Medicaid

Using estimates from RAND Health, our new Data Dashboard shows at a high level how state Medicaid funds will be affected by changes in the One Big Beautiful Bill. More

As states brace for federal funding cuts and potentially large disenrollments in Medicaid, this report assesses the extent to which Medicaid managed care delivers value across its core functions: reducing financial risk for states; utilization management; network formation; care management; quality improvement; and paying for claims. More

Recent federal policy reforms and funding reductions pose significant challenges to state Medicaid programs. These changes will likely disrupt Medicaid agencies’ investments in innovative initiatives — such as efforts to address upstream drivers of health and modernize health information technology — that drive progress toward advancing high-quality, accessible, and cost-effective care. More

“Hi, Chris and John! How are you doing?”  Dawnie greets us cheerfully, pushing a cart full of dirty utensils towards the elevator of the… More

North Carolina’s much-heralded Medicaid experiment, which addressed social drivers of health like food, housing, and transportation more broadly and systematically than in other states, is on the brink. More

Community health workers, promotores, and community health representatives have historically relied on a patchwork of grants for funding, but more than half of state Medicaid programs have now implemented some form of CHW/P/CHR coverage and payment policy. This toolkit provides model language for state Medicaid leaders and CHW/P/CHR advocates to use as they develop State Plan Amendments and accompanying guidance documents to establish coverage and payment for CHW/P/CHR services. More

In 2024, there were 18.7 maternal deaths per 100,000 live births, with Black and Native women at significantly higher risk of maternal mortality. Medicaid is at the forefront of addressing the US maternal health crisis given that it covers 4 in 10 births nationwide, nearly two-thirds of births to Black women, and more than one-quarter of births to Native women.   More

As of 2023, nearly 3 million children in the United States remained uninsured, largely due to immigration-related exclusions in public insurance programs like Medicaid and the Children’s Health Insurance Program (CHIP). In response, state policymakers have sought ways to close the gap on children’s coverage. More