Tag Archives: States
When state governments do not take the lead in fundamentally transforming their Medicaid programs, foundations can step up to support Medicaid modernization. A foundation in the Garden State saw an opening to provide the next governor's administration with a ready-to-roll, nonpartisan plan for...
March 21, 2017
Anyone who has had the chance to witness (or be part of) any of the epic health reform dramas that continually play out in Washington D.C. will agree: in the end, it always comes down to Medicaid. We have once again arrived at one of those moments.
March 20, 2017
A close examination of replacement proposals shows they would turn upside down a longstanding principle of federal-state regulation of insurance, which provides that the states should be the primary source of health insurance oversight and consumer protection.
February 23, 2017
The Essential Health Benefits requirement may be on the chopping block as the Administration and Congress seek to repeal and replace the ACA. An understanding of how the EHB rule did and did not change the pre-ACA status quo can help put concerns about EHB into context and inform the path forward.
February 14, 2017
As states and the federal government jointly design Medicaid’s future, it will be important to incorporate what we have already learned about what works --and what does not.
February 10, 2017
Given the states’ role in funding safety-net programs, as well as the fact that early signs indicate a push towards more privatization of Medicare and Medicaid, states should consider levers to expand local access to palliative care.
January 30, 2017
Two ideas are surfacing in Republican plans to replace the Affordable Care Act that should be examined—setting a goal of “universal access” rather than “universal coverage” and shifting responsibility for ACA replacement to the states.
January 20, 2017
Implementing the ACA’s Modified Adjusted Gross Income (MAGI) rules and systems were a heavy lift for states. Reversing them would wreak havoc for states and low-income families who depend on Medicaid.
January 4, 2017
The All-Payer Accountable Care Organization Model: An Opportunity For Vermont And An Exemplar For The Nation
The first of its kind in the nation, the all-payer ACO model allows Vermont the opportunity to create a transformative payment model that moves all payers (Medicare, Medicaid, and commercial) towards a prospective, value-based reimbursement system.
November 22, 2016
On November 10, CMS released its Draft 2018 Letter to Issuers in the Federally Facilitated Marketplace. President-Elect Donald Trump and the Republicans in control of Congress are committed to repealing the ACA, but until Congress actually acts, CMS has no option but to proceed normally.
November 11, 2016