Dual Eligibles’ Medicaid Policy Database

Poor, elderly individuals who may qualify for both Medicaid (for being poor) and Medicare (for being elderly, blind, disabled or have ESRD). In these cases, Medicaid serves as a supplemental insurer, covering Medicare coinsurance and deductibles. The generosity of this supplemental coverage for so-called ‘dual-eligibles’ varies across states. These differences in Medicaid payments arise from…

Medicaid enrollment on the rise

As reported by Kaiser Health News: Reversing a three-year decline, the number of people covered by Medicaid nationwide rose markedly this spring as the impact of the recession caused by the outbreak of COVID-19 began to take hold.Yet, the growth in participation in the state-federal health insurance program for low-income people was less than many…

Fighting fraud sensibly in a global pandemic

COVID-19 has wreaked havoc for patients, family, the economy and the health care system. In an attempt to provide support to families and businesses, the Coronavirus Aid, Relief, and Economic Security (CARES) Act injects funding into the economy. Further, regulations have been relaxed. As Michael Adelberg and Melissa Garrido write today in the Health Affairs…

Is 340B working?

I have written about the 340b program a number of times on this blog in the past (e.g., “The 340B Program: An Overview“, “340B Facts and Figures“). A new commentary by Thomas and Schulman (2020) in Health Services Research provides some additional information. For instance, why was 340B originally enacted? Blame the Medicaid Drug Rebate…