The Department of Health and Human Services’ (HHS) proposed “Securing Updated and Necessary Statutory Evaluations Timely” (SUNSET) rule would cause most HHS regulations to automatically expire unless HHS conducts a time-consuming assessment and review of such regulations. If finalized, the proposal would divert...
off the charts
POLICY INSIGHT
BEYOND THE NUMBERS
BEYOND THE NUMBERS
Medicaid Improper Payment Rates Don’t Signal Fraud or Abuse
November 19, 2020
The Centers for Medicare & Medicaid Services (CMS) has released its 2020 Estimated Payment Error Rate Measurement (PERM) rate — which measures “improper” payments in Medicaid and the Children’s Health Insurance Program (CHIP) — but policymakers...
ACA Suit Threatens Disruption, Loss of Protections for Tens of Millions of Medicaid, Medicare Beneficiaries
September 29, 2020
Tens of millions of Medicaid and Medicare beneficiaries face direct harm from a lawsuit to overturn the Affordable Care Act (ACA) — which strengthened and updated both programs, transforming Medicaid’s eligibility rules and Medicare’s payment systems.
The Supreme Court will hear oral arguments November 10 in California v. Texas, in which the Trump Administration and 18...
Expanding Medicaid in Oklahoma and Missouri a First Step to Improve American Indian and Alaska Native Health Care
June 23, 2020
Voters in Oklahoma and Missouri will decide on June 30 and August 4, respectively, whether their states will adopt the Affordable Care Act’s (ACA) Medicaid expansion, which would improve access to health care for hundreds of thousands of low-income Oklahomans and ...
More Federal Medicaid Funding Needed to Protect Home- and Community-Based Services
May 15, 2020
To help prevent cuts to home- and community-based services (HCBS), policymakers should substantially raise the federal government’s share of state Medicaid costs (the “FMAP”), as House Speaker Nancy Pelosi’s new economic relief proposal would do. The bill also includes an important, targeted FMAP increase for HCBS, and both policies are needed to ensure that seniors and people with...
More States Reconsidering Medicaid Work Requirements
January 9, 2020
Six states — Arizona, Indiana, Kentucky, Maine, New Hampshire, and Virginia — have reversed or suspended their plans to take Medicaid coverage away from people who don’t meet work requirements. Other states with similar approved or pending waivers from the federal government also should reconsider these harmful policies.
The six states reconsidering their work requirement policies cited...
Medicaid Improper Payment Rates Don’t Measure Ineligible Enrollees, Fraud, or Abuse
November 18, 2019
Update, November 21: We updated this post to reflect CMS’ release of improper payment rates.
The Centers for Medicare & Medicaid Services (CMS) recently released the 2019 Estimated Payment Error Rate Measurement (PERM) rate,...
Arizona the Latest State to Reconsider Medicaid Work Requirements
October 22, 2019
Arizona is suspending its plan to take Medicaid coverage away from people who don’t meet work requirements, adding to the growing list of states making similar decisions. Other states with approved or pending work requirement waivers also should reconsider these harmful policies.
In...
Trump on Partial Medicaid Expansion: Right Decision, Wrong Reasons
July 30, 2019
The Trump Administration is rejecting Utah’s request to receive the Affordable Care Act’s (ACA) enhanced federal funding to provide Medicaid coverage for only part of the population of poor and near-poor adults that states can cover by expanding their Medicaid programs under the ACA.
ACA Lawsuit Threatens Tens of Millions of Medicaid, Medicare Beneficiaries
July 30, 2019
On Medicaid and Medicare’s 54th birthday, tens of millions of beneficiaries face direct harm from litigation seeking to overturn the Affordable Care Act (ACA) — which strengthened both programs and updated how they operate, transforming Medicaid’s eligibility rules and...
