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The Washington Post
Call it a beauty pageant for state Medicaid programs. Except that it’s extremely difficult to judge. On Monday, the Trump administration released what it's calling a Medicaid "scorecard" that compares states side-by-side on 17 measures indicating the timeliness and quality of medical care received by enrollees and how well they're faring under the insurance program for low-income Americans. Medicaid Health Plans of America chief executive Jeff Myers, whose group represents Medicaid managed-care plans, called the scorecard a "good first step."
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The Washington Post
When the Trump administration started this year allowing states to require work or volunteering by their Medicaid enrollees, there was lots of speculation that more GOP-led state legislatures would finally adopt Obamacare's Medicaid expansion. But with the exception of Virginia, they mostly haven't. Instead, the next states to expand Medicaid probably will do so if voters approve such a decision in November. Meanwhile, about two-and-a-half million Americans fall into the “coverage gap” because they live in states that didn’t expand Medicaid. These folks make too much money to qualify for traditional Medicaid but they earn too little to get subsidies for buying plans on the ACA marketplaces.
"The states that haven't expanded are missing opportunities to provide care to their most disadvantaged working poor at a very beneficial match rate with the federal government," said Jeff Myers, president of Medicaid Health Plans of America, a group that represents Medicaid managed-care organizations.
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The Hill
Virginia's expansion of Medicaid this week is giving hope to advocates in other states. After Virginia overcame years of Republican opposition to pass the expansion under Obamacare, supporters are giving renewed attention to what could be the next states to expand: Utah and Idaho, where initiatives are set to be on the ballot this November. Activists in Nebraska are also gathering signatures and say they are on track to get the issue on the ballot there.
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The New York Times
Seven months after Maine voters approved a ballot measure to expand Medicaid to tens of thousands of additional residents, a state judge on Monday ordered Gov. Paul LePage's administration to stop stonewalling and move ahead with the plan. It was the second victory in a week for Medicaid expansion, which became possible under the Affordable Care Act. Lawmakers in Virginia voted last week to open the program to an additional 400,000 residents. Advocates in Utah have succeeded in getting a question on the November ballot about expanding Medicaid, and similar efforts are underway in Idaho and Nebraska.
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Detroit Free Press
More than 100 low-income voters gathered outside Michigan Attorney General Bill Schuette's office in Detroit on Thursday afternoon to protest his opposition to Michigan’s Medicaid expansion, which has become a cornerstone of his gubernatorial campaign. One of Schuette's campaign pledges is to cut Michigan's Medicaid expansion. The cuts could affect nearly 700,000 people in Michigan who rely on Medicaid, a community member with the group said. The protest included a "die-in," where everyone laid down in front of the Cadillac Building.
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HFI’s mission is to partner with healthcare clients to improve their fiscal health by advocating for their most vulnerable members. HFI helps members get necessary benefits and income affording them access to important social determinants of health.
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The Washington Post
In becoming the first state in nearly two years to open Medicaid to more of its poor residents, Virginia lawmakers found political buffering and momentum in a recent conservative health policy shift in Washington. Three of 4 Republican state senators who defected from their caucus's long-held opposition to expanding Medicaid cited the fact that the Trump administration is allowing states to impose work requirements for the first time in the half-century history of this central piece of the nation's social safety net.
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Modern Healthcare
Arkansas stepped forward Friday as the guinea pig in an unprecedented national experiment testing whether requiring non-disabled Medicaid beneficiaries to work or participate in other "community engagement" activities improves their health and wellbeing. State officials say they are working with hospitals, health plans, social service agencies, county offices and colleges to contact the tens of thousands of low-income adults in the state's Medicaid expansion program to help them comply with the new requirement. If they don't, they can be locked out of coverage for the remainder of the calendar year.
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Urban Institute
On June 1, Arkansas will be the first state to begin implementing work requirements in its Medicaid program. The new requirements stem from guidance from the Centers for Medicare & Medicaid Services that paved the way for states to make "work or other community engagement" activities a condition of Medicaid eligibility.
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