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.
As States Prepare to “Unwind” the Medicaid Continuous Enrollment Provision, Past Patterns Show That Most People Who Are Disenrolled from Medicaid Become Uninsured for All or Part of the Next 12 Months January 25, 2023 News Release Roughly two-thirds (65%) of people who were disenrolled from Medicaid or the Children’s Health Insurance Program (CHIP) in a recent year became uninsured for all or part of the 12 months that followed, a new KFF analysis finds. The analysis of enrollment data from the 2016-2019 Medical Expenditure Panel Survey…
Claims Denials and Appeals in ACA Marketplace Plans in 2021 February 9, 2023 Issue Brief This analysis of HealthCare.gov Marketplace insurers’ transparency data finds that 17% of in-network claims were denied in 2021, with denial rates varying widely across insurers. Consumers appealed less than two-tenths of 1% of denied in-network claims.
Medicaid: What to Watch in 2023 January 24, 2023 Issue Brief As 2023 kicks off, a number of issues are at play that could affect coverage and financing under Medicaid. This issue brief examines key issues to watch in Medicaid in the year ahead.
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.
Dual-Eligible Individuals as a Share of Medicaid Enrollment January 26, 2023 State Indicator Dual eligibles, Dually eligible, Dually enrolled, duals
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
Explaining the Prescription Drug Provisions in the Inflation Reduction Act January 24, 2023 Issue Brief The Inflation Reduction Act includes several provisions that will lower prescription drug costs for people with Medicare and reduce drug spending by the federal government. This brief summarizes these provisions and discusses the expected effects on people, program spending, and drug prices and innovation.
Recent Studies Show That Medicaid Expansion Has Improved the Financial Performance of Hospitals and Other Providers, In Line With Prior Research January 18, 2023 News Release A KFF synthesis of recent studies finds that Medicaid expansion has been beneficial to the finances of hospitals and providers, driving decreases in the share of uninsured patients, increases in Medicaid-covered patients and declines in uncompensated care. By financing coverage for low-income people who are likely to otherwise be uninsured,…
How Will the Prescription Drug Provisions in the Inflation Reduction Act Affect Medicare Beneficiaries? January 24, 2023 Issue Brief The brief provides a quick explainer of the prescription drug provisions in the Inflation Reduction Act signed into law on August 16, 2022 and presents new estimates on how many Medicare beneficiaries could be helped by those provisions.