A Look at Recent Medicaid Guidance to Address Social Determinants of Health and Health-Related Social Needs February 22, 2023 Blog This policy watch discusses the new opportunities available to states to address health-related social needs through managed care and through Section 1115 demonstration waivers.
Medicaid Enrollment Growth: Estimates by State and Eligibility Group Show Who may be at Risk as Continuous Enrollment Ends March 2, 2023 Issue Brief This analysis estimates Medicaid enrollment growth by state and eligibility group between February 2020, before the pandemic, and March 31, 2023, at the end of the continuous eligibility period. These estimates can help paint a picture of the overall number and composition of enrollees who may risk coverage loss after the continuous enrollment provision ends.
Section 1115 Waiver Watch: How California Will Expand Medicaid Pre-Release Services for Incarcerated Populations February 7, 2023 Blog On January 26, the Centers for Medicare and Medicaid Services (CMS) approved California’s Section 1115 request to cover a package of reentry services for certain groups of incarcerated individuals 90 days prior to release. This approval is the first to include a partial waiver of the statutory Medicaid inmate exclusion policy, which prohibits Medicaid from paying for services provided during incarceration (except for inpatient services).
A Look at Changes in Opioid Prescribing Patterns in Medicaid from 2016 to 2019 February 17, 2023 Issue Brief This analysis builds on previous KFF work by using Medicaid claims data for 2016-2019 to explore how prescriptions for opioids used to treat pain and those used to treat OUD or rapidly reverse overdose changed across states and Medicaid enrollee demographic groups over time.
Two KFF Analyses Explore the Demographics of People Jointly Enrolled in Medicare and Medicaid As Well As Program Enrollment and Spending for This Population January 31, 2023 News Release The 12.5 million people who are jointly enrolled in Medicare and Medicaid include some of the poorest individuals in the U.S. with some of the highest health needs, requiring disproportionately high spending from both programs to support them. Two new KFF analyses examine the demographics of this population as well…
Enrollment and Spending Patterns Among Medicare-Medicaid Enrollees (Dual Eligibles) January 31, 2023 Issue Brief This brief examines national and state-level data on enrollment and spending for Medicare-Medicaid enrollees using the 2019 and 2020 Medicare Beneficiary Summary Files and the 2019 Transformed Medicaid Statistical Information System (T-MSIS). Spending data for Medicare includes beneficiaries in traditional Medicare only, since spending data for beneficiaries enrolled in Medicare Advantage plans are unavailable. State-level data on Medicare-Medicaid enrollment and spending are available through KFF’s State Health Facts.
State Policies for Expanding Medicaid Coverage of Community Health Worker (CHW) Services January 23, 2023 Issue Brief Community Health Workers (CHWs) are frontline workers who have close relationships with the communities they serve, allowing them to better liaise and connect community members to health care systems. States may authorize Medicaid payment for certain CHW services under state plan or Section 1115 demonstration authority. States may allow or require managed care organizations (MCOs) to provide CHW services or include CHWs in care teams. Many states use CHW services to address the health needs of targeted populations including enrollees with chronic conditions or complex behavioral or physical health needs, enrollees receiving targeted case management services, or frequent users of health care services
A Profile of Medicare-Medicaid Enrollees (Dual Eligibles) January 31, 2023 Issue Brief This brief examines the demographic, socioeconomic, and health characteristics of Medicare-Medicaid enrollees using the 2020 Medicare Current Beneficiary Survey. It highlights the diversity within the Medicare-Medicaid population and how Medicare-Medicaid enrollees differ from all other Medicare beneficiaries.
2023 Update on Key Federal Immigration Policies and Implications for Health January 30, 2023 Issue Brief This issue brief provides the latest update on some key evolving immigration policies, including Title 42 as it applies to border enforcement, the Deferred Action for Childhood Arrivals (DACA) program, and the public charge rule and discusses the implications of these policies for the health and well-being of immigrants.
What Happens After People Lose Medicaid Coverage? January 25, 2023 Issue Brief This brief uses pre-pandemic data from the 2016-2019 Medical Expenditure Panel Survey (MEPS) to examine the extent to which people enroll in and retain other coverage during the 12 months following disenrollment from Medicaid/CHIP.