Medicaid

For people with opioid addiction, Medicaid ‘unwinding’ raises the stakes

More than 25 million Americans have lost Medicaid coverage since the expiration of federal COVID-19 pandemic protections. For those in opioid addiction treatment, a loss of coverage can be deadly.

A ballot measure on Medicaid funding is poised to pass. Some say it could do more harm than good.

Proposition 35 would change how California funds its public health insurance program to address health care shortages in the state.

Errors in Deloitte-run Medicaid systems can cost millions and take years To fix

Twenty-five states have awarded Deloitte contracts for eligibility systems totally at least $6 billion, giving the company a stronghold in a lucrative segment of the government benefits business.

Hawaii is the first state where Medicaid covers comprehensive palliative care. That's good news for older adults.

Now six other states are considering increasing coverage for palliative care, which generally serves patients with pain or other symptoms from serious illnesses.

A prescription for housing?

Maryland is investing $5.4 million to help expand a promising pilot program that connects housing and health care statewide.

Amid Medicaid ‘unwinding,’ many states wind up expanding

More than a dozen states have moved to expand health coverage for lower-income people, including children, pregnant women and the incarcerated.

Georgia’s Medicaid work requirements have brought high costs, low enrollment

The state’s experience so far stands in stark contrast with that of North Carolina, where half a million people have signed up for Medicaid coverage in the first seven months of its expansion.

Missouri is getting more people to the dentist—for more than a pretty smile

Missouri Medicaid plan just started covering routine dental exams for adults, almost a decade after adding coverage for cleanings. Health experts believe the change will help more people get preventative dental care.

Lessons learned from the Medicaid unwinding period

A new report highlights how states have conducted post-pandemic eligibility renewals with the help of federal waivers and data.

States struggle to help patients navigate insurance hurdle known as ‘step therapy’

Insurers often refuse to cover a specific drug until after the patient has tried cheaper alternatives.

Nursing homes are left in the dark as more utilities cut power to prevent wildfires

As preemptive power cuts become more widespread, nursing homes are being forced to evaluate their preparedness.

Safety-net health clinics cut services and staff amid Medicaid ‘unwinding’

Nationwide, health centers that serve low-income communities face a financial storm created by a sharp rise in the cost of care, a tight workforce and now fewer insured patients.

State Medicaid costs poised to surge from pandemic lows

State costs rose by 13% in fiscal 2023 and are expected to increase by an additional 17.2% in fiscal 2024 thanks to the phaseout of enhanced federal aid, provider rate increases and slowing but still elevated enrollment levels.

Montana could be a model as more GOP states weigh Medicaid work requirements

The state has a program that can help Medicaid enrollees get job training, career guidance.

AC, power banks, mini fridges: State equips Medicaid patients for climate change

Oregon wants to be proactive and pay for equipment that will help an estimated 200,000 residents manage their health at home before extreme weather or climate-related disaster hits.

Biden administration sets higher staffing mandates. Most nursing homes don’t meet them.

Under the new rules, nursing homes participating in Medicare and Medicaid will be required to follow designated nurse staffing standards.

Holdout states consider expanding Medicaid—with work requirements

The prospect of a second Trump administration has renewed interest in the idea.

City-country mortality gap widens amid persistent holes in rural health care access

As rural health services continue to erode, population health declines and mortality rates increase. That endangers local economies and employment, rural health experts say.

Some low-wage earners must choose between pay raises and government assistance

Lawmakers in North Carolina heard from experts about the “benefits cliff” and how other jurisdictions are developing strategies to lessen its impact on low-income families.

Georgia’s Medicaid work requirements costing taxpayers millions despite low enrollment

The program touted as an alternative to Medicaid expansion under the Affordable Care Act has cost taxpayers millions, with more than 90% going toward administrative and consulting costs rather than medical care.