States are going to have unprecedented opportunities to shape health care policy during the next couple years, as President Trump’s administration approves Medicaid waivers and loosens rules around the Affordable Care Act.
States are going to have tools and options they have never had before, said Joanne Kenen, executive health editor at Politico. Kenen moderated a panel on states and health care in the age of Trump on Friday at the Association of Health Care Journalists conference, Health Journalism 2018, in Phoenix. Continue reading
A state’s oral health status represents an interesting indicator of the overall health and economic well-being of its people. On a personal and population level, oral health is not achieved in a vacuum.
Many factors play a role in ensuring the good oral health, from the availability and cost of professional dental services to access to nutritious food and optimally fluoridated water. Shortages of dental providers, high rates of smoking and sugar-sweetened beverage consumption can take a toll. So, can the lack public or private dental benefits, water fluoridation and school sealant programs. Continue reading
When the Affordable Care Act was passed in 2010, one of its clear intents was to create a lot more consistency in health coverage across the country. Coverage wouldn’t be completely uniform and 100 percent Washington-imposed. States would still have a lot of regulatory powers over insurers if they chose to exercise it, and some freedom to experiment and modify their own programs, particularly Medicaid. But the state-to-state disparity in uninsurance rates and access to coverage was supposed to have been ironed out.
That’s not what happened – and under the Trump administration states have even more choices – including new options to undermine the ACA. On April 13 at Health Journalism 2018 in Phoenix, we’ll have a panel called “States and health care in the age of Trump: Wishes and waivers” to look at what will probably be the most pivotal period of state health care activity yet. Continue reading
More and more states are offering Medicaid managed care, with more than half of all Medicaid beneficiaries now receiving their care this way, according to the Kaiser Family Foundation.
And it’s growing, not only in numbers of people served and the areas it serves, but also the complexity of beneficiaries’ health statuses. Continue reading
Before the Affordable Care Act, health insurance regulation in the individual market largely was managed by the states. The ACA saw a shift to a greater federal role. Now under the Trump administration, some responsibilities are going back to the states.
In a new tip sheet for AHCJ, Louise Norris, whom many AHCJ members know as a contributor to healthinsurance.org, explains the new responsibilities. One significant area is network adequacy – whether a plan has enough doctors, hospitals and other providers to meet the needs of beneficiaries. Continue reading