Medicaid

A look at the significance of the Camden Coalition hot-spotting trial results—and a New Jersey Medicaid ACO demonstration that also used a hot-spotting approach—for Medicaid, which covers the nation’s most medically and socially complex patients. More

As New Jersey expanded its Medicaid program, the number of homeless Medicaid enrollees grew substantially. This in turn created a pressing need for… More

Louisiana and Washington State have led the charge in expanding access to affordable hepatitis C treatment, particularly for vulnerable populations. This article highlights three lessons other states can learn from these innovative agreements. More

New research published in “The Milbank Quarterly” that finds Medicaid block grants could lead community health centers lose over $7 billion by 2024 should give pause to supporters of block grants, says former director of the Virginia Department of Medical Assistance Services Jennifer Lee, MD, in a Milbank blog post. More

In 2018, nearly five years after the launch of a federal demonstration program designed to coordinate care for people who are dually eligible for both Medicare and Medicaid, the participation rate was low and varied widely by state. To discover the secrets to successful enrollment in states like Ohio, Mathematica conducted a study of how state program design, concurrent state programs and policies, health plan markets, and other factors affected enrollment over time in all 10 participating states. More

In the “duals demo,” enrollment in integrated Medicare–Medicaid plans among eligible beneficiaries ranged from a high of 67% in Ohio to a low of 4% in New York. To discover the secrets to successful enrollment in states like Ohio, Mathematica researchers conducted a study of how state program design, concurrent state programs and policies, health plan markets, and other factors affected enrollment over time in all 10 participating states. More

As the cost of health care continues to rise faster than state revenue, states’ Medicaid commitments undermine their ability to invest in education… More

Rising health care costs are a pressing concern for governments, payers, employers, and patients. States have a vested interest in improving health… More

In this issue brief, John Kitzhaber, MD, former governor of Oregon, and Bruce Goldberg, MD, former director of the Oregon Office for Health Policy and Research, outline why strong Medicaid management matters. Speaking directly to governors, the authors spell out why greater state investment in Medicaid administration is critical to attracting and retaining the talent needed to ensure that the program is flexible and innovative, fiscally responsible, and stable. More