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More Evidence That Complex Medicaid Waivers Will Likely Cause Harm

June 25, 2018

State experiments to test whether premiums and complex incentives can encourage Medicaid enrollees to adopt healthy behaviors haven’t achieved their goals, partly because many enrollees don’t fully understand the new rules. Nevertheless, the Trump Administration has approved state proposals...

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“Healthy Michigan” Bill Puts Health Coverage for 670,000 People at Risk

June 8, 2018

Michigan lawmakers just passed a bill requiring the state to apply for a federal waiver to take away Medicaid coverage from people who don’t meet work requirements and charge Medicaid premiums that total 5 percent of an enrollee’s household income. The premiums would...

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Complex Medicaid Changes Likely to Cost Many People Coverage

May 30, 2018

Arkansas, which received Trump Administration approval for a demonstration project (or “section 1115 waiver”) to take Medicaid coverage away from people who don’t work or engage in work activities for a set number of hours each month, will begin implementing the new rules on June 1.  The Administration has also approved work requirement proposals from Indiana, Kentucky, and New Hampshire and...

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GAO: State Evaluations of Medicaid Waivers Lack Key Data, Findings

March 5, 2018

The Trump Administration’s decision to let states make unprecedented and radical changes to Medicaid through demonstration projects, such as requiring that beneficiaries work or engage in work-related activities, reinforces the need for well-designed, timely evaluations of state demonstrations. A recent Government Accountability Office (GAO) ...


Arkansas’ Harsh Medicaid Work Requirement Jeopardizes Recent Progress

March 5, 2018

Update, March 6: we’ve updated this post with revised data from the Urban Institute.

The Trump Administration’s approval today of Arkansas’ harsh work requirement inMedicaid will likely set back the state’s considerable progress under the Affordable Care...

Medicaid Work Requirement Will Mostly Affect Arkansans Who Are Working, Ill or Disabled, or Caregivers

$200 Billion Wouldn’t Provide Affordable Private Coverage for Medicaid Expansion Enrollees

July 24, 2017

Senate leaders are reportedly considering adding $200 billion to the Senate health bill to supplement private coverage for people who gained Medicaid coverage under the Affordable Care Act’s (ACA) Medicaid expansion and would lose it under their bill. But that would fall far short of the actual cost of providing affordable private coverage to those people, new Urban Institute...

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$200 Billion More Won’t Fix Unfixable Senate Health Bill

July 20, 2017

While $200 billion seems like a lot of money, it’s only 17 percent of the bill’s $1.2 trillion in cuts.

In Focus: Reported Offer of $200 Billion More Funding for States Comes Nowhere Close to Undoing Senate Bill's Coverage Cuts

Another Argument for ACA Repeal Bites the Dust

July 18, 2017

While the Senate bill to repeal the Affordable Care Act (ACA) appears dead for now, efforts to undo the ACA’s Medicaid expansion — which has enabled 11 million low-income people to get health coverage — will likely continue. So let’s put to rest the thoroughly debunked claim that the Medicaid expansion has enlarged state waiting lists for home- and community-based services (HCBS), which give...

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Waivers Can’t Solve the Problems Created by Massive Federal Medicaid Cuts

July 15, 2017

Updated July 20th

Trump Administration officials are reportedly trying to win Nevada Governor Brian Sandoval’s support for the Senate Republican health bill by offering him a waiver of Medicaid rules that would give Nevada funds to supplement the coverage that would be available to low-income people in the...

Health - Money and Stethoscope

Senate Health Bill Pays Lip Service to Home- and Community-Based Services, But Imposes Deep Cuts

July 7, 2017

The Senate Republican health bill directs the Health and Human Services (HHS) Secretary to implement procedures to encourage states to adopt or extend home- and community-based services (HCBS) Medicaid waiver programs, which allow seniors and people with disabilities, including children with complex health care needs, to stay in their homes. But like the House-passed health bill, the Senate...

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