Medicaid & CHIP
Expert articles and analysis related to medicaid & chip.
AI Summary — Last 30 Days
In the past 30 days, the Trump administration’s CMS and CMMI have intensified a structural shift in Medicaid and CHIP value-based payment models, most notably through the launch of the ACCESS model, which leverages ACO strategies for high-risk and high-need children but has drawn industry concern over payment rates falling below existing billing models (ACCESS Model's payment approach). Simultaneously, CMS is advancing primary care reforms in Medicaid—such as California’s multipayer primary care payment model—to support population health management via collaborative, cross-payer approaches that balance cost control and access (Medi-Cal Bold Idea — Multipayer Primary Care Payment Reform Model). These developments signal a continued prioritization of cost discipline and innovation in ACOs, but bring new tensions for states and providers tasked with managing fiscal constraints while delivering on quality and equity goals.
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This proposal suggests integrating In-Home Supportive Services (IHSS) into Medi-Cal managed care to improve care coordination and oversight while preserving recipient self-direction. The post Medi-Cal...
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Reimagining Medicaid to Safeguard America’s Children
Reimagining Medicaid to Safeguard America’s Children WCM Newsroom
States Face Another Challenge With Medicaid Work Rules: Staffing Shortages
States Face Another Challenge With Medicaid Work Rules: Staffing Shortages Health Leaders Media
States Face Another Challenge With Medicaid Work Rules: Staffing Shortages
Some states already don’t have enough staff to quickly process Medicaid applications and answer enrollees’ phone calls. Researchers say they may not be prepared to handle new Medicaid work rules, pred...
CMS releases guidance on limits to Medicaid, CHIP funding for certain noncitizens
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This Northern Cheyenne Doula Was About To Start Getting Paid — Then Medicaid Cuts Hit
Montana was on track to start reimbursing doulas, who support new and expectant parents, through Medicaid this year. But state officials halted that plan amid a budget shortfall. Other such services d...