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Tag: Medicaid

Assessment of NCQA Medicaid MCO Quality Ratings Across the Two Most Recent Measurement Years

This edition assesses changes and trends in NCQA Medicaid MCO quality ratings across measurement years 2023 and 2024.

Assessment of HealthChoices, Pennsylvania’s Medicaid Managed Care Program

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…
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Timeline of Key Medicaid Provisions in One Big Beautiful Bill Act (OBBBA)

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.

Medicaid Expenditure Progression, 2013 – 2023

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).

Medicaid Expansion’s Impact on Prescription Drug Access

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…

PACE Landscape

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,…

Analyzing Medicaid’s Role in Redistributing Taxpayer Dollars Across States

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…

5 Slide Mini-Series Edition #2: Medicaid Coverage Renewals and Terminations– Overview and Key Trends

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).

5 Slide Mini-Series Edition #1: Medicaid Unwinding and Redeterminations

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).

Assessment of NCQA Medicaid MCO Quality Ratings Across Performance Years 2022 and 2023

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…
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