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Average Manufacturer Price cap removal: Implications for state Medicaid programs
As a new federal law, effective in 2024, removes a cap on manufacturers' drug rebate amounts, we explore the implications for state Medicaid programs.
State-directed payment considerations for the CMS Medicaid and CHIP Managed Care Access, Finance, and Quality proposed rulemaking
We review the essentials for states to consider regarding the proposed changes by CMS for Medicaid and Children’s Health Insurance Program Managed Care Access.
Maximizing opportunities to efficiently manage pharmacy costs in Medicaid
As drug costs continue to rise, states need to engage in strategies that include policy and nonpolicy options to manage prescription spending in Medicaid.
Evaluation of State Medicaid Scorecard Data: 2021 Scorecard update
This report provides an analysis of the recently released 2021 Centers for Medicare and Medicaid Services (CMS) Medicaid and Children’s Health Insurance Program (CHIP) Scorecard.
Medicaid managed care financial results for 2021
Uncertainty remains regarding COVID-19’s impact on Medicaid MCO financial performance, including the deferral of care, pent-up demand, and future claims.
Health equity data strategy and applications in Medicaid managed care
A summary of available data sources that can assist state Medicaid agencies in evaluating health disparities and measuring progress toward health equity goals
Care management for Medicaid: Optimizing new models of care for better population health and lower costs
Design and implementation of new care models mean a major undertaking for many plans, yet optimizing their value could bring substantial rewards for MCOs.
Meeting the needs of Medicaid Home and Community-Based Services program participants during the COVID-19 pandemic and beyond
The COVID-19 pandemic presents unique challenges for Medicaid Home and Community-Based Services program participants.
Assisting Medicaid beneficiaries to achieve housing stability
This brief scopes out the issue of homelessness and housing security and Medicaid’s role in addressing the issue.
Evaluation of State Medicaid Scorecard Data: 2020 Scorecard Update
This report provides an analysis of the recently released 2020 Centers for Medicare and Medicaid Services (CMS) Medicaid and Children’s Health Insurance Program (CHIP) Scorecard.