Medicaid & Safety Net
Expert articles and analysis related to medicaid & safety net.
AI Summary — Last 7 Days
Medicaid VBC stakeholders are facing a sharper compliance-and-financing environment: HHS/CMS under the Trump administration deferred more than $1 billion in Medicaid payments to California and Minnesota tied to alleged fraud/noncompliance in in-home care, while hospitals in high–state-directed-payment states warned that the OBBBA SDP implementation rule could destabilize safety-net financing and supplemental-payment strategies. At the same time, new Medicaid work-requirement implementation is creating coverage-continuity risk—especially for SSI applicants navigating medical-frailty exclusions—raising churn and attribution concerns for Medicaid managed care plans, FQHCs, and population-health programs (KFF on work requirements). Safety-net providers are responding by tightening value-based payment goal-setting and rural VBC investment, including NACHC’s health-center VBP framework and West Virginia’s $10M rural value-based care funding push, but these delivery-transformation efforts now sit against a backdrop of Medicaid payment deferrals and SDP uncertainty (HFMA on SDP concerns).
Related Articles
What Could Medicaid Work Requirements Mean for SSI Applicants?
Medicaid work requirements may make it more difficult for some SSI applicants to maintain coverage due to the added complexity of navigating the verification process for the medical frailty exclusion....
House Energy & Commerce Committee Unanimously Advances $750 million in new funding for Behavioral Health and Nutrition Services at Community Health Centers
Last week, the House Energy and Commerce (E&C) Committee voted unanimously (45-0) to advance legislation that would deliver $750 million in new funding for behavioral health and nutrition services at ...
Why Medicaid is U.S. Healthcare’s Biggest Opportunity
I was in the 10th grade at Tyner High School in Chattanooga when Medicaid passed as Title XIX of the Medicare and Medicaid Act of 1965. It was the cornerstone... The post Why Medicaid is U.S. Healthca...
Medicaid Work Requirements: Federal Outreach Requirements and State Plans
State Medicaid programs must inform people affected by new work requirements with federally required notices, and most states are planning other types of outreach, including phone calls, public ads, a...
CalAIM at 5: Real Progress, Real Pressure
Indiana Enacts 6-Month HCBS Waiver Provider Enrollment Moratorium
Healthcare Organizations Push Back Against CMS Medicaid Payment Rule Changes
Healthcare Organizations Push Back Against CMS Medicaid Payment Rule Changes HCI Innovation Group
The Equity Cliff: Federal Medicaid Cuts Are About To Undo California’s Health System Gains
The Equity Cliff: Federal Medicaid Cuts Are About To Undo California’s Health System Gains Health Affairs
Opposing Dr. Oz’s Proposed Restrictions on Medicaid State Directed Payments
Opposing Dr. Oz’s Proposed Restrictions on Medicaid State Directed Payments National Partnership for Women & Families