cover different types of telehealth services from different types of care providers. (gao.gov)
• A battery of district officials nationwide are alarmed by proposed Medicaid guidelines that they say could mean striking losses in aid for coordinating medical services for needy students, particularly those in special education. (edweek.org)
• In Tennessee, TennCare provides vital Medicaid services to some of the state's most vulnerable residents. (tn.gov)
• Medicaid provides medical services for those U.S. citizens and legal residents who cannot afford it. (upi.com)
• Federal law says state plans must "assure that payments are consistent with efficiency, economy and quality care and are sufficient to enlist enough providers" to make Medicaid "care and services" available. (upi.com)
• [ 14 ] The recommended content for EPSDT visits in the South Carolina Medicaid system is all age-based preventive care services recommended by the AAP, screening procedures designed to promote normal child development and school readiness, and anticipatory guidance for parents or caregivers. (medscape.com)
• Tom Price, President-elect Trump's choice for secretary of health and human services, has made proposals to deeply cut Medicaid. (nytimes.com)
• State Actions to Sustain Medicaid Long-Term Services and Supports During COVID-19 ," by MaryBeth Musumeci, Rachel Dolan, and Madeline Guth (August 2020, HTML format). (wisc.edu)
• B. " Key State Policy Choices About Medicaid Home and Community-Based Services ," by MaryBeth Musumeci, Molly O'Malley Watts, and Priya Chidambaram (February 2020, .pdf and HTML format, 58p. (wisc.edu)
• A bill in Congress would bar the federal agency that manages Medicaid from carrying out its plan to trim some of the money it reimburses school districts for providing health services for poor students. (edweek.org)
• Districts can also be reimbursed under Medicaid for the costs of transporting students to facilities, including schools, to receive health services. (edweek.org)
• For example, the state could shift costs for mental-health services and some prisoner care to federally funded Medicaid. (dispatch.com)
• HANYS, the coalition and other groups are trying to halt implementation of the new Medicaid outpatient department and clinic regulation, which would redefine the formula used to determine the maximum amount that Medicaid can pay for OPD and clinic services. (crainsnewyork.com)

Republican3

• Still, several big Republican states have not expanded and show no signs of doing so soon, including Florida (which has 670,000 people in the Medicaid gap group) and Texas (948,000). (wsj.com)
• Of the two battles, the Republican effort to dismantle Medicaid is more certain. (nytimes.com)
• Instead of providing a path to the middle class for those struggling with underemployment, drug addiction and low wages, Republican leaders are gutting Medicaid, threatening healthcare access to over 700,000 Ohioans," Clyde said in a statement after the vote. (reuters.com)

Federal Medicaid law1

• Gov. Greg Abbott and other politicians continue to pursue an extremist anti-abortion agenda at the expense of thousands of low-income Texans, despite being in direct conflict with federal Medicaid law. (plannedparenthood.org)

Waivers1

• Additional information on Section 1115 waivers is available in NCSL's recent publication, Understanding Medicaid Section 1115 Waivers: A Primer for State Legislators . (ncsl.org)

Program's2

• Access to Medicaid in Arizona has swung dramatically over the years, making the state a useful place to look at the program's impact. (latimes.com)
• Retroactive eligibility has been a feature of Medicaid for decades, reflecting the program's emphasis on providing a safety net for poor, disabled and other vulnerable people. (cnn.com)

Florida's Medicaid2

• The website was built to handle far more than the intended capacity, the consumer's average wait time on the phone is about 10 minutes, and less than five percent of calls are dropped, said Florida's Medicaid director Justin Senior. (washingtontimes.com)
• On paper, I think this is one of the stronger agreements that we've seen with the federal government and I think that reflected the very high level of concern with Florida's Medicaid managed care," said Joan Alker, executive director of Georgetown University's Center for Children and Families. (washingtontimes.com)

Expenditures8

• GAO provides a primer describing the most common types of arrangements used by states to finance the nonfederal share of state's Medicaid expenditures. (gao.gov)
• Federal law imposes requirements around the use of provider and local government funds to finance the nonfederal share of a state's Medicaid expenditures, but in some cases, the nonfederal share of a particular Medicaid payment can be financed entirely by local government or by using funding from taxes levied on providers with no contribution from state general funds. (gao.gov)
• In these cases, the arrangement can shift responsibility for financing Medicaid expenditures to local governments, providers, and the federal government. (gao.gov)
• The federal government and states share responsibility for financing Medicaid expenditures. (gao.gov)
• The arrangements states use to finance the nonfederal share of Medicaid expenditures have implications for federal spending. (gao.gov)
• GAO was asked to provide information on different arrangements states have used to finance the nonfederal share of Medicaid expenditures. (gao.gov)
• Recent research has shown that by coordinating medical and pharmacy benefits, Medicaid health plans saved $2.06 billion in state and federal expenditures in 2014 alone. (ahip.org)
• New York state is still within the 2% global cap on Medicaid expenditures created by recent Medicaid reforms. (crainsnewyork.com)

Million6

• The hospital assessment is expected to collect $256 million in the state's 2015 budget year to pay the state's share of expanding Medicaid to about 300,000 people. (yahoo.com)
• Medicaid, which serves about 2 million disabled and low-income Floridians, more than half of them children, paid pharmacies $346.6 million for narcotics and other potent drugs over the past three years. (sun-sentinel.com)
• School districts collected $648 million from Medicaid in 1999-2000, the last year for which data were available, according to a study done for the Department of Education by the Center for Special Education Finance, a Palo Alto, Calif., organization. (edweek.org)
• In a study of nearly 12 million Medicaid patients, researchers found that while the number of prescriptions for opioid painkillers decreased slightly, prescriptions for buprenorphine (Buprenex), a drug to treat addiction , and naloxone ( Narcan ), which is used to reverse an opioid overdose, rose significantly. (medicinenet.com)
• Medicaid currently covers 60 million people, and the ACA will extend eligibility to millions more beginning in 2014. (eurekalert.org)
• Medicaid Director Jason Helgerson said yesterday that actual spending through October was $124.7 million above projections, a number that seems large but is really only 1.3% of total Medicaid spending. (crainsnewyork.com)

Expansions1

• They selected four neighboring states without major Medicaid expansions-New Hampshire (for Maine), Pennsylvania (for New York), and Nevada and New Mexico (for Arizona)-as controls. (eurekalert.org)

Kaiser Family Fou1

• Some 43 states have Medicaid initiatives designed to deter unnecessary use of emergency rooms, according to the Kaiser Family Foundation, a nonpartisan, nonprofit organization that studies health issues. (wsj.com)

Care Act2

• at this egregious development, remember that the Affordable Care Act originally mandated that all states expand Medicaid. (bankrate.com)
• Originally, the Affordable Care Act mandated that states expand Medicaid eligibility to those making up to 138 percent of the federal poverty level, about $32,000 a year for a family of four. (dispatch.com)

Expand6

• Should States Expand Medicaid? (forbes.com)
• While these budgetary implications are of great importance to our state's finances, there also is a real human cost for Wisconsin's failure to expand Medicaid. (jsonline.com)
• The spokesman for the Governor s Office of Health Transformation, Eric Poklar, said that the report s findings are in line with what they have heard from hospitals and other stakeholders that have been urging the state to expand Medicaid. (dispatch.com)
• The study results provide valuable evidence for state policymakers deciding whether or not to expand Medicaid, say the authors. (eurekalert.org)
• Democratic Gov. Ralph Northam told Politico on Friday that he and state lawmakers are very close to an agreement to expand Medicaid. (nationaljournal.com)
• But the enforcement of these requirements is contingent on the passage of a bill that would expand Medicaid. (nationaljournal.com)

Officials2

• The governor's Medicaid Redesign Team - which was dominated by health care providers and public officials - agreed to hold state spending on the major portion of Medicaid to $15.1 billion next year, well below the $18 billion originally projected. (nytimes.com)
• Medicaid budgets and policies were thus highly salient to elected officials and often assessed as much for their economic effects on health industries and jobs as for their effects on clients. (hhs.gov)

Redesign Team1

• Yesterday's Medicaid Redesign Team meeting was not supposed to have speakers from the public. (crainsnewyork.com)

Reuters1

• Reuters) - Xerox Corp and a wholly owned unit that contracted with the U.S. state of Texas to process dental claim forms are being investigated to see if they helped allow dentists to submit higher-than-required bills under the state's Medicaid system, the Wall Street Journal reported. (reuters.com)

Capita2

• The groups also stressed that converting Medicaid financing to either per capita caps or block grants would jeopardize the capacity of states to respond to emerging public health threats such as the Zika virus and the opioid epidemic. (aarp.org)
• Medicaid match rates, which were based on states' per capita personal income, ranged among these states from more than 3:1 for Mississippi to 2:1 for Arizona, and they were even higher for CHIP. (hhs.gov)

Policymakers2

• Over its 50-year history, Medicaid has represented a critical and evolving issue for state policymakers, who care about Medicaid for many reasons. (ncsl.org)
• By upgrading Medicaid pharmacy management, Florida policymakers can protect patients without cutting benefits or slashing payments to doctors, hospitals, and other providers. (prweb.com)

Governors1

• Financing Medicaid provides a greater understanding of governors as an influential interest group. (umich.edu)

Health care14

• The Latest GOP Health-Care Scheme Fulfills an Old Conservative Dream For eons, the GOP has talked about giving states control of Medicaid with reduced - or even eliminated - federal funding. (nymag.com)
• In a well-written and insightful volume, Shanna Rose has joined a growing number of scholars in assessing the remarkable rise of Medicaid in the American health care system. (umich.edu)
• AARP and more than 100 health care organizations sent a letter this week to Senate Majority Leader Mitch McConnell and Senate Finance Committee Chair Orrin Hatch to "express grave concern about potential changes to the fundamental structure and purpose of Medicaid. (aarp.org)
• New York's Gov. Andrew Cuomo has achieved a significant political and budgetary victory getting the state's powerful health care providers and its major health care workers' union to agree to live within a strict Medicaid spending limit for the next fiscal year and accept a slow rate of growth after that. (nytimes.com)
• As a result, the state can move forward with implementing the Governor's Medicaid Restoration Plan without further distraction of litigation, thereby restoring cost-effective health care to tens of thousands of Arizonans through AHCCCS, and honoring the will of voters. (yahoo.com)
• Many argue that health care is vital- even a right -and so expanding Medicaid to more people is the proper thing to do. (forbes.com)
• The South Florida Sun-Sentinel found in an eight-month investigation that even as the state faces a budget crisis in which Medicaid costs figure prominently, abuse of the health care system for the poor by doctors -- and by willing pharmacists and patients -- has gone largely unpunished. (sun-sentinel.com)
• The Florida Agency for Health Care Administration recently published the Medicaid bids from private insurers hoping to participate in some of the state's 11 regions. (aol.com)
• While inmates are incarcerated, they are covered by the prisons' health-care system, according to Howard who adds that inmates that have an extended hospital stay are shifted onto Medicaid to cover those costs. (foxbusiness.com)
• One reason for Medicaid patients' longer waits is that they tend to use health care providers who generally have a larger patient caseload, the researchers explained. (medicinenet.com)
• Medicaid accounts for $1 of every $6 spent on health care in this country. (aarp.org)
• The nursing home data suggest another important difference between poor southern and border states and others: although hospitals and other health care institutions in many states tend to split between some that rely heavily on Medicaid and many that do not, such divisions are less common among poor rural states (i.e., most institutions get substantial support from Medicaid). (hhs.gov)
• With people such as Ohio Medicaid director John McCarthy and Greg Moody, director of the Office of Health Transformation, Kasich has assembled a richly talented, creative and practical health-care-policy team far exceeding that of his predecessor. (dispatch.com)
• There isn't any good reason why we couldn't bring childhood obesity back to the where it was in 1980, and doing so would be a lot more effective in reducing Medicaid and other public health-care costs than tinkering with provider rates and eligibility structures. (governing.com)

Costs7

• The annual cost of care will vary state to state depending on state approved Medicaid benefits, as well as the state specific care costs. (wikipedia.org)
• We found that through certain financing arrangements, states can lower their contribution and shift Medicaid costs to the federal and local governments and care providers. (gao.gov)
• Medicaid costs are a quarter of the state's operating budget, and this agreement is an important step toward closing a projected $10 billion deficit. (nytimes.com)
• If costs don't come down, states are at risk of having Medicaid spending overrun the rest of their budgets. (forbes.com)
• Whatever the guidelines' exact cost to districts, administrators say schools would be left having to make up the difference with state or local money at a time when most states face budget shortfalls and rising Medicaid costs. (edweek.org)
• The federal government covers an average of 57% of Medicaid costs, but the match ranges from 50% to 75% depending on the state. (yahoo.com)
• The easiest way for Florida to reduce costs in Medicaid is to stop overpaying drugstores and start using cutting edge marketplace tools," said Pharmaceutical Care Management Association (PCMA) President and CEO Mark Merritt. (prweb.com)

Hospitals4

• A plan by Washington state's Medicaid agency to stop paying for certain emergency-room visits is prompting pushback from hospitals and doctors, who say they will be stuck with bills for vital care they often are legally required to provide. (wsj.com)
• Rural hospitals are closing, many in states that haven't expanded Medicaid. (commonwealthfund.org)
• More and more hospitals in rural parts of the U.S. are being forced to close for lack of funding, and many are in states that haven't yet expanded Medicaid eligibility. (commonwealthfund.org)
• The strain on hospitals in states not expanding Medicaid is spurring efforts to seek a third way. (yahoo.com)

Visits3

• This classification may be applicable also to Medicaid data for claims for inpatient and ambulatory visits. (cdc.gov)
• For children insured by Medicaid, these visits are called Early and Periodic Screening, Diagnosis, and Treatment (EPSDT). (medscape.com)
• [ 19 , 20 ] Underuse of these visits and lack of readiness for first-grade learning disproportionately affect children insured by Medicaid. (medscape.com)

Healthcare1

• Medicaid sign-ups in those 25 states topped the number of people selecting an ObamaCareplan in all 36 states using the federal Healthcare.gov by nearly 4 to 1. (yahoo.com)

Plan1

• WellCare Health Plans of New Jersey's Medicaid plan has also achieved an Accreditation status of 'Accredited' from NCQA. (prnewswire.com)