Continued uncertainty surrounding federal legislative action affecting the Affordable Care Act (ACA) have led many states to reconsider the option of Section 1332 State Innovation Waivers. These waivers allow states broad flexibility to redesign the coverage provisions of the ACA according to certain statutory guidelines. Given the renewed interest in 1332 waivers, the State Network hosted a webinar for state officials featuring the experts at Manatt Health.
As states seek to understand the impacts of proposed changes to Medicaid financing, comparative data on where states stand can be very valuable. The memos included here use state-specific data to analyze the impact of proposals to limit federal Medicaid funding on all 50 states and the District of Columbia.
American Indians and Alaska Natives could face a disproportionate impact in the event of ACA repeal. This report, authored by Dr. Donald Warne at North Dakota State University, in partnership with the National Indian Health Board, highlights the specific effects of ACA repeal.
Changes to the individual health insurance market are at the heart of the American Health Care Act. This webinar featured experts from Manatt Health who discussed changes in the individual market, including tax credits and the marketplace, that states will need to consider moving forward. The attached slide deck includes details on what is in the legislation, what are the key policy areas for states and an impact analysis for state policy makers.
The American Health Care Act has a number of policy changes that impact state Medicaid programs. This webinar featured experts at Manatt Health as they review implications on Medicaid Financing, Eligibility and other programmatic changes for states. The attached slides provide significant insight into eligibility changes, the policy principles of the per capita cap and block grant models, and an in-depth explainer of the creation of per-capita caps for states.
Medicaid Expansion and Enhanced Match: How Proposals to Grandfather Medicaid Enrollees Could Impact States
Some federal proposals implement enrollment freezes for the Medicaid Expansion population, while grandfathering the enhanced match for enrollees that remain in the system. States have experiences with enrollment freezes in recent years and the changes in enrollment levels provide lessons for states moving forward. This issue brief, authored by the team at Manatt Health, highlights the experiences of three states and how enrollment freezes impact state Medicaid rolls.
While the focus of debate regarding repeal of the Affordable Care Act (ACA) has been on Marketplaces and the Medicaid expansion, myriad other provisions of the ACA are at risk of repeal—including those that streamline Medicaid eligibility and enrollment systems and implement a national, simplified standard for income eligibility. As of January 2016, 37 states are able to complete an eligibility determination in real time, defined as less than 24 hours, and among these, 11 states report that at least half of their applicants receive an eligibility determination in real time. The future of the ACA’s streamlined eligibility and enrollment-related provisions and the system improvements states have invested in to implement them are the subject of this issue brief.
On February 15, 2017, CMS released a proposed rule on market stabilization in the individual market nationally. The State Network hosted a webinar for state insurance departments and state-based marketplaces to review the topics addressed in the rule, and identify policy implications for states. This slide deck highlights the points of the webinar and includes all of the specific questions on which CMS requested feedback.
Because Medicaid is the single largest payer in every state, governors are using Medicaid to drive multi-payer reforms, including adoption of value-based payment methodologies and advancement of population health models. Proposals being considered by Congress and the new administration to repeal the Affordable Care Act’s (ACA) Medicaid expansion and implement limits on federal Medicaid funding through block grants and per capita caps could have a significant impact on these advances. This issue brief, developed by Manatt Health, considers how much states have accomplished to drive value in and through their Medicaid programs over the last 50 years, and most especially over the last five years, and what states stand to lose in terms of progress and innovation in their Medicaid programs and health care delivery systems if federal support for Medicaid is reduced.
Data Points to Consider When Assessing Proposals to Cap Federal Medicaid Funding: A Toolkit for States
Key leaders in Congress and high-ranking members of the Trump Administration are proposing major changes to Medicaid financing through the adoption of a block grant or per capita caps. To assist states in assessing the potential implications of proposals to cap federal Medicaid funding, the State Network team at Manatt Health has developed a toolkit providing state-by-state data on Medicaid enrollment and expenditure trends—factors that are central to establishing the amount each state would be allocated under various capped funding proposals.