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Tag: Policy

Medication Adherence in Medicaid

Building upon our 2014 report titled Prescription Drug Adherence in Medicaid Managed Care, this report provides updated analyses performed on medication adherence, assesses the impacts of Medicaid expansion and the COVID-19 pandemic on medication adherence, and offers recommendations for further…

Aug. 22, 2023 Download Full Report

ADDITIONAL RESOURCES:

KEYWORDS:COVID-19, Medicaid, Policy, Prescription Drugs

Medicaid Redeterminations

This edition conveys some of our perspectives related to the current reinstatement of Medicaid redeterminations. This is an important time period to capture (and share) detailed information on how Medicaid enrollees can best be successfully reached, as well as the…

Jul. 17, 2023 Download 5 slide

KEYWORDS:COVID-19, Enrollment, Medicaid, Policy

Medicaid Enrollment Trends

This edition focuses on the share of the overall population that receives Medicaid, and how this percentage has trended throughout the past decade nationally and state by state. Between Medicaid expansion, COVID dynamics, and some shifts in the economy’s performance,…

Apr. 26, 2023 Download 5 slide

KEYWORDS:COVID-19, Enrollment, Medicaid, Policy

Medicaid Postpartum Coverage Extension: A Review of Coverage by State and Postpartum Healthcare Utilization

This edition looks at state implementation of Medicaid postpartum coverage extension and Medicaid expansion by state. We also present rates of postpartum care utilization in the Medicaid population before and after implementation of postpartum coverage extension. As of March 2023,…

Mar. 30, 2023 Download 5 slide

KEYWORDS:Expansion, Medicaid, Policy

Assessment of Kentucky’s Medicaid Managed Care Program Impacts

The purpose of this study is to assess the impacts of Kentucky’s Medicaid managed care program. The key components of this assessment include: • Cost impacts of the Medicaid managed care program across the past two decades • Performance on…

Nov. 1, 2021 Download Full Report

ADDITIONAL RESOURCES:

Executive Summary

KEYWORDS:Medicaid, Policy

Assessment of New Jersey’s Medicaid Prescription Drug Management Performance and Policy Options

The New Jersey Association of Health Plans enlisted the Menges Group to evaluate New Jersey’s Medicaid prescription drug costs and assess the potential impacts of a pharmacy carve-out approach, whereby the prescription drug benefit would be removed from the MCOs’…

Feb. 16, 2021 Download Full Report

KEYWORDS:Pharmacy Carve Out, Policy, Prescription Drugs

County Level Coronavirus Tabulations in Selected States California, Louisiana, Massachusetts, and New Jersey.

This edition about the pandemic zooms in on California, Louisiana, Massachusetts, and New Jersey, conveying county-level tabulations regarding the per capita rate of confirmed COVID-19 cases as of yesterday. We also show the number and proportion of Medicare beneficiaries in each…

Mar. 19, 2020 Download 5 slide

KEYWORDS:COVID-19, Medicare, Policy

Assessment of Virginia Medicaid Pharmacy Benefits Carve-Out Impacts

Some Virginia policymakers have indicated an interest in moving to a pharmacy “carve-out” within the Medicaid managed care program, whereby the state would instead manage the pharmacy benefit for MCO enrollees, including paying directly for drugs made available in the…

Jan. 14, 2020 Download Full Report

KEYWORDS:Medicaid, Pharmacy Carve Out, Policy

Health Insurance Trends Through the Past Four Decades

This edition of the 5-Slide Series explores how the insurance landscape has changed across four decades spanning 1980—2020 We contrasted Medicaid and Medicare enrollment trends with growth in the overall population of the United States.

Nov. 1, 2019 Download 5 slide

KEYWORDS:Medicaid, Medicare, Policy

Assessment of Medi-Cal Pharmacy Benefits Policy Options

Policymakers are considering moving Medi-Cal to a pharmacy “carve-out” – that is, shifting the pharmacy benefit out of managed care to instead be administered by the state in fee-for-service (FFS). The carve-out proposal is motivated, in part, by the potential…

May. 15, 2019 Download Full Report

KEYWORDS:Pharmacy Carve Out, Policy