Medicaid
The Medicaid program is a state and federally funded public health insurance program for low-income individuals, including older adults, individuals with disabilities, children, pregnant women, and those in need of home health or long-term care services. For health and human service provider organizations operating in the Medicaid space, there are new opportunities for serving this complex consumer population, while also navigating challenges related to changes to state-specific Medicaid programs, health plans and enrollment, and new rules.
Editor's Picks
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Medicaid & CHIP Enrollment Rose 5.6% From July 2019 To July 2020
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Half Of Medicaid Spending In Fiscal Year 2019 Was For Managed Care Capitation Payments
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Among Black Children, Expanded Medicaid Child Coverage In The 1990s Led To A Decline In Adult Incarceration
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CMS Approves 10-Year Extension For Indiana’s HIP Alternative Medicaid Expansion Program

State Medicaid Evolution Continues—As The Crisis Continues
On April 8, 2021, the Oregon Health Authority (OHA) along with the Oregon Health Leadership Council (OHLC) announced that 44 organizations including Oregon health systems and commercial health insurers signed … Continued Read
- Between 2012 & 2018, Medicaid Expansion States Increased The Number Of People Obtaining Buprenorphine Treatment
- The Case For Inclusion 2021: A Special Report On The Sustainability Of Community Disability Services In America – Executive Summary
- ACA Led To Lower Uninsured Rate Among Those Aged 19 To 25
- North Carolina Medicaid System: An OPEN MINDS State Profile
- North Carolina Health & Human Services System State Profile Report
Latest Resources
- 44 Oregon Health Care Systems & Payers Join Compact To Move 70% Of Payments To VBP By 2024
- Maryland Legislation To Prohibit Medicaid Program From Requiring Parent Presence For All Hours Of ABA Services
- Illinois Health & Human Services System State Profile Report
- Illinois Medicaid System: An OPEN MINDS State Profile
- Illinois Long-Term Services & Supports System: An OPEN MINDS State Profile
- HHS Revokes Permission For Four States To Implement Medicaid Work Requirements
- U.S. Department of Health & Human Services Letter Regarding Wisconsin Medicaid Work Requirements
- U.S. Department of Health & Human Services Letter Regarding Michigan Medicaid Work Requirements
- Ohio Medicaid Selects Aetna For The OhioRISE Children's Contract
- Ohio Medicaid Provider Organizations Delivered 22% Of Services Via Telehealth In December 2020, State Makes Telehealth Flexibilities Permanent
- Hawaii Awards QUEST Integration Medicaid Managed Care Contracts To Incumbents
- Ohio Rule Number 5160-1-18 Summary & Fiscal Analysis To Expand Coverage Of Medicaid Telehealth Services
- U.S. Department Of Health & Human Services Letter Regarding Arkansas Works
- U.S. Department of Health & Human Services Letter Regarding New Hampshire Medicaid Work Requirements
- Decision In A.M. v. Monmouth County Board Of Social Services
Most Popular
- California Medicaid Resumes Work On CalAIM Reform Proposal, Implementation To Start January 2022
- Ohio Medicaid Selects Aetna For The OhioRISE Children's Contract
- Ohio Medicaid Selects Aetna Better Health As MCO For The OhioRISE Contract
- 94% Of All Medicaid-Eligible Children Were In Managed Care In 2017, Up From 65% In 2000
Latest Industry Bulletins
- One-Third Of Hospitals Were Highly Transparent With Posting Their Payer-Negotiated Rates Per A New Rule
- Risk-Based Senior Health Care Organization, Perfect Health Unites Operations With ConcertoHealth
- State Of California Awards $32 Million To Inland Empire Health Plan For Behavioral Health Integration Programs
- Anthem To Acquire InnovaCare’s Puerto Rico-Based Medicare & Medicaid Business
- AmeriHealth Caritas Louisiana Selected To Participate In Medicare Primary Care First Direct Contracting Initiative
Latest Industry News
- 44 Oregon Health Care Systems & Payers Join Compact To Move 70% Of Payments To VBP By 2024
- Maryland Legislation To Prohibit Medicaid Program From Requiring Parent Presence For All Hours Of ABA Services
- HHS Revokes Permission For Four States To Implement Medicaid Work Requirements
- Ohio Medicaid Selects Aetna For The OhioRISE Children's Contract
- Ohio Medicaid Provider Organizations Delivered 22% Of Services Via Telehealth In December 2020, State Makes Telehealth Flexibilities Permanent