Arkansas broke new ground with its Marketplace Premium Assistance Medicaid expansion (widely referred to as the “Private Option”) last year, spurring additional states to consider the model.
A key goal of the ACA is to create an insurance market in which consumers have the ability to compare coverage options across standardized criteria and identify the plans that best meet their families’ healthcare needs.
Medicaid is the single largest payer for healthcare services in every state. With nearly 10 million people enrolling in 2014 alone, total enrollment nationally tops 68 million, or one in five Americans.
Ever since before the U.S. Supreme Court declared the ACA constitutional two years ago, healthcare executives have been busy re-creating their businesses as if their livelihoods depend on it—which they do.
On July 14 the Centers for Medicare & Medicaid Services (CMS) announced the Medicaid Innovation Accelerator Program (IAP), an initiative to provide $100 million in federal funding for technical assistance (TA) to states to accelerate Medicaid delivery system reform across the country.
During passage of the Affordable Care Act (ACA), a debate erupted over the future of the Children’s Health Insurance Program (CHIP), a well-established program that now offers coverage to 8 million children in low- and moderate-income families.
Even as the news media tries to untangle the latest data on Marketplace enrollment, an equally important and still-evolving story is playing out on the Medicaid side of the open enrollment equation.
Last week, New Hampshire’s governor signed a law (Senate Bill 413-FN-A) that will expand Medicaid to adults with incomes up to 133 percent of the federal poverty line.
The federal government recently issued sub-regulatory guidance that will allow states to receive 98.7 percent to 99.3 percent of the cost of providing 12 month continuous coverage to adults newly eligible for Medicaid in expansion states.
A growing number of Medicaid officials believe that coordinating care across the physical and behavioral health sectors is critical to improving outcomes and decreasing costs.