In this report and its accompanying summary documents, we evaluate the Physical HealthChoices program's performance across areas such as quality outcomes, cost management, collaboration between Pennsylvania's Medicaid agency and the MCOs, community investments, provider partnerships, and initiatives addressing social determinants…
This edition summarizes major Medicaid changes in OBBBA, organized by implementation timeline, from 2025 to 2030. Key provisions introduce changes to eligibility, benefits, and state financing.
This edition quantifies the progression of Medicaid costs from 2013-2023 with a focus on the federal/state share of costs. Data are shown nationally, for each state and territory, and for various state groupings (regional, political, and by Medicaid Expansion adoption).
This edition examines the impact of Medicaid Expansion on prescription drug access, comparing prescription volume trends in 18 states that expanded Medicaid in 2014 with six non-expansion states. We look at overall prescription volume as well as three specific therapeutic…
This edition provides an overview of the PACE model, which delivers comprehensive, community-based care for adults aged 55+ who need nursing home-level of care. As of March 2025, 184 organizations operate over 300 PACE centers in 33 states and DC,…
This edition provides information on Medicaid's fiscal redistributional dynamics. For example, during FFY2023 Trump-won states collectively gained $16.8 billion between the amounts residents of these states contributed to Medicaid (via their Federal and state taxes) and the level of Medicaid…
The second edition of our Medicaid Unwinding and Redeterminations 5 Slide Mini-Series explores Medicaid coverage renewal outcomes across states during the unwinding period (March 2023- July 2024).
This first edition of our Medicaid Unwinding and Redeterminations 5 Slide Mini-Series provides an overview of Medicaid eligibility and enrollment trends during and after the COVID-19 public health emergency (PHE).
This edition delves into NCQA’s Medicaid health plan overall quality ratings for performance years 2022 and 2023. A key component of our analyses involved creating enrollment weighted average scores for the Medicaid health plans operating in multiple states, and similar…