Medicaid Access & Policy
Expert articles and analysis related to medicaid access & policy.
AI Summary — Last 7 Days
Medicaid access policy this week centered on implementation friction: CMS added guidance on Medicaid work-requirement exemptions—especially “medically frail” determinations—while KFF mapped which states will be most exposed to key Medicaid provisions in the 2025 reconciliation law, raising near-term risks for eligibility operations, redeterminations, and avoidable coverage churn. For VBC stakeholders, the strategic response is shifting toward tighter population health infrastructure: Medicaid ACOs are being positioned as vehicles to improve maternal health quality, while states continue refining Medicaid managed care enhanced care coordination for children with chronic and complex needs, reinforcing the need for stratification, care management, and community-provider integration under constrained access rules (CMS work-requirement guidance; NASHP care coordination analysis).
Related Articles
CMS has additional guidance on Medicaid work requirement exemptions
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Preparing For H.R.1: Managing Medicaid Eligibility, Redeterminations & Access To Care - open minds
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CMS Creates New Medicaid State Plan Option For CCBHC Services - open minds
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Build More Robust Medicaid Capitation Rate Development Processes in a Changing Environment
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Enhanced Care Coordination Services in Medicaid Managed Care for Children with Chronic and Complex Needs
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Which States Will Be Affected by Key Medicaid Provisions in the 2025 Reconciliation Law?
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