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Medicaid Waiver Requests in Wisconsin and Maine Seek to Impose Work Requirements and Time Limits for Beneficiaries

May 10, 2017  /  Medicaid

Proposed changes to Medicaid programs in Wisconsin and Maine include work requirements and time limits in both states, as well as drug screenings for some beneficiaries in Wisconsin. 

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Data Note: Medicaid Managed Care Growth and Implications of the Medicaid Expansion

April 24, 2017  /  Managed Medicaid, Medicaid

This Data Note discusses the current role of managed care in Medicaid and addresses differences in managed care growth between states that expanded Medicaid to low-income adults under the Affordable Care Act (ACA) and states that did not expand Medicaid.

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Medicaid Per Capita Caps Could Cut Funding for Dual Eligible Beneficiaries

April 23, 2017  /  Dual Eligibles, Medicaid

New modeling from Avalere finds that proposals to limit per capita federal Medicaid funding growth based on medical inflation could lead to a $44 billion spending cut for dual eligible beneficiaries.

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Key Themes in Section 1115 Medicaid Expansion Waivers

March 17, 2017  /  Medicaid

Seven states currently are implementing the Affordable Care Act’s (ACA) Medicaid expansion to nearly all low income adults up to 138% of the federal poverty level (FPL, $16,643 per year for an individual in 2017) in ways that extend beyond the flexibility provided by the law through a Section 1115 demonstration waiver approved by the […]

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3 Key Questions: Section 1115 Medicaid Demonstration Waivers

February 16, 2017  /  Medicaid

Looking ahead, states are likely to continue to request waivers to implement provisions not allowed under current law; however, it is not yet clear what role Section 1115 waivers will play as the new administration and Congress move to repeal the ACA and debate possible broader changes to Medicaid financing.

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State Medicaid Programs Invest in Accountable Care Organizations

February 3, 2017  /  Medicaid

The number of state Medicaid programs operating accountable care organizations is steadily growing.

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An Early Look at Medicaid Expansion Waiver Implementation in Michigan and Indiana

February 3, 2017  /  Medicaid

Michigan and Indiana are among the seven states using a Section 1115 demonstration waiver to implement Medicaid expansions in ways that differ from the terms of the Affordable Care Act (ACA), although additional states have expressed interest in pursuing similar models.

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Avoidable Admissions for Long-Term Care Dual Eligibles Down 31%

January 21, 2017  /  Dual Eligibles, Medicaid

Preventable hospital admissions for dually-eligible long-term care residents have plummeted thanks to investments in patient safety and value-based care.

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Latest

Avoidable Admissions for Long-Term Care Dual Eligibles Down 31%

January 20, 2017  /  Dual Eligibles, Medicaid

Preventable hospital admissions for dually-eligible long-term care residents have plummeted thanks to investments in patient safety and value-based care.

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Economic Effects of Medicaid Expansion in Michigan

January 12, 2017  /  Medicaid, States

Continuing Michigan’s Medicaid expansion in 2017 and beyond will have clear economic benefits for the state.

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