On January 27, 2023, the Centers for Medicare & Medicaid Services released a State Health Official (SHO) letter, “Medicaid Continuous Enrollment Condition Changes, Conditions for Receiving the FFCRA Temporary FMAP Increase, Reporting Requirements, and Enforcement Provisions in the Consolidated Appropriations Act, 2023.” The SHO letter is the second in a series of guidance related to section 5131 of the Consolidated Appropriations Act, 2023 (CAA), which established a fixed end date for the Medicaid continuous coverage requirement, a gradual phase-down for the enhanced federal match, and new guardrails for mitigating coverage loss for individuals who continue to be eligible. This expert perspective reviews the additional detail and operational expectations of states during the unwinding of Medicaid continuous coverage as laid out in the SHO letter.
Estimated Financial Effects of Expanding Oregon’s Medicaid Program under the Affordable Care Act (2014-2020)
State Health Access Data Assistance Center; Oregon Health Sciences University’s Center for Health Systems Effectiveness; Manatt Health Solutions
This analysis estimates the potential costs and benefits of Medicaid expansion for the State of Oregon. It assesses the effect on state general funds, other state funds and the overall impact on health care expenditures. The expenditure estimates incorporated in this analysis are net of the effects of Oregon’s health system transformation. Without health system transformation, the costs of expansion would increase. The analysis estimates that if Oregon chooses to expand Medicaid, it will provide coverage to more than 240,000 newly eligible Oregonians and encourage approximately 20,000 previously eligible Oregonians to enroll in coverage. The estimates in the analysis also suggest this will generate $11.3 billion in federal health care expenditures and a net savings of $79 million to the state general fund. The analysis was produced by the State Health Access Data Assistance Center (SHADAC), Oregon Health Sciences University’s Center for Health Systems Effectiveness (CHSE), and Manatt Health Solutions.