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- January 7, 2025
Top 10 Reasons Why Work Requirements Should Not Be Added to Medicaid
Read moreWork requirements in Medicaid risk creating unnecessary administrative burdens and increasing costs for states without achieving their intended goals. Evidence shows that these requirements often result in coverage loss for hardworking Americans, such as care givers, rural residents, people with disabilities, and older adults, who face barriers to meeting…
- January 6, 2025
Who is Harmed by Medicaid Work Requirements?
Read moreAs we expect both legislative and administrative efforts to add work requirements to Medicaid, millions of individuals could lose health coverage. The lived experiences of those who were subject to work requirements during the first Trump administration document a severe impact on individuals with disabilities and chronic conditions as…
- January 6, 2025
Case Explainer: Medina v. Planned Parenthood of South Atlantic— Certiorari Granted
Read moreOn December 18, 2024, the Supreme Court agreed to hear a case presenting the question: does the Medicaid free choice of provider provision, 42 U.S.C. § 1396a(a)(23)(A), unambiguously confers a right upon beneficiaries to choose a specific provider? After giving some background on enforcement of the Medicaid Act, this…
- January 6, 2025
Best Practices for Medicaid Secret Shopper Survey Implementation
Read moreNetwork adequacy has long been a challenge in Medicaid managed care. According to one 2023 survey, 1 in 3 Medicaid enrollees report that in the past year an in-network provider they needed to see did not have available appointments. To address these challenges, the 2024 Managed Care Access final…
- December 18, 2024
Medicaid coverage of sexual health services
Rory Peters, Wayne Turner, and Fabiola De Liban Fact SheetRead moreThis factsheet describes how Medicaid covers sexual health services. It follows the World Health Organization’s definition of sexual health, which is “the state of physical, emotional, mental and social well-being in relation to sexuality.” It then outlines the different types of sexual health services that can be covered under…
- December 18, 2024
Per Capita Caps vs. Block Grants in Medicaid
Read moreWhat is the difference between per capita caps and block grants in Medicaid? Both are tools long championed by Medicaid detractors as ways to supposedly improve the Medicaid guarantee. In this updated one-page fact sheet, NHeLP explains that the differences are minor, but both would produce similar results — either tool would cost…
