Following the end of the COVID-19 public health emergency and Medicaid continuous coverage, many states have routed people who have lost Medicaid benefits to the Affordable Care Act (ACA) Marketplace. In the July issue of Health Affairs, Mark Meiselbach and colleagues at Johns Hopkins University explore county-level overlap in carriers and networks in Medicaid managed care and the Marketplace in 2021. They find significant variation in “the share of Medicaid managed care beneficiaries covered by carriers that offered ACA individual Marketplace plans in their county in 2021.” Also, on average, 52.1 percent of Medicaid managed care enrollees were enrolled by a carrier that also had a plan on the Marketplace in the same county.” Read the full paper: https://bit.ly/3Sw0LlA
Medicaid and Marketplace overlap in 2021
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In the May issue of Health Affairs, Dong Ding of New York University and coauthors examine Medicaid undercount during the COVID-19 pandemic. Medicaid undercount describes the difference between self-reported Medicaid participation and administrative records of Medicaid enrollment. Under the March 2020 Medicaid continuous coverage provision, beneficiaries were allowed to remain enrolled until the end of the public health emergency. The researchers find that Medicaid undercount increased substantially following the continuous coverage provision. They conclude that “nearly half of the 5.9 million people who [they] projected were likely to become uninsured after the provision expired… already reported that they were uninsured” in a 2022 survey. Read the full article: https://bit.ly/3KqflGP
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NEW EPISODE: Medicaid and Health Medicaid is an almost 60 year old program under the Affordable Care Act. The Supreme Court ruled that states could choose whether to extend eligibility to adults earning up to 138% of the poverty threshold. This extension expires this year. There have been both successes and failures in the affordability of health care over the years. Learn More Here: http://bit.ly/4fLodEq
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We were heartened by yesterday's announcement from CMS about the formation of a joint commission that will spend the next four years accrediting rural health clinics. Rural areas often face significant challenges in healthcare, not only in terms of accessibility but also in the quality and complexity of the care provided. At Muse Health, our mission is to highlight and address health disparities wherever they exist, by implementing long-term solutions. Please take a look at the video we produced to highlight this important topic: #ruralhealth #seehealthdisparities #mymusehealth #CMS https://lnkd.in/g4Cf_t6A
Effective June 3, 2024, through June 3, 2028, the Centers for Medicare and Medicaid Services approved The Joint Commission to serve as an accrediting body for Rural Health clinics that request participation in the Medicare program. Muse Health is excited to see these guardrails put in place. https://lnkd.in/eFppr4h9 #MuseHealth #RuralHealth #RuralHealthCare #PublicHealth #ruralhospital #CMS
Muse Health on Rural Health
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Congressional leadership in Washington, DC is considering over $3 trillion in cuts to health care, including the federal Medicaid program. Medicaid is a major source of health care coverage for Nebraskans in rural areas. Nearly half of all Nebraskans enrolled in Medicaid live in rural counties. In Nebraska’s rural hospitals, Medicaid pays for 26 percent of all Emergency Room visits, 33 percent of all births, 43 percent of all behavioral health services, and 44 percent of all services provided to minor patients. These cuts pose very severe threats to Nebraska patients and hospitals, particularly in rural communities. Visit protectruralhealthcare.com to ask your representatives to oppose health care cuts.
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Join to learn about the new Center for Maternal and Child Health Medicaid Partnerships (CMMP), the technical assistance activities and resources that will be available, and how your state can strengthen partnerships and coordination between Medicaid, CHIP, and Title V programs. https://lnkd.in/gRSkUa3D
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HCHB has authored a comment letter for CMS regarding the proposed rule. The comment letter shares data analysis based on HCHB's data which encompasses 44% of all Medicare Home Health visits. Find out more in our press release addressing the comment letter: https://bit.ly/46DVU7z #HomeHealth #HomeHealthAdvocacy Centers for Medicare & Medicaid Services
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Our decisions in 2024 will have major implications for Medicaid and health policy for years to come. Funders can help plan for this unknown future. In the pre-conference session, Medicaid Unwound: What Comes Next?, attendees heard a detailed overview of the key areas impacting current Medicaid policy: 1. “Unwinding” the Medicaid Continuous Coverage Requirement and Long-Term Eligibility and Enrollment (E&E) Compliance 2. Expanding and Extending Health Coverage 3. Improving Access to Care 4. Addressing Health-Related Social Needs 5. Responding to New Challenges and Opportunities (e.g., The General Election) While states face new and lingering challenges as they implement Medicaid guidance and improve accessible coverage, funders have opportunities. Join more conversations about innovative funding models in an ever-changing policy environment at #GIHAC 2024.
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Medicare and Medicaid weren’t made to work together, and that leads to serious challenges for the more than 12 million people who are eligible for both programs. The Alliance for Health Policy recently hosted a great discussion on ways to improve care for dually eligible individuals, including: ➡️ Requiring states to develop a strategy to integrate care between Medicare and Medicaid ➡️ Improving data reporting to ensure programs are meeting individuals’ needs ➡️ Incorporating individuals’ lived experience into plan design and implementation Watch the event recording: https://bit.ly/3VWNWDd #Medicare #Medicaid #DualEligible
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Medicaid redetermination (also called Medicaid "unwinding" or "renewal") is an equity issue. One year after the federal government terminated the pandemic-era policy allowing for continuous Medicaid enrollment, Community Health Centers and their patients are still feeling the fallout. Nearly one in four (23%) of health center Medicaid patients are estimated to have lost their Medicaid coverage. In this video, Stephanie Wroten, RN, COO of Roanoke Chowan Community Health Center, and Steven Miracle, CEO of Georgia Mountains Health Services, Inc., describe what Medicaid redetermination has meant for their communities and health centers. #Medicaid #HealthEquity #ValueCHCs
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Bill Alert! US House Bill HR 2666 - Medicaid VBPs for Patients Act Policy: Health Status: Bill Introduced Full Details: https://lnkd.in/eMCBeRhc The MVP Act, also known as Bill 118 hr 2666, is a piece of legislation introduced in the US Congress. The main purpose of this bill is to address issues related to the Minimum Viable Product
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