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Tracking Medicaid Expansion
As states continue to consider Medicaid expansion and introduce their own work requirements, we've created a Medicaid expansion monitor.
Updated on 6/25/19.
As part of the Affordable Care Act's efforts to reduce the number of uninsured Americans, Medicaid was expanded to cover people with income up to 138% of the federal poverty level. Although the expansion was originally intended to be enacted nationwide, in 2012, the Supreme Court ruled that states could opt out of it. In January 2018, the Trump administration issued guidance for states that want to implement work requirements for able-bodied Medicaid recipients. As states continue to consider expansion, introduce their own Medicaid work requirements, and go through litigation, we've created a Medicaid expansion monitor.
Urticaria Diagnosis Challenged by Overlapping Pruritic Skin Conditions
April 23rd 2025Urticaria is complicated to diagnose by its symptomatic overlap with other skin conditions and the frequent misclassification in literature of distinct pathologies like vasculitic urticaria and bullous pemphigus.
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New Research Challenges Assumptions About Hospital-Physician Integration, Medicare Patient Mix
April 22nd 2025On this episode of Managed Care Cast, Brady Post, PhD, lead author of a study published in the April 2025 issue of The American Journal of Managed Care®, challenges the claim that hospital-employed physicians serve a more complex patient mix.
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Personalized Care Key as Tirzepatide Use Expands Rapidly
April 15th 2025Using commercial insurance claims data and the US launch of tirzepatide as their dividing point, John Ostrominski, MD, Harvard Medical School, and his team studied trends in the use of both glucose-lowering and weight-lowering medications, comparing outcomes between adults with and without type 2 diabetes.
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ACOs’ Focus on Rooting Out Fraud Aligns With CMS Vision Under Oz
April 23rd 2025Accountable care organizations (ACOs) are increasingly playing the role of data sleuths as they identify and report trends of anomalous billing in hopes of salvaging their shared savings. This mission dovetails with that of CMS, which under the new administration plans to prioritize rooting out fraud, waste, and abuse.
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