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Medicaid: what to watch in 2019 from the Administration, Congress, and the states

Series Title(s):
Issue brief (Henry J. Kaiser Family Foundation)
Author(s):
Rudowitz, Robin, author
Musumeci, MaryBeth, author
Artiga, Samantha, author
Contributor(s):
Henry J. Kaiser Family Foundation, issuing body.
Publication:
San Francisco, CA : Henry J. Kaiser Family Foundation, January 2019
Language(s):
English
Format:
Text
Subject(s):
Health Care Reform -- organization & administration
Medicaid -- organization & administration
Medicaid -- trends
Forecasting
Home Care Services
Insurance, Health, Reimbursement
Managed Care Programs
Opioid-Related Disorders
State Government
Substance-Related Disorders
Telemedicine
Humans
Puerto Rico
United States
United States Virgin Islands
Genre(s):
Technical Report
Abstract:
Medicaid, the provider of health insurance coverage for about one in five Americans and the largest payer for long-term care services in the community and nursing homes, continues to be a key part of health policy debates at the federal and state level. Important Medicaid issues to watch in 2019 include Medicaid expansion developments amid ongoing litigation about the ACA's constitutionality as well as Medicaid demonstration waiver activities, including those focused on work requirements and other eligibility restrictions. States are also likely to continue to pursue initiatives to address the opioid crisis, and the recent passage of bi-partisan legislation with new tools and financing could bolster these efforts. Primary areas of federal policy to watch in 2019 with implications for Medicaid include the expiration of temporary funding for Puerto Rico and the US Virgin Islands in the absence of legislative action as well as potential regulatory changes to public charge policies that would likely lead to Medicaid enrollment declines among immigrant families. Finally, reforms in benefits, payment and delivery systems continue to evolve as states and the federal government focus on managed care, social determinants of health, prescription drugs, and community based long-term care. While beyond the scope of this brief, Congress and states could also consider broader health reform that could expand the role of public programs in health care including Medicare for All or Medicaid buy-in programs that could have significant implications for Medicaid.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (5 pages)).
NLM Unique ID:
101740432 (See catalog record)
Series Title(s):
Issue brief (Henry J. Kaiser Family Foundation)
Author(s):
Rudowitz, Robin, author
Musumeci, MaryBeth, author
Artiga, Samantha, author
Contributor(s):
Henry J. Kaiser Family Foundation, issuing body.
Publication:
San Francisco, CA : Henry J. Kaiser Family Foundation, January 2019
Language(s):
English
Format:
Text
Subject(s):
Health Care Reform -- organization & administration
Medicaid -- organization & administration
Medicaid -- trends
Forecasting
Home Care Services
Insurance, Health, Reimbursement
Managed Care Programs
Opioid-Related Disorders
State Government
Substance-Related Disorders
Telemedicine
Humans
Puerto Rico
United States
United States Virgin Islands
Genre(s):
Technical Report
Abstract:
Medicaid, the provider of health insurance coverage for about one in five Americans and the largest payer for long-term care services in the community and nursing homes, continues to be a key part of health policy debates at the federal and state level. Important Medicaid issues to watch in 2019 include Medicaid expansion developments amid ongoing litigation about the ACA's constitutionality as well as Medicaid demonstration waiver activities, including those focused on work requirements and other eligibility restrictions. States are also likely to continue to pursue initiatives to address the opioid crisis, and the recent passage of bi-partisan legislation with new tools and financing could bolster these efforts. Primary areas of federal policy to watch in 2019 with implications for Medicaid include the expiration of temporary funding for Puerto Rico and the US Virgin Islands in the absence of legislative action as well as potential regulatory changes to public charge policies that would likely lead to Medicaid enrollment declines among immigrant families. Finally, reforms in benefits, payment and delivery systems continue to evolve as states and the federal government focus on managed care, social determinants of health, prescription drugs, and community based long-term care. While beyond the scope of this brief, Congress and states could also consider broader health reform that could expand the role of public programs in health care including Medicare for All or Medicaid buy-in programs that could have significant implications for Medicaid.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (5 pages)).
NLM Unique ID:
101740432 (See catalog record)