On November 15, 2023, the Centers for Medicare & Medicaid Services released its proposed 2025 Notice of Benefit and Payment Parameters, the annual regulation which governs core provisions of the Affordable Care Act. This expert perspective focuses on aspects of the proposed rule likely to be of interest to state officials, including requirements for State-Based Marketplaces to align with the standards of the Federally Facilitated Marketplace, proposals for states to update essential health benefits, and initiatives to ease the eligibility and enrollment process for consumers.
States Expanding Medicaid See Significant Budget Savings and Revenue Gains
Deborah Bachrach, Patricia Boozang, Avi Herring, and Dori Glanz Reyneri, Manatt Health
In addition to the impact that state decisions to expand Medicaid have had on coverage rates across the country, there is an increasing body of evidence showing consistent economic benefits among these states. This report, prepared by Manatt Health, is an update to an April 2015 State Network report, and examines data regarding Medicaid expansion in eleven states, demonstrating that states continue to realize budget savings and revenue gains as a result of expanding Medicaid. Savings and increased revenue in expansion states fall into three major categories, including state savings from accessing enhanced federal matching funds, state savings from replacing general funds with Medicaid funds, and revenue gains through assessments or fees on providers and/or health plans. Previous reports in this ongoing series are available here.