Blog Posts

State Medicaid Agencies Venture into Value-Based Purchasing with Federally Qualified Health Centers

State Medicaid agencies have generally found it challenging to include federally qualified health centers (FQHCs) in value-based purchasing initiatives because of a federal law passed in 2000 that regulates how state Medicaid programs pay FQHCs for the care they provide. State Medicaid agencies are required to reimburse FQHCs through the Prospective Payment System (PPS), a […]

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  • State Health Policy Blog

    With the Clock Ticking on Health Care, the Senate Weighs Bipartisanship vs. a Repeal and Replace Revival

    Time is running out for Congress to reform the nation’s health care system, and the Senate is considering two options that could impact state health care policies dramatically. The choices include a bipartisan bill to stabilize the Affordable Care Act’s (ACA) insurance markets and give states the information they need to set insurance rates for […]

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  • State Health Policy Blog
    CHIP’s Future: There Are Hopeful Signs from Congress, But States Still Face Uncertainty

    CHIP’s Future: There Are Hopeful Signs from Congress, But States Still Face Uncertainty

    With less than two weeks to go before current federal funding for the Children’s Health Insurance Program (CHIP) ends, Sens. Orrin Hatch and Ron Wyden have introduced a bipartisan bill to extend the program for five years. However, state officials face the unsettling possibility that if Congress is unable to pass this legislation and appropriate […]

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    September 19, 2017 | Filed under: Blog Posts, Children's Health, Front Page, State Health Policy Blog

  • State Health Policy Blog

    Facing Budget Uncertainties, States Seek New Opportunities to Fund Successful Home Visiting Programs

    States have a long history of using home visiting programs to deliver cost-effective interventions to vulnerable children and families, and recent federal investments have been instrumental in the expansion of evidence-based home visiting programs across the United States. Due to budget uncertainties at the state and federal level, states are exploring opportunities to maximize investments […]

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  • State Health Policy Blog

    Moving Toward Health Care Compromise: Bipartisan Hearings Take Center Stage

    This month, the Senate Health Education and Labor (HELP) committee began to craft a bipartisan bill to bring short-term stability to the Affordable Care Act’s (ACA) individual insurance market. The committee, led by Chairman Lamar Alexander (R-TN) and ranking member Patty Murray (D-WA), hosted a series of four hearings featuring insurance commissioners, consumer advocates, a […]

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  • State Health Policy Blog

    Risky Business: How State and Federal Insurance “Risk” Calculations Could Stabilize ACA Markets

    As Congress returns from its summer break, the country is two months away from the start of open enrollment in the Affordable Care Act’s (ACA) marketplace, leaving little time for policymakers to develop solutions for 2018. With bipartisan hearings on market stabilization scheduled, this blog examines how different approaches to calculating risk could help state […]

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  • State Health Policy Blog

    Increasing Urgency for States on Congressional Action for CHIP

    We are five weeks away from September 30th, the date current federal funding for the Children’s Health Insurance Program (CHIP) is set to end. Although states can use some of the unspent federal funds that were previously allocated to them, it is projected that those funds will be exhausted during the next fiscal year, beginning […]

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  • State Health Policy Blog
    Cost Sharing Reduction Debate: Why This Matters and How States Are Preparing for an Uncertain Future

    Cost Sharing Reduction Debate: Why This Matters and How States Are Preparing for an Uncertain Future

    An update on CSRs – Aug. 18 Since publication of this blog, two major developments have occurred. The White House indicated that the Administration will make CSR payments for August. The Administration has not commented about future payments; the next is due Sept. 20. On Aug. 15, the Congressional Budget Office (CBO) released an analysis […]

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  • State Health Policy Blog

    State CHIP Changes Are Coming Soon

    As we enter into August, there is increased pressure on states because federal funding for the Children’s Health Insurance Program (CHIP) remains uncertain beyond September 30, which means states are now facing critical decision points. States do not know if and when Congress will continue funding CHIP and even if federal funds are extended will […]

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  • State Health Policy Blog

    Latest Update on Congressional Health Reform Activity

    This week, the Senate released two bills as part of its efforts to repeal the Affordable Care Act (ACA): A revision to the Better Care Reconciliation Act (BCRA) eliminating the “Ted Cruz Amendment” which provided funding to create coverage alternatives for high-risk individuals (see our revised chart) and; The Obamacare Repeal Reconciliation Act (ORRA), a […]

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