Section 1115 Medicaid Waiver Watch: A Closer Look at Recent Approvals to Address Health-Related Social Needs (HRSN) March 4, 2024 Issue Brief This issue brief provides an overview of how Section 1115 waivers have been used to address the health-related social needs of enrollees, including a summary of recent approvals for eight states.
Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State March 1, 2024 Issue Brief This Medicaid waiver tracker page aggregates tracking information on pending and approved Section 1115 Medicaid waivers. It includes resources such as an overview figure, detailed waiver topic tables, and explanatory briefs.
Section 1115 Waiver Watch: Continuous Eligibility Waivers February 15, 2024 Blog The pandemic continuous enrollment provision and other research show that continuous eligibility reduces Medicaid disenrollment and “churn” rates and helps to ensure stable coverage. As many Medicaid enrollees are currently experiencing disruptions in coverage as a result of the Medicaid unwinding, a number of states are pursuing strategies to help promote continuity of coverage, including through unwinding waivers and Section 1115 demonstration waivers. This Waiver Watch summarizes approved and pending Section 1115 waivers with continuous eligibility provisions for children and adults in Medicaid.
Halfway Through the Medicaid Unwinding, About 16 Million Enrollees Have Been Dropped January 30, 2024 News Release Ten months into the unwinding of the Medicaid continuous enrollment provision, states have reported renewal outcomes for half of all enrollees whose eligibility needs to be reviewed during the unwinding period, including 34% (32.1 million) who have had their coverage renewed, and 17% (16.2 million) who have been disenrolled, according…
Medicaid: What to Watch in 2024 January 30, 2024 Issue Brief As the start of 2024, many issues are at play that will affect Medicaid coverage, financing, and access. This issue brief provides context for these Medicaid issues and highlights key issues to watch in the year ahead.
Medicaid and State Financing: What to Watch in Upcoming State Budget Debates January 22, 2024 Issue Brief State legislatures are currently gathering to develop new budgets for state fiscal year (FY) 2025. Heading into this budget cycle, state fiscal conditions are shifting, with state revenues starting to decline following steep revenue growth during the pandemic. This issue brief examines trends in state fiscal conditions and discusses how state budgets and macroeconomic conditions may affect individuals and state Medicaid programs.
What Are the Implications of the Recent Elimination of the Medicaid Prescription Drug Rebate Cap? January 16, 2024 Blog This policy watch explains the Medicaid prescription drug rebate cap, examines how many drugs might be impacted, and explores the implications of recent manufacturer responses for Medicaid programs and enrollees.
Despite Declining Use, Medicaid Spending on Prescription Drugs Has Increased December 19, 2023 News Release Despite a lower number of prescriptions in recent years, Medicaid spending on prescription drugs has increased, according to a new KFF analysis. Medicaid outpatient prescriptions peaked in 2017, before starting to decline and remaining below 2017 levels through 2022 – even with historic levels of Medicaid enrollment growth. Both gross…
Recent Trends in Medicaid Outpatient Prescription Drug Utilization and Spending December 19, 2023 Issue Brief This issue brief describes recent national Medicaid prescription drug utilization and spending trends, examines how the pandemic may have impacted those trends, and explores what recent trends could mean as states unwind the continuous enrollment provision and continue to contend with new, high-cost drugs entering the market.
An Update on ACA Medicaid Expansion: What to Watch in North Carolina and Beyond December 18, 2023 Blog This policy watch examines the implications of North Carolina’s Medicaid expansion as well as key issues to watch there and across other states.