Feb 23, 2021 

MCO Strategies to Promote COVID-19 Vaccine Uptake

The United States is in the midst of an unprecedented national effort to manufacture, distribute, and ultimately administer COVID-19 vaccines to all Americans. While the federal government is coordinating distribution of vaccines from manufacturers to states, individual states (and certain municipalities) are responsible for coordinating the various components of infrastructure and operational logistics needed to take the vaccine from federal distribution channels to the arms of Americans. This expert perspective outlines four recommendations for states to engage their managed care plans to assist in efforts to successfully and rapidly vaccinate the Medicaid population.

Feb 12, 2021 

TennCare III Demonstration: Overview and Implications

On January 8, the Centers for Medicare and Medicaid Services approved a ten-year Medicaid demonstration project in Tennessee that imposes an aggregate cap on federal funding (subject to certain adjustments). The waiver has received much attention because it has been described as a “block grant” and allows Tennessee to access “shared savings,” but also because it allows the state to operate a closed formulary without foregoing rebates, sets a 10-year term for the waiver, and continues a sizable uncompensated care pool. While certain features may generate interest from some states, the waiver is unlikely to establish significant new precedent that will be observed by the Biden administration. This expert perspective provides an overview of the waiver and discusses implications for states.

Jan 28, 2021 

How States Are Managing the COVID-19 Recession and the Implications for State Health Programs

As the COVID-19 pandemic continues, states face new fiscal challenges in crafting their budgets for fiscal year 2022 amid significant uncertainty with regard to the trajectory of the virus and the promise of more federal relief. This expert perspective provides an updated view of the current state budget landscape, examining in greater detail the health care implications of choices states made to address deficits and balance their budgets in the face of the severe budget shortfalls they confronted for fiscal year 2021.

Jan 26, 2021 

Finishing the Job of Medicaid Expansion

As the country struggles to respond to and recover from the devastating fallout of the COVID-19 pandemic, the case for Medicaid expansion has never been stronger. The public health crisis has focused a spotlight on both the benefits of stable health coverage and the gaps in the nation’s system of coverage and care. This expert perspective reviews what Medicaid expansion would mean in the 12 states that have not yet expanded.

Dec 11, 2020 

CHART Model Community Transformation Track: Value Proposition for States

The Centers for Medicare and Medicaid Services announced its latest effort to strengthen rural health care across America: the Community Health Access and Rural Transformation (CHART) Model. The CHART model will be a voluntary opportunity for rural communities to test care transformation supported by payment reform. This expert perspective reviews the key features of the model and outlines considerations for states.