Are New Medicaid Waivers on a Collision Course with State Delivery System Reform?
Since the Trump administration began encouraging states to consider new Medicaid waiver policies, such as work requirements, 19 states have approved or pending waivers that restrict coverage. In the second post in her series on how federal Medicaid policy affects state health care reforms, Cindy Mann of Manatt, Phelps & Phillips considers the intersection of these waivers and efforts to improve care delivery for enrollees.
Mann points out, for example, that many state Medicaid programs are trying to hold health plans and providers accountable for the quality and cost of care. But enrollment instability triggered by new work requirements and other eligibility conditions could make such accountability difficult to enforce.
In addition, meeting the demands of waiver programs’ paperwork requirements may prove difficult or impossible for people with complex health and social needs, putting them at risk for losing coverage. Many states have been working to improve care and potentially lower costs for this population by integrating physical and behavioral health services.
Patient who doesn't know about Medicaid Work Requirements_1x1v2 Read the post Are New Medicaid Waivers on a Collision Course with State Delivery System Reform?