The Medicaid Consumer Payment Debate

Executive Briefing | March 28, 2017
Monica E. Oss Here is one of the policy questions for state Medicaid programs: Should Medicaid beneficiaries be required to make out-of-pocket contributions to cover the cost of their Medicaid coverage? Answering that question requires familiarity with the Section 1115 demonstration waiver for Medicaid expansion, which allows states to test new benefit designs and new approaches for delivering health care (see What Are Medicaid Waivers & Why Do They Matter?: An OPEN MINDS Market Intelligence Report). What state Medicaid plans make individuals pay out-of-pocket? Answering this means identifying two groups of states. The first group are those states that require some form of copayment. Many state Medicaid programs require beneficiary copayments of some kind – and the last couple of years has seen a lot of changes...

An Update On States With Medicaid 1115 Waivers For Addiction Treatment

Market Intell Report | February 10 2017
In July 2015, the Centers for Medicare & Medicaid Services (CMS) released a new 1115 demonstration waiver opportunity for states, generally known as substance use disorder (SUD) delivery system transformation. Under the delivery system, transformation states are encouraged to better identify consumers with substance use disorder, improve access to treatment, provide a comprehensive and effective array of services, and...

Arizona Medicaid Announces ALTCS Managed Long-Term Care Contract Awards

News Report | March 26 2017
On March 3, 2017, the Arizona Health Care Cost Containment System (AZHCCCS) announced it had awarded contracts for Medicaid long-term care managed care services in three geographic service areas to Banner-University Family Care, Southwest Catholic Health Network Corporation dba Mercy Care Plan, and UnitedHealthcare Community Plan. The new contracts have an aggregate value of  $1.2 billion annually. They begin October 1, 2017 and...

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