This report presents findings from an evaluation of section 1115 demonstrations in six states—Arkansas, Indiana, Iowa, Michigan, Montana, and New Hampshire—that tested new approaches to administering Medicaid for low-income adults during the period 2014 - 2017.
Since the enactment of the Medicaid statute in 1965, payment for services for beneficiaries ages 21 to 64 who are patients in institutions for mental diseases (IMDs) has been prohibited; this is known as the IMD exclusion.
Disenrollment rates are one way that policy makers assess the performance of Medicare Advantage (MA) health plans.
Serving Medicare beneficiaries with complex health care needs requires understanding both the medical and social factors that may affect their health.
The authors implemented a 15-pill electronic health record default for new Schedule II opioids and assessed opioid quantity before and after implementation using electronic health record data on 6,390 opioid prescriptions from 448 prescribers.
This guide, which uses examples from recent reforms for adult Medicaid beneficiaries, is intended to support demonstration states by describing best practices in causal inference.
Many low-income adults experience fluctuations in income and household composition that affect their eligibility for Medicaid versus Marketplace subsidies, causing churning between public and private coverage.