Medicaid

CMS Takes First Steps Toward Medicaid DSH Cuts

Federal funds allocated to states to make Medicaid disproportionate share hospital payments (Medicaid DSH) payments would be reduced beginning in FY 2018 under a new rule proposed by the Centers for Medicare & Medicaid Services. The Medicaid DSH cuts, mandated by the Affordable Care Act but delayed several times at the behest of Congress, would come in the form of reduced Medicaid DSH allocations to individual states, with the size of those allocation cuts based on the nature of individual states’ Medicaid programs and changes in the number of uninsured patients in individual states. The cuts were established in the [...]

iqtsupport2017-07-31T06:00:34-04:00July 31, 2017|Centers for Medicare & Medicaid Services, hospitals, Medicaid|

Behavioral Health Services in Medicaid Expansion States

The U.S. Government Accountability Office has performed a limited study of the utilization of Medicaid behavioral health services in Medicaid expansion states. The study, based on data from New York, Washington, Iowa, and West Virginia, found that the two most heavily utilized behavioral health services were diagnostic and psychotherapy services and that more than two-thirds of behavioral health patients were prescribed anti-depressants. More people sought help for mental health challenges that for substance abuse problems. Medicaid officials in the selected states concluded that enrollment in Medicaid enhanced access to behavioral health care. Learn more about the study’s findings in the [...]

iqtsupport2017-07-28T06:00:52-04:00July 28, 2017|Affordable Care Act, Medicaid|

GAO Looks at Use of Telehealth in Medicare, Medicaid

The U.S. Government Accountability Office has examined the use of telehealth services in the Medicare and Medicaid programs. In a study that looked at current Medicare practices, sampled Medicaid practices in six states, and consulted selected provider, payment, and patient associations, the GAO evaluated the extent to which telehealth is used in Medicare and Medicaid today, factors that affect the use of telehealth in Medicare, and the degree to which new payment and delivery models might affect future telehealth utilization in Medicare. The report does not offer recommendations. The GAO released its findings in a new report titled Telehealth: Use [...]

iqtsupport2017-07-26T06:00:39-04:00July 26, 2017|Medicaid, Medicare|

Medicaid Enrollees: Access and Quality Are Good

Medicaid beneficiaries are generally satisfied with their access to care and the quality of care they receive. Or so reports a new study based on results of the federal Medicaid Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey for December of 2014 to July of 2015. According to the survey, nearly half of Medicaid patients rated their overall care 7.9 or greater on a scale of 10; 84 percent reported that they had been able to receive all of the care they needed over the past six months; and most were generally satisfied with the coverage. Relatively few reported [...]

iqtsupport2017-07-12T13:55:49-04:00July 12, 2017|Medicaid|

States Lag in Reducing Nursing Home Utilization

States are not making adequate progress toward keeping seniors and the disabled out of nursing homes by making greater use of home and community-based services. Or so concludes a new study from AARP. According to the study, only nine states and Washington, D.C. spend more on home and community-based services and long-term services and supports than on nursing homes. Minnesota leads the nation, spending 69 percent of its long-term-care money on home and community-based services. Other leaders include Washington state (65 percent), New Mexico (64 percent), and Alaska (63 percent). Alabama pulls up the rear with only 14 percent. The [...]

iqtsupport2017-06-19T06:00:20-04:00June 19, 2017|Medicaid, Medicaid long-term services and supports|

The Prospect of a Medicaid Work Requirement

Over the past three years a dozen states have proposed establishing a work requirement for eligibility for their Medicaid programs and in its proposed FY 2018, the Trump administration has called for extending the ability to impose such a requirement to all states. But how would a Medicaid work requirement work? To whom would it apply and what kinds of work might satisfy such a requirement for the approximately 22 million Medicaid recipients (out of 76 million total recipients) to whom it might apply? A new Commonwealth Fund report looks at these and other issues. Go here to find the [...]

iqtsupport2017-05-31T16:28:01-04:00May 31, 2017|Medicaid, Medicaid regulations|

States Get More Time to Improve Approach to Serving the Elderly, Disabled

The federal government is giving state three additional years to improve their Medicaid-funded efforts to help keep the elderly and the disabled in the community. The requirement, established in 2014 for implementation by 2019, requires states to do more to enable the elderly to remain in their homes rather than go to nursing homes and to help the disabled live and work in the community or at least have greater control of their own lives while residing in group home settings. Among the approaches states have been developing in response to the federal requirements are offering seniors programs of long-term [...]

iqtsupport2017-05-16T06:00:49-04:00May 16, 2017|Medicaid, Medicaid and housing for the disabled, Medicaid regulations|

MACPAC Meets

Last week the Medicaid and CHIP Payment and Access Commission met in Washington, D.C. The agency performs policy and data analysis and offers recommendations to Congress, the Department of Health and Human Services, and the states. During two days of meetings, MACPAC commissioners received the following presentations: Federal CHIP Funding Update: When Will States Exhaust Their Allotments? Review of June Report Chapter: Program Integrity in Medicaid Managed Care Review of June Report Chapter: Medicaid and the Opioid Epidemic Medicare Savings Program: Eligible But Not Enrolled Medicaid Reform: Implications of Proposed Legislation Preliminary Findings From Evaluations of Medicaid Expansions Under Section [...]

iqtsupport2017-05-04T06:00:23-04:00May 4, 2017|Medicaid|

Health Reform Helps Hospitals in Medicaid Expansion States

The Affordable Care Act’s enhancement of access to health insurance, whether through Medicaid expansion or the subsidization of insurance premiums for working-class and some middle-class Americans, has improved the financial health of hospitals. Especially hospitals in Medicaid expansion states. According to a new report from the Urban Institute, Using data through fiscal year 2015, this new analysis finds that the Medicaid expansion under the ACA increased Medicaid revenue by $5.0 million per hospital, reduced costs of uncompensated care by $3.2 million per hospital, and improved average operating margins by 2.5 percentage points. This study also finds that the financial benefits [...]

iqtsupport2017-04-24T06:00:07-04:00April 24, 2017|Affordable Care Act, hospitals, Medicaid|

Medicaid Work Requirements

Both Congress and a number of states have discussed introducing work requirements into their Medicaid programs. Such a proposal was part of the American Health Care Act, a number of governors and state legislators have discussed work requirements as a condition of Medicaid eligibility, and some states are reportedly considering including such requirements in section 1115 Medicaid waiver applications. In a new report, the Congressional Research Service examines the U.S. Department of Health and Human Services’ authority to grant such waivers and how courts might look at such requirements if they were be contested. Go here to see the Congressional [...]

iqtsupport2017-04-21T06:00:59-04:00April 21, 2017|Medicaid|