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Within the ten states that have not opted for Medicaid expansion, the median income limit for eligibility in the traditional Medicaid program is 38 percent of the FPL. [a] The uninsured rate within the non-expansion states was 15.4 percent in March 2023 compared to 8.1 percent in expansion states. [2]
Medicaid is a government program in the United States that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a significant ...
The Texas Health and Human Services Commission, which operates these programs — called STAR and CHIP — shocked many pediatric providers in Tarrant County in March when it decided not to award ...
That includes 41.7 million adults enrolled in Medicaid and 37.6 million Medicaid child and Children's Health Insurance Program enrollees. Medicaid enrollment is on the rise, with the program ...
Republicans see Medicaid as a program rife with fraud and abuse and have long sought to rein in its spending. ... and lowering the 50 percent floor for the traditional Medicaid population, for a ...
Currently, managed care is the most common health care delivery system in Medicaid. In 2007, nearly two-thirds of all Medicaid beneficiaries are enrolled in some form of managed care – mostly, traditional health maintenance organizations (HMO) and primary care case management (PCCM) arrangements.
More than 700,000 Texas kids have lost their Medicaid health insurance this year. Some will go without any type of insurance. Texas becomes ‘ground zero’ for kids losing their Medicaid health ...
In their earliest forms, PCCM programs closely resembled traditional fee-for-service Medicaid than managed care. Some states developed PCCM as a first step towards risk-based managed care and considered their MCO contracts as the main managed care system. As PCCM programs matured, state goals have expanded to improving quality of care provided.