Work Requirements
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CMS Approves Georgia’s Partial Medicaid Expansion
/in Policy Georgia Blogs, Featured News Home Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, Work Requirements /by Anita CardwellLast week, the Centers for Medicare & Medicaid Services (CMS) approved Georgia’s Pathways to Coverage Section 1115 waiver request, allowing for a limited expansion of Medicaid that provides coverage to individuals ages 19 to 64 earning up to 100 percent of the federal poverty level (FPL).
Governors Tackle Health Care Costs, Coverage, and Quality in their State of the State Addresses
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Expansion, Population Health, Prescription Drug Pricing, Safety Net Providers and Rural Health, Social Determinants of Health, State Insurance Marketplaces, State Rx Legislative Action, Work Requirements /by Sarah Lanford and Anita CardwellIn their 2020 state of the state speeches, governors identified new health policy initiatives on a wide range of issues. As of mid-February, 42 governors had delivered speeches or outlined key budget priorities, and all addressed health issues – most commonly strategies to tackle health care costs and behavioral health issues. Below are highlights of the key health themes […]
How Governors Addressed Health Care in their 2020 State of the State Addresses
/in Policy Charts Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Prescription Drug Pricing, Social Determinants of Health, State Insurance Marketplaces, State Rx Legislative Action, Work Requirements /by Sarah Lanford and Anita CardwellOverview of the Centers for Medicare & Medicaid Services’ New Medicaid Block Grant Guidance
/in Medicaid Managed Care Blogs, Featured News Home Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Program Design, Work Requirements /by Anita CardwellIntroduction by Trish Riley, NASHP Executive Director For decades, the proposal to convert the Medicaid program from an open-ended entitlement to capped funding as a “block grant” has been a fiercely argued policy, legal and ideological debate. Opponents contend that capped financing violates the foundation of Medicaid as an entitlement and would severely impair states’ abilities to address […]
NASHP’s Top Five Reads of 2019
/in Policy Blogs, Featured News Home Administrative Actions, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Health Coverage and Access, Health System Costs, Legislative Tracker, Population Health, Prescription Drug Pricing, State Rx Legislative Action, Work Requirements, Workforce Capacity /by NASHP StaffEach year, NASHP publishes more than 100 reports and resources to give state leaders the information they need to craft effective legislation and health policies. Below are our most-read resources of 2019. Rx Legislative Tracker: This resource with its map interface gives you the status of every state’s legislation to curb prescription drug costs since 2015, […]
What States Did in 2019 to Address Health Coverage and Costs
/in Policy Blogs, Featured News Home Administrative Actions, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, Newly-Enacted Laws, Prescription Drug Pricing, State Insurance Marketplaces, Work Requirements /by Sarah LanfordGeorgia Proposes New Changes to its Individual Market and Medicaid Program in Two Federal Waivers
/in Policy Georgia Blogs, Featured News Home Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces, Work Requirements /by Anita CardwellThis spring, Georgia passed the Patients First Act authorizing the state to seek federal approval for a Section 1115 waiver to implement an alternative Medicaid expansion model and an Affordable Care Act (ACA) Section 1332 waiver to pursue a range of options affecting individual market coverage. Last week, the state released draft versions of both […]
Recent State Action on Medicaid Expansion, Work Requirements, and Block Grants
/in Policy Georgia, Idaho, Kentucky, Missouri, Montana, Nebraska, New Hampshire, New Mexico, North Carolina, South Dakota, Utah, Virginia Blogs, Featured News Home Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, Work Requirements /by Anita CardwellThis year, many states have continued to pursue federal approval for a range of proposals affecting Medicaid coverage, such as seeking modifications to the Affordable Care Act’s (ACA) Medicaid expansion or adding Medicaid work requirements. Currently, nine states have implemented expansion through Section 1115 waivers to impose conditions such as monthly premiums, lock-out provisions for […]
Multiple Factors Appear to Be Contributing to Children’s Rising Uninsured Rates
/in Policy Blogs CHIP, CHIP, Eligibility and Enrollment, Eligibility and Enrollment, Health Coverage and Access, Maternal, Child, and Adolescent Health, Medicaid Expansion, State Insurance Marketplaces, Work Requirements /by Maureen Hensley-QuinnUS Census Bureau data released this past week revealed 8.5 percent (27.5 million people) did not have health coverage at any point during 2018 – an increase from 7.9 percent (25.6 million people) in 2017. The latest census data also affirmed fears raised after reports of declining child enrollment in Medicaid and the Children’s Health […]
Learn the Latest about States’ Medicaid Work Requirement Proposals
/in Policy Blogs Health Coverage and Access, Medicaid Expansion, Work Requirements /by Anita CardwellMore than 30 states have proposed or are implementing work requirements, in some cases to enable Medicaid expansion. Read an update about state efforts and a recent federal court ruling on Kentucky’s waiver application. Since January, when the Centers for Medicare & Medicaid Services (CMS) announced it would allow states to require certain enrollees to […]
For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
A Snapshot of State Proposals to Implement Medicaid Work Requirements Nationwide
/in Policy Charts Health Coverage and Access, Medicaid Expansion, Work Requirements Work Requirements /by Anita Cardwell*Updated August 24, 2021 In January 2018, the Centers for Medicare & Medicaid Services (CMS) issued a new policy allowing states to implement work and community engagement requirements for certain Medicaid enrollees. States must seek federal approval to require non-elderly, non-pregnant, and non-disabled adults to meet these requirements to qualify for full or partial Medicaid coverage. In February 2021, the […]