New Medicaid Resources from MACPAC
The Medicaid and CHIP Payment and Access Commission (MACPAC) recently released several resources related to Medicaid:
- How states exercise flexibility in their Medicaid programs including eligibility pathways, benefits, and payment policies. Stay tuned for additional briefs on enrollment processes, cost sharing, and other topics soon.
- The mechanics of setting per capita caps, in particular, the extent to which Medicaid managed care rate setting and the process for establishing budget neutrality limits in Section 1115 demonstration waivers are useful analogues in considering how caps might be set at the national level.
- Key design elements of per capita caps and block grants.
- A detailed look at Medicaid spending over time, compared to other payers, and drivers of growth.
- How states and Medicaid managed care plans are responding to the high costs of specialty drugs.
Other MACPAC publications related to Medicaid include:
- Access in brief series: Adults with Medicaid are much more likely to have a usual source of care than uninsured adults and as likely as privately insured patients to have a usual source of care. Nevertheless, patients with Medicaid are more likely to experience other barriers to care than privately insured patients. A separate set of issue briefs contains similar findings for children with Medicaid coverage.
- Compendia of state Medicaid payment policies that detail fee-for-service physician payment policies, state Medicaid policies for Medicare cost sharing, and Medicaid payment policies for outpatient hospital services for every state.
- MACPAC's newest policy spreadsheet that inventories the functional assessment tools used by each state to determine eligibility and develop care plans for long-term services and supports.
- MACStats, MACPAC's repository of difficult-to-find Medicaid and CHIP statistics and information.
Other Medicaid Resources
Case Study: How Minnesota Uses Medicaid Levers to Address Maternal Depression and Improve Healthy Child Development (National Academy for State Health Policy)
Background to Medicaid and Section 1115 of the Social Security Act (National Health Law Program)
Waivers of Medicaid Requirements - A Quick Review (National Health Law Program)