Ashish Kachru, CEO at DataLink Approximately 42% of Medicare beneficiaries are enrolled in Medicare Advantage plans—a segment projected to reach 46% by 2025. Due to […]
Congratulations are in order to one Pennsylvania woman who just recently welcomed her 100th great-grandchild. Just imagine that family reunion. In health news, President Biden is […]
Private equity’s expanding presence in urgent care and the consolidation of the industry raise concerns about the quality and affordability of care, according to a […]
Parents, children and children-at-heart — prepare yourselves. We are officially getting a “Kung Fu Panda 4” in 2024. Today in health, the House passed a massive legislative […]
Barbara Robinson was just trying to help her mother’s friend sign up for Medicaid and move into the Monroe County nursing home in Rochester, New […]
The giant health care, climate, and tax bill expected to pass the House on Friday and be sent to the president for his signature won’t […]
Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts, or wherever you […]
The innovative Global Malnutrition Composite Score, approved by Centers for Medicare & Medicaid Services (CMS), will empower providers to deliver higher-quality care to patients. Hospital […]
If the 12 states that have not expanded Medicaid did so, the uninsured rate would drop by 29.1%, the report found. The populations that would […]
This issue brief reviews accessibility of information for people with LEP and people with disabilities provided through state Medicaid websites and call center automated phone […]
This policy watch provides an update on the status of state adoption and implementation of the Medicaid 12-month postpartum coverage extension option as states wrap […]
FAIR Health Monthly Telehealth Regional Tracker, May 2022, United States What You Should Know: – In May 2022, for the second straight month, telehealth utilization, as […]
The increases in enrollment are likely because of changes in the economy, policy changes like Medicaid expansion in the Affordable Care Act and the temporary […]
What You Should Know: – The index of Healthcare & Life Science equities tracked by Stout was down 16.8% in Q2 2022, which was in […]
Emerging COVID-19 variants, like the Omicron subvariant BA.5 that has recently caused a surge in cases, may pose new risks to children and create challenges […]
Federal policymakers have taken several actions to mitigate the economic impact of the pandemic on families and children by providing state fiscal relief, increased nutrition […]
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David Chess, MD, Chief Health & Policy Officer & Chairman of the Board / Founder, Tapestry Health A society defines itself by how it cares […]
Sen. Ron Johnson (R-Wis.) said Wednesday that Social Security and Medicare should be up for congressional approval each year, instead of staying under their current […]
This data note looks at national and state-by-state Medicaid and CHIP enrollment data through April 2022. After declines in enrollment from 2017 through 2019, preliminary […]
BELFAST, Tenn. — Three years ago, Mason Lester, a rambunctious toddler, tumbled off his family’s porch and broke his wrist. His mother, nine months pregnant, […]
– Brave Health, a virtual-first behavioral health provider focused on serving Medicaid and Medicare populations, today announced an innovative referral partnership with MedArrive. – Through […]
Sanjula Jain, PhD., Chief Research Officer, Trilliant Health Driven by headlines and incomplete, misleading data that favor a telehealth narrative, health systems and healthcare investors […]
Elizabeth Hogan Hamacher, MHL, BSN, RN, VP of Clinical Services and Support, Podimetrics Diabetes is one of the most common chronic diseases in the United […]
The Centers for Medicare & Medicaid Services (CMS) released its first ever home- and community-based services (HCBS) quality measures Thursday. The agency said the measures […]
Kristen Ballantine, VP of Government Relations at Gainwell For most patients, it has always been extremely difficult to their personal health and medical data electronically. […]
On Tuesday, the U.S. Centers for Medicare & Medicaid Services (CMS) took the time to map out the federal agency’s strategic plans and key initiatives […]
[Editor’s note: KHN is not affiliated with Kaiser Permanente.] California lawmakers have approved a controversial no-bid statewide Medi-Cal contract for HMO giant Kaiser Permanente over […]
What You Should Know: – Canvas Medical, the EMR that enables clinicians and developers to power the future of care delivery, has raised $24M in […]
This policy watch examines the intersection of Medicaid coverage policies with state actions to ban abortion.
A new KFF analysis finds that hundreds of thousands of people are disenrolled from Medicaid each year after giving birth, which could be prevented if […]
A provision in the American Rescue Plan Act (ARPA) of 2021 gives states a new option to extend Medicaid postpartum coverage to 12 months via […]
Here I am, yet again, writing about the U.S. Centers for Medicare & Medicaid Services’ (CMS) proposed rule for the home health care industry. But […]
What You Should Know: – Today Geisinger Health Plan (GHP) and Cohere Health, a provider of utilization management (UM) technology, announced they are joining forces to streamline the prior authorization process for […]
What You Should Know: – Health cloud company Innovaccer Inc, today announced it is expanding into the public sector to improve collaboration between agencies, optimize […]
Siddharth Thakkar, VP, Product and Marketing at IKS Health For the better part of a decade, the shift toward value-based care in the U.S. has […]
This issue brief presents state-level data on Medicaid financial eligibility criteria and adoption of the major non-MAGI pathways as of January 2022. The data were […]
This issue brief describes anticipated enrollment changes in pathways based on old age or disability (“non-MAGI”) after the PHE ends, state enrollment and renewal policies […]
An ounce of prevention … well, you know the rest. In medicine, prevention aims to spot problems before they worsen, affecting both a patient’s health […]
This data note looks at national and state-by-state Medicaid and CHIP enrollment data through March 2022. After declines in enrollment from 2017 through 2019, preliminary […]
What You Should Know: – Today, the Association for Community Affiliated Plans (ACAP) announced the launch of The ACAP Center for Social Determinants of Health Innovation. […]
Rachael Jones, SVP of Performance Analytics and Quality at Cotiviti In Florida, where Black residents are three times more likely to be hospitalized or die […]
Mike Ipekdjian, MBA-HM, BSN, RN, SANE, PHRN, NREMT, Head of Clinical & Solution Hospitals are increasingly turning to value-based care initiatives to transform care delivery, […]
California will cover doula services for low-income residents at more than twice the state’s initial proposed rate under a spending plan lawmakers passed last week. […]
RALEIGH, N.C. — When Erin Williams-Reavis faced a $3,500 surgery bill, the hospital offered to let her pay in $300 monthly installments. It was too […]
What You Should Know: – One of California’s longest-serving and most-experienced Medi-Cal partners, Health Net (a Centene plan), and virtual care and in-home health services provider MedArrive is collaborating […]
Until last year, Georgia’s Medicaid coverage for new moms with low incomes lasted 60 days. That meant the Medicaid benefits of many women expired before […]
Mary Butler-Everson, SVP of Healthcare Product Innovations for PNC Treasury Management Achieving fluid data interoperability has been a complex and challenging goal for the U.S. […]
MEXICO, Mo. — When the new corporate owners of two rural hospitals suddenly announced they would stop admitting patients one Friday in March, Kayla Schudel, […]
BY JESSICA DaMASSA, WTF HEALTH Telehealth addiction treatment clinic Boulder Care just closed a $36 million Series B. I’ve got Founder & CEO Stephanie Strong […]
Michael Gardner, Chief Strategy Officer at Virsys12 As the healthcare system continues to evolve to adopt a more patient-centric approach, surprise billing has become a […]
BY MIKE MAGEE “As I’ve said before, I believe Dr. Ladapo is an anti-science quack who doesn’t belong anywhere near our state’s Surgeon General office, […]
The Biden administration is considering a requirement that the nation’s 15,500 nursing homes spend most of their payments from Medicaid on direct care for residents […]
In recent weeks, the United States has been grappling with a baby formula shortage following supply chain issues, a voluntary recall, and the closing of […]
Shawna Koch Mishael, Head of Healthcare and Biomedical, RN, MBA, SenecaGlobal This year’s HIMSS Conference offered some exciting insights and a renewed focus on data-sharing […]
New research indicates politics may be a matter of life or death. A study published June 7 by the BMJ examined mortality rates and voting […]
“Unwinding,” which refers to the process by which states will resume annual Medicaid eligibility reviews after the public health emergency ends, could begin as soon […]
This data note looks at national and state-by-state Medicaid and CHIP enrollment data through February 2022. After declines in enrollment from 2017 through 2019, preliminary […]
In this issue brief, we use 2020 data from the National Survey on Drug Use and Health (NSDUH) to examine key characteristics, coverage and health […]
Community health centers have seen a rise in patients seeking non-medical services such as housing, food, nutrition, and transportation during the pandemic and have added […]
Community health centers, a national network of safety-net primary care providers, are poised to be on the front lines of the unwinding of the Medicaid […]
Community health centers are a national network of safety-net primary care providers serving low-income, medically underserved communities. Based on findings from a national survey of […]
Since California expanded health coverage under the Affordable Care Act, a large number of people have been mistakenly bounced between Covered California, the state’s marketplace […]
Robin Bolduc isn’t the type of person who takes “no” for an answer — particularly when it comes to fixing her husband’s wheelchair. Her husband, […]
Sens. Roy Blunt (R-Mo.) and Debbie Stabenow (D-Mich.) are calling on lawmakers to expand Certified Community Behavioral Health Clinics (CCBHC) nationwide. “This is an important […]
VICTORVILLE, Calif. — Every Friday, Frances De Los Santos waits for a shipment of healthy, prepared meals to land on her front porch at the […]
Montana, one of only about a dozen states with a fully government-run Medicaid program, has hired a new Medicaid director who oversaw managed-care programs in […]
Karen Conway, VP of Healthcare Value, Global Healthcare Exchange (GHX) All the signs point to a bright and expansive future for hospital-at-home programs, which have […]
Exposure to lead can seriously harm a child’s health, including damage to the brain and nervous system, slowed growth and development, learning and behavior problems, […]
What You Should Know: – Today, Polygon Networks, a leading blockchain and scaling solution, announced a partnership with Tokenology and MSP Recovery to deliver LifeChain […]
Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you […]
U.S. hospitals have been stuck with more than $702 billion in uncompensated care costs for the past 2 decades, and the number continues to grow. […]
When she was Pennsylvania’s insurance commissioner, Jessica Altman, the appointee of a Democratic governor, often bumped against the political limits of health care policy in […]
In a new analysis, KFF researchers find that COVID-19 vaccination rates among nursing home staff increased by 25 percentage points nationally (63% to 88%) from […]
This analysis uses nursing facility-level data reported by the federal government to track the increase in vaccination rates among nursing facility staff nationally and by […]
This issue brief summarizes federal and state standards related to nursing home staffing prior to COVID-19 and builds on existing information by identifying changes to […]
What You Should Know: – SimpliFed, the telehealth platform dedicated to democratizing access to baby feeding services, announced it has closed $6M in its seed […]
As many as 14.2 million people could lose Medicaid coverage when the public health emergency for COVID-19 ends, a new analysis finds. The analysis from […]
The Enrollment Growth is Expected to Cost States Over $47 Billion Through FY 2022, But States Will Have Received $100 Billion to Cover New Medicaid […]
This analysis projects enrollment growth through the end of FY 2022. It examines how much of the enrollment growth can be attributed to baseline, or […]
This brief examines typical enrollment patterns for Medicaid and CHIP and uses 2018 Medicaid claims data to gain insight into the effects of the continuous […]
The Allston, Massachusetts-based health tech startup is looking to help people on Medicaid not only quit smoking but make other behavioral changes that will improve […]
Anne Davis, VP of Government Markets & Strategy at Wellth Structural racism and poverty are correlated with a higher incidence of obesity among Black Americans […]
In a new brief, KFF analysts explain and summarize the recent history of efforts to make work requirements a condition of eligibility for Medicaid in […]
The Trump Administration aimed to reshape the Medicaid program by newly approving Section 1115 demonstration waivers that imposed work and reporting requirements as a condition […]
Something strange happened between the time Linda Griffith signed up for a new Medicare prescription drug plan during last fall’s enrollment period and when she […]
This data note looks at national and state-by-state Medicaid and CHIP enrollment data through January 2022, when the daily number of new COVID-19 cases reached […]
Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you […]
There are persistent disparities in health and health care for people of color, which reflect structural and systemic inequities rooted in racism and discrimination. High-quality […]
SACRAMENTO, Calif. — California is still offering free covid testing to uninsured residents even though the federal government ran out of money to pay for […]
With more eyes than ever on home-based care, there are a number of legislative and regulatory developments that will be critical for providers to stay […]
Ben Tengelson, VP of Data Science at IntelyCare To make it easier for families and caregivers to evaluate the quality of nursing homes, the Center […]
What You Should Know: – Centers for Medicare & Medicaid Services’ (CMS) payment adjustments did not adequately address hospitals increased costs for FY 2021, according […]
Tom Zaubler, MD, Chief Medical Officer of NeuroFlow Since the passage of the Medicare Improvements for Patients & Providers Act in 2008, the U.S. healthcare […]
Medicare beneficiaries with low incomes and modest assets can qualify for additional financial help with Medicare premiums and cost sharing through both the Medicare Savings […]
This data note provides an overview of programs that help beneficiaries with most incomes with their Medicare costs, including the Medicare Savings Programs (which provide […]
These state profiles capture the variations across states in the number and characteristics of Medicare beneficiaries through the Medicare Savings Programs and Medicare’s Part D […]
The program, called Digital Bridge, will leverage Icario’s expertise in personalized health communications to help plans ensure members are able to access resources available to […]
The deal, hammered out earlier this year in closed-door talks between Kaiser Permanente and Gov. Gavin Newsom’s office and first reported by KHN, would allow […]
[Editor’s note: KHN is not affiliated with Kaiser Permanente.] California counties, health insurance plans, community clinics, and a major national health care labor union are lining […]
Letters to the Editor is a periodic feature. We welcome all comments and will publish a selection. We edit for length and clarity and require full names. Nursing […]
Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you […]
Shahyan Currimbhoy, VP at Edifecs Aaron Fulner, Sr. Director at Edifecs Up until now, risk adjustment has been addressed as a mechanism to accurately represent the overall risk profile of […]
West Virginia will use the U.S. Postal Service and an online account this summer to connect with Medicaid enrollees about the expected end of the […]
Are narrow networks a good thing or a bad thing? The first thing you need to know is what is a “narrow network”. Narrow networks […]
California awarded the Medi-Cal Rx program to a unit of Magellan Health, a company with expertise in pharmacy benefits and mental health. But Magellan was […]
SACRAMENTO, Calif. — Prescription drug costs for California’s massive Medicaid program were draining the state budget, so in 2019 Gov. Gavin Newsom asked the private […]
The study authors concluded that “Medicaid enrollees on paper have stronger network adequacy protections than QHP enrollees” referring to those who are covered by Qualified […]
If there has been a silver lining to this terrible covid-19 pandemic, it is that the rate of Americans without health insurance dropped to a […]
Insurance agent Cindy Holtzman was a little surprised by the notice from Bright HealthCare, one of the insurers that offer Affordable Care Act coverage in […]
In February 2022, the Kaiser Family Foundation (KFF) and Health Management Associates (HMA) fielded a rapid, mini-survey of Medicaid directors in all 50 states and […]
Korra Elliott has tried to avoid seeing a doctor while waiting to get on Medicaid. She worries she can’t afford more bills without any insurance […]
KHN senior correspondent Sarah Varney discussed how state abortion restrictions are limiting training options for medical students and residents who want to learn how to […]
This data note looks at national and state-by-state Medicaid and CHIP enrollment data through November 2021, when the nation was recovering from a surge in […]
Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts, or wherever you […]
GRANITE CITY, Illinois.- Como trabajadora de salud comunitaria, Christina Scott, de 46 años, es experta en trámites burocráticos, una mano siempre disponible, un hombro para […]
More than 600,000 additional Medicaid patients in Tennessee may soon be covered with comprehensive dental benefits under a proposal by Republican Gov. Bill Lee. But […]
GRANITE CITY, Ill. — As a community health worker, 46-year-old Christina Scott is a professional red-tape cutter, hand-holder, shoulder to cry on, and personal safety […]
For the first time in Tony Strange’s career, he has managed care plans, state Medicaid agencies and even the U.S. Centers for Medicare & Medicaid […]
CELINA, Tenn. — It was about 1 a.m. on April 19, 2016, when a burglary alarm sounded at Dale Hollow Pharmacy in Celina, a tiny […]
Mike Serbinis, Co-Founder and CEO of League The COVID-19 pandemic feels like a once-in-a-lifetime event for those of us involved in healthcare, but the patterns […]
Two prominent Democratic senators – Robert Casey Jr. of Pennsylvania and Ron Wyden of Oregon – have requested a Government Accountability Office study of why […]
The high demand for treatment for children with behavioral and substance abuse problems has led Montana health officials to spend Medicaid funds to send kids, […]
Two prominent Democratic senators have requested a Government Accountability Office study of why covid vaccination rates remain far lower among Medicaid enrollees than the general […]
On Wednesday, the Senate Special Committee on Aging Chairman, Sen. Bob Casey (D-Pa.), held a hearing to highlight the importance of home- and community-based services […]
Delivery system and payment reform are dynamic and ever-evolving policy areas of state Medicaid programs; virtually every state has initiatives underway. This interactive is designed […]
BY ROSEMARIE DAY When the Affordable Care Act (ACA) was signed into law twelve years ago today, Joe Biden called it “a big f-ing deal.” […]
Dr. Toyin Ajayi, CEO at Cityblock Health What You Should Know: – Cityblock Health, a value-based healthcare provider for Medicaid, dually-eligible and lower-income Medicare beneficiaries […]
This data note presents the most recent national and state-level data on nursing facility-reported staff shortages and describes the Biden Administration’s new policy initiatives to […]
Many people might know that generally the answer is commercial health plans have the most generous reimbursement compared to government plans. However, a key question […]
Once states resume redeterminations and disenrollments at the end of the public health emergency (PHE), Medicaid enrollees who moved within a state during the pandemic […]
The COVID-19 pandemic has highlighted and exacerbated longstanding racial and ethnic disparities in health and health care. In the past year, the federal government and […]
As states plan for the end of the COVID-19 public health emergency, the resumption of eligibility redeterminations and disenrollments when the continuous Medicaid enrollment requirement […]
Since 2000, KFF’s Program on Medicaid and the Uninsured has issued regular updates examining changes and trends in the eligibility rules, enrollment and renewal procedures […]
The 20th annual survey of state Medicaid and CHIP program officials conducted by the Kaiser Family Foundation (KFF) and the Georgetown University Center for Children […]
Letters to the Editor is a periodic feature. We welcome all comments and will publish a selection. We edit for length and clarity and require full names. Can’t […]
SACRAMENTO, Calif. — This was supposed to be the year that low-income Californians could hire a doula to guide them through pregnancy and advocate for […]
The “California Advancing and Innovating Medi-Cal” (CalAIM) initiative was recently approved by the Centers for Medicare and Medicaid Services (CMS) and launched in January 2022. […]
Enrollment in Medicaid has grown significantly during the pandemic in large part due to the continuous enrollment requirement that prevents states from disenrolling people during […]
By JESS DaMASSA, WTF HEALTH Two experts in mental health care for the Medicaid market stop by to help us get smart on the challenges […]
Heather Korbulic, Senior Policy and Strategy Lead, GetInsured The COVID-19 pandemic led to sweeping healthcare policy changes that enable vulnerable Americans to receive affordable health coverage and access […]
The federal government and the states together spent a total of $116 billion on Medicaid home and community-based services (HCBS) in FY 2020, serving millions […]
SACRAMENTO, Calif. — When Gov. Gavin Newsom took office in 2019, he promised to lower prescription drug costs for all Californians. But now, as Newsom […]
This issue brief presents FY 2020 state-level data on the number of people receiving Medicaid HCBS and HCBS spending. This is the latest data available, […]
This issue brief presents findings on key state policy choices about Medicaid HCBS in FY 2020. This is the latest data available, and the first […]
What You Should Know: – Lynx, a Boston-based API-connected healthcare payments, banking, and e-commerce platform announced today that it has emerged from stealth with $17.5M in […]
Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you […]
The Urban Institute has an interesting report titled Obesity Across America. Being overweight (BMS>25), obese (BMI>30) or severely obese (BMI>40) is very common in the […]
This data note looks at national and state-by-state Medicaid and CHIP enrollment data through September 2021, as the delta variant caused a surge in COVID-19 […]
Provisions in the Families First Coronavirus Response Act (FFCRA) require states to maintain continuous Medicaid enrollment for enrollees until the end of the month when […]
President Joe Biden’s top Medicare official suggested Wednesday that forthcoming rules to bolster nursing home staffing won’t be issued under a4 mechanism, known as interim […]
Continuous enrollment in Medicaid and enhanced premium assistance have helped millions afford and maintain coverage, but those gains could be reversed as the public emergency […]
LILBURN, Ga. — Matthew Southern, 35, who has intellectual and developmental disabilities, is able to stay out of an institution because health aides paid through […]
The Biden administration has identified core impediments to better nursing home care in its proposed overhaul of the industry, but turning aspirations into reality will […]
Unlike previous recessions in modern history, this past recession was spurred by the spread of a virus (COVID-19), which created a public health crisis with […]
Brett Furst, President, HHS Technology Group You don’t have to be a news junkie or political aficionado to know that state unemployment information systems massively […]
What You Should Know: – Butterfly Network today launched Butterfly Blueprint, a system-wide platform that supports scaled deployment of ultrasound across hospitals and health systems. – Blueprint integrates ultrasound information into health […]
Medicaid enrollees continue to get vaccinated against covid at far lower rates than the general population despite vigorous outreach efforts by government officials and private […]
KHN senior Colorado correspondent Markian Hawryluk discussed the high cost of service dogs on iHeartRadio’s “The Daily Dive” on Feb. 22. Click here to hear […]
What You Should Know: – Story Health, a health technology and services company that extends specialty care into patient’s homes raises $22.6M in Series A […]
SACRAMENTO, Calif. — The contractor running California’s new Medicaid prescription drug program has addressed shortfalls that earlier this year left thousands of enrollees without critical medications, […]
Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you […]
This brief describes 10 themes related to the use of comprehensive, risk-based managed care in the Medicaid program and highlights significant data and trends. Understanding […]
HANFORD, Calif. — On May 13 of last year, the cellphones of thousands of California residents undergoing treatment for chronic pain lit up with a […]
Aneka French applied for Medicaid in October, not long after Missouri became the 38th state to expand eligibility for the program. But her application sat […]
Due to the disproportionate impact of COVID-19 on nursing home residents and staff, this population was prioritized to receive the vaccine when the vaccine rollout […]
What You Should Know: – NourishedRx, a digital health company raises $6M in seed funding led by S2G Ventures with additional investors Route 66 Ventures, […]
What You Should Know: Equip, a provider of virtual, evidence-based eating disorder treatment in the U.S., today announced a $58M Series B funding round, bringing […]
Suzanne Cogan, General Manager, SPH Analytics, a Press Ganey Solution Healthcare organizations are increasingly eager to leverage analytics technologies, including machine learning and artificial intelligence […]
In this analysis, we explore the implications of the Build Back Better Act’s current coverage provisions for people with HIV in select non-expansion states. We […]
The Biden administration and state officials are bracing for a great unwinding: millions of people losing their Medicaid benefits when the pandemic health emergency ends. […]
The electronic visit verification (EVV) implementation process has been ongoing for a few years now. While some providers have been compliant with EVV for some […]
When Republican-led states balked at expanding Medicaid under the Affordable Care Act, President Barack Obama’s administration tossed them a carrot — allowing several to charge […]
The U.S territories have faced an array of longstanding fiscal and health challenges that were exacerbated by recent natural disasters and the COVID-19 pandemic. This […]
SACRAMENTO, Calif. — A month into its debut, California’s new Medicaid prescription drug program is riddled with problems, leaving thousands of patients without medications — […]
Editor’s note: KHN is not affiliated with Kaiser Permanente. SACRAMENTO, California — Gov. Gavin Newsom’s administration has negotiated a secret deal to give Kaiser Permanente […]
Did you know Medicaidand the Children’s Health Insurance Program provide health coverage for more than 83 million vulnerable Americans, including children and their parents, pregnant […]
This data note looks at national and state-by-state Medicaid and CHIP enrollment data through July 2021, as the COVID-19 vaccine became widely available to people […]
Jamie Taylor received two letters from the Missouri Department of Social Services Family Support Division that began, “Good news,” before stating that she was denied […]
As part of an effort to promote equitable access to tests, the Biden administration launched a testing supply program that has set aside 25 million […]
Section 1115 demonstration waivers provide states an avenue to test new approaches in Medicaid and generally reflect changing priorities from one presidential administration to another. […]
The COVID-19 pandemic created unprecedented health and education challenges for children with disabilities, many of whom receive special education services. Many children receiving special education […]
As COVID cases have surged across the United States due to the new Omicron variant, the Biden Administration has stepped up efforts to expand testing […]
This data note analyzes federal nursing home data as of January 2nd, 2022 to determine the impact of the pandemic on COVID-19 cases and deaths […]
The U.S. Supreme Court on Thursday threw its support behind the nationwide COVID-19 vaccine mandate for health care workers, while simultaneously axing a vaccine-or-test rule […]
As 2022 kicks off, a number of issues are at play that could affect coverage and financing under Medicaid. This issue brief examines key issues […]
Financial planning for people with chronic diseases is complicated and multifaceted. Start by building a team of people to help.
Financial planning for people with chronic diseases is complicated and multifaceted. Start by building a team of people to help.
Financial planning for people with chronic diseases is complicated and multifaceted. Start by building a team of people to help.
The Supreme Court on Thursday blocked a key Biden administration covid-19 initiative — putting a stop, for now, to a rule requiring businesses with more […]
The long-awaited decisions regarding the Biden administration’s vaccine mandates have finally arrived from the U.S. Supreme Court. In the end, the Occupational Safety and Health […]
State Medicaid programs are using managed care and an array of other service delivery and payment system reforms, financial incentives, and managed care contracting requirements […]
Tranisha Rockmore and her daughter Karisma waited at an Atlanta children’s hospital in July for their ride home. Karisma had been at Children’s Healthcare of […]
SACRAMENTO, Calif. — California’s sweeping new program to buy prescription drugs for its nearly 14 million Medicaid patients has alarmed health clinics that say they […]
This data note looks at national and state-by-state Medicaid and CHIP enrollment data through June 2021, as the COVID-19 vaccine became widely available to children […]
South Dakota voters will decide in November whether the state should become the 39th to expand Medicaid under the Affordable Care Act, a move that […]
The U.S. Centers for Medicare & Medicaid Services (CMS) released guidance on evaluating providers’ compliance with the federal COVID-19 vaccination mandate for health care workers. […]
ERLANGER, Ky. — The sleek corporate offices of one of Amazon’s air freight contractors looms over Villaspring of Erlanger, a stately nursing home perched on […]
The COVID-19 pandemic has magnified pre-existing health disparities for justice-involved populations, with coronavirus infection rates among incarcerated populations higher than overall infection rates in nearly […]
The U.S territories and the Freely Associated States (FAS) have faced an array of longstanding fiscal and health challenges, made worse by recent natural disasters […]
SACRAMENTO, Calif. — About 1 in 8 Californians who have died of covid lived in a nursing home. They were among the state’s most frail […]
A new analysis from the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS) estimates that health care spending in the […]
Anywhere from 13,000 to 18,000 agencies make up the highly fragmented home care market. “Whatever the real number is, no one really knows,” Kunu Kaushal, […]
This issue brief examines the new regulations, explains the status of the pending litigation, and identifies issues to watch.
MADERA, Calif. — Growing up amid the dusty agricultural fields of the Central Valley, Ruby Marentes-Cabrera can’t recall a time when it wasn’t difficult to […]
For more than a year-and-a-half, the continuous enrollment requirement tied to enhanced Medicaid funding during the COVID-19 pandemic has all but halted enrollment “churn,” the […]
Recent policy actions and proposals in Medicaid have renewed focus on the problem of churn, or temporary loss of coverage in which enrollees disenroll and […]
This data note describes Medicaid prescription drug utilization and spending trends in calendar year 2020 compared to previous years to explore how the pandemic impacted […]
The Build Back Better Act would make a number of changes to the way people get health insurance and how health care is financed, including […]
CUTHBERT, Ga. — Lacandie Gipson struggled to breathe. The 33-year-old woman with multiple health conditions was in respiratory distress and awaiting an ambulance. About 20 […]
Sharon Marchio misses having teeth for eating, speaking and smiling. For the past few years, after the last of her teeth were extracted, she’s used […]
On KFF’s 21st annual Medicaid budget survey, all responding states reported at least one initiative to expand behavioral health care in Medicaid, including crisis service […]
Montana’s richest nonprofit hospitals receive millions of dollars in tax exemptions each year to operate as charities, but some fall short of other medical facilities […]
Temp worker James Dickerson applied for Medicaid because it will be cheaper than his current health plan. Home health aide Sharon Coleman looks forward to […]
Taken together, the provisions in the social policy bill represent the biggest step toward universal coverage since the passage of the Affordable Care Act.
Taken together, the provisions in the social policy bill represent the biggest step toward universal coverage since the passage of the Affordable Care Act.
Taken together, the provisions in the social policy bill represent the biggest step toward universal coverage since the passage of the Affordable Care Act.
First it was the COVID-19 vaccination mandate from the U.S. Occupational Safety and Health Administration (OSHA). Now, it’s the one from the Centers for Medicare […]
Admittedly, Medicaid is not the market most entrepreneurs think about when starting a company for the first time, which is why it is even more […]
Where does the Centers for Medicare and Medicaid Services see Medicaid and the Children’s Health Insurance Program (CHIP) heading in the future. Based on a […]
The Build Back Better (BBB) Act proposes reducing disproportionate share hospital (DSH) allotments by 12.5% starting in federal fiscal year (FFY) 2023 and places limits […]
Following the recent US Food & Drug Administration’s (FDA) authorization and the Centers for Disease Control and Prevention’s (CDC) recommendation, children ages 5-11 are now […]
Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you […]
This issue brief examines the characteristics of the remaining uninsured population who are eligible for Medicaid or CHIP.
On November 5, 2021, the Centers for Medicare and Medicaid Services (CMS) published regulations that establish the first ever federal vaccination requirements for health care […]
SACRAMENTO — With access to abortion at stake across America, California is preparing to become the nation’s abortion provider. Democratic Gov. Gavin Newsom and legislative […]
Clayton 2019 is an interesting study on the impact of drug spending on Medicaid beneficiary mortality levels. The author uses variation in the roll out […]
At the Access Family Care clinics in southwestern Missouri, the next available nonemergency dental appointment is next summer. Northwest Health Services, headquartered in St. Joseph, […]
Encontrar el mejor plan médico privado, o de medicamentos, de Medicare entre docenas de opciones es lo suficientemente difícil sin incluir estrategias de venta engañosas. […]
This brief examines characteristics of uninsured children in 2020 and discusses how current policy proposals, including outreach efforts, continuous eligibility requirements, and closing the coverage […]
Finding the best private Medicare drug or medical insurance plan among dozens of choices is tough enough without throwing misleading sales tactics into the mix. […]
HouseWorks announced Thursday that it has signed an agreement to acquire Connected Home Care, a home care provider that operates in Eastern Massachusetts. The Connected […]
As the ninth open enrollment period for the Health Insurance Marketplaces begins, enhanced Marketplace premium help along with increased funding for outreach and enrollment assistance […]
Recent policy attention has focused on closing the coverage gap for roughly 2.2 million individuals living in the 12 states that have not adopted Medicaid expansion included in […]
At least 2.2 million low-income adults — nearly all in Texas and the Southeast — would be eligible for government-funded health insurance under the Democrats’ […]
This report provides an in-depth examination of the changes taking place in Medicaid programs across the country. The findings are drawn from the 21st annual […]
This issue brief provides an overview of Medicaid spending and enrollment growth with a focus on state fiscal years 2021 and 2022. Findings are based […]
This page provides access to the reports stemming from the 50-state Medicaid budget surveys published annually since 2000 by the Kaiser Family Foundation (KFF). It […]
A summary of 10 of the major health coverage and financing provisions of the original Build Back Better Act, with discussion of the potential implications […]
Negotiators were closing in on a deal that could spend around $1.75 trillion, but lawmakers were still haggling over critical disagreements on the sprawling social […]
Nursing homes receive billions of taxpayers’ dollars every year to care for chronically ill frail elders, but until now, there was no guarantee that’s how […]
Created by Section 3021 of the Affordable Care Act (ACA), the Centers for Medicare and Medicaid Innovation (CMMI; aka The CMS Innovation Center) has been […]
Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you […]
There are about 17 million people eligible for coverage through Medicaid or the Affordable Care Act marketplaces, and one of CMS’ priorities is to make […]
KHN and policy colleagues at our parent organization KFF teamed up with Hulu for a discussion of America’s opioid crisis, following the Oct. 13 premiere […]
Vice President Kamala Harris and Sen. Tammy Duckworth (D-Ill.) are the latest U.S. leaders to go to bat for home- and community-based services (HCBS), with […]
In this column for the JAMA Health Forum, Larry Levitt explores why the Medicaid “coverage gap” still exists in 12 states that have not expanded […]
The night before Brian Gorzney planned to check into rehab for alcohol use, he began vomiting blood. First at 2 a.m. Then 5. And again […]
Community clinics in California say they haven’t been paid for at least 1 million covid-19 vaccine doses given since January, creating a “massive cash flow […]
In recent focus group interviews, 32 paid direct care workers and unpaid caregivers who assist seniors and people with disabilities with self-care and household activities […]
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