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Amaya Diana

@amayadiana.bsky.social
640 followers 522 following 51 posts

Medicaid Health Policy @ KFF, will post mostly about 1115 waivers. go birds.

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Reposted by Amaya Diana
KFF @kff.org · 18/07/2025
⚡ KFF’s @amayadiana.bsky.social adds context to yesterday’s CMS announcement to states that they plan to end Medicaid continuous eligibility waivers going forward. #QuickTake on.kff.org/4lU56fb
KFF graphic featuring a quote from Amaya Diana, KFF’s Policy Analyst for the Program on Medicaid & Uninsured. It says, “Ending continuous eligibility waivers will increase disenrollment due to more frequent eligibility determinations, but not everyone who loses coverage at renewal is no longer eligible.”
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Reposted by Amaya Diana
Heather Saunders @heathersaunders.bsky.social · 02/07/2025
NEW RURAL BRIEF @kff.org : Senate reconciliation bill would cut federal Medicaid funding in rural areas by $155B—$36B more than the House bill. www.kff.org/policy-watch...
kff.org
How Might Federal Medicaid Cuts in the Senate-Passed Reconciliation Bill Affect Rural Areas? | KFF
Under the Senate-passed reconciliation bill, federal Medicaid spending in rural areas is estimated to decline by $155 billion, more than in the House-passed bill, and far more than the $50 billion app...
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Reposted by Amaya Diana
Heather Saunders @heathersaunders.bsky.social · 24/06/2025
NEW @KFF Brief – Medicaid Work & Reporting Requirements (MH/SUD)--Currently, no mandatory flexibility for temporary crises (e.g., acute mental health episodes). Those briefly falling short of hours may lose coverage at renewal or denial at application. See: www.kff.org/medicaid/iss...
kff.org
Implications of Medicaid Work and Reporting Requirements for Adults with Mental Health or Substance Use Disorders | KFF
This brief describes key challenges that Medicaid work requirements may pose for adults with mental health or substance use disorders. In May, the House passed a budget reconciliation bill that includ...
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Amaya Diana @amayadiana.bsky.social · 23/06/2025
A unique feature of the proposed Medicaid work requirements in the reconciliation bill is that states could choose to require individuals to work for *multiple* months prior to applying for Medicaid - meaning people with employment gaps would not qualify for Medicaid, even if currently working
Image depicts the following text:
Box 1. The impact of choosing different “look-back” periods
John lost his job and was out of work in April and May. In June, he started in a new seasonal position and worked 80 hours during the month. In July, John applies for Medicaid in an expansion state, as he qualifies for Medicaid on the basis of his income.

State A uses a 1-month look-back period when determining compliance with work requirements at application. John would be able to enroll in Medicaid (provided he meets all other program requirements).
State B uses a 3-month look-back period when determining compliance with work requirements at application. John would not qualify for Medicaid, as he was out of work in two of the three months.
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Reposted by Amaya Diana
KFF @kff.org · 20/06/2025
The work requirements proposed in the “One Big Beautiful Bill Act” are more stringent than previous policies considered by Congress and implemented at the state level. As the Senate debates the bill, our analysis explains the proposals in the House-passed version.
Work requirements and Medicaid: What’s in the House Reconciliation bill 
CBO Estimates: Implementing work requirements would account for the largest share of federal Medicaid savings — and cause the largest increase in the number of people without health insurance.
Verification requirements: States would be required to verify at application and renewal that ACA expansion enrollees meet 80 hours of work activities per month or qualify for an exemption. States could also require more frequent verification.
Implementation timeline: HHS must release guidance by end of 2025, giving states limited time to develop or change implementation plans, protocols, and systems before the Dec. 2026 implementation deadline.
State implementation choices: State choices to impose stricter requirements than the minimum federal requirements — like more frequent verification or longer look-back periods — and state capacity to automate processes will affect how many people could lose coverage.
Comparison to other waivers and proposals: The bill’s work requirement policies are more stringent than past Congressional proposals or state waivers, with no exemptions for older age and more barriers to getting and keeping coverage.
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Reposted by Amaya Diana
Ashley Kirzinger @ashleykirzinger.bsky.social · 20/06/2025
One of the great parts of my job is digging into the data after our initial release. This time I found that we could look at the attitudes of people with Medicaid who are currently working. My key takeaway is that they value work and also really rely on their Medicaid coverage.
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Amaya Diana @amayadiana.bsky.social · 17/06/2025
See KFF's updated summary for changes to Medicaid provisions in the Senate reconciliation bill: www.kff.org/tracking-the...
kff.org
Tracking the Medicaid Provisions in the 2025 Reconciliation Bill | KFF
KFF is tracking the Medicaid provisions in the 2025 federal budget bill, including new Medicaid work and verification requirements and a reduction in the expansion match rate for states that use their...
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Reposted by Amaya Diana
Craig Palosky @cpalosky.bsky.social · 17/06/2025
New from @kff.org Public Views “Big Beautiful Bill” Unfavorably by Nearly a 2-1 Margin; Non-MAGA Republicans Oppose It, While MAGA Supporters Favor It; Favorability Erodes When People Hear About Health Impacts www.kff.org/affordable-c...
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Reposted by Amaya Diana
Larry Levitt @larrylevitt.bsky.social · 10/06/2025
The budget reconciliation bill passed by House Republicans would cut Medicaid and the ACA by $1 trillion over a decade. This would be the biggest rollback in federal support for health coverage, ever. www.kff.org/quick-take/t...
kff.org
The Biggest Rollback in Federal Support for Health Coverage Ever
Republicans are not talking about repealing and replacing the ACA anymore, and the budget reconciliation bill doesn't do that, at least not directly. However, the bill would restrict health insurance ...
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Reposted by Amaya Diana
Adrianna McIntyre @adrianna.bsky.social · 04/06/2025
CBO score is up: www.cbo.gov/publication/...
cbo.gov
Estimated Budgetary Effects of H.R. 1, the One Big Beautiful Bill Act
As passed by the House of Representatives on May 22, 2025
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Reposted by Amaya Diana
Larry Levitt @larrylevitt.bsky.social · 22/05/2025
The House reconciliation bill appropriates money for reducing cost-sharing in ACA plans. But, only for plans that don't cover abortion. That will set up a clash in a dozen states that require abortion coverage, and undermine abortion access to low-income people. www.kff.org/womens-healt...
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Reposted by Amaya Diana
Heather Saunders @heathersaunders.bsky.social · 11/04/2025
Three in four adults enrolled in Medicaid have one or more chronic conditions. See new @kff.org brief with state and national numbers and condition breakouts-- www.kff.org/medicaid/iss...
kff.org
5 Key Facts About Medicaid Coverage for Adults with Chronic Conditions | KFF
Nearly three in four adults enrolled in Medicaid have one or more chronic conditions. Medicaid spending doubles for adults with 1-2 chronic conditions and quadruples for those with 3 or more chronic c...
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Reposted by Amaya Diana
Edwin Park @edwincpark.bsky.social · 22/04/2025
Thread: eliminating the 90% federal #Medicaid matching rate would require states to come up with an additional $626 BILLION in their own funds over the next 10 years to continue the Medicaid expansion for nearly 21 million low-income people according to KFF estimates: www.kff.org/medicaid/iss...
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Amaya Diana @amayadiana.bsky.social · 17/04/2025
NEW: Iowa has released a state proposal for public comment that would require Medicaid expansion adults age 19-65 to work at least 100 hours a month to not have their coverage suspended.
kff.org
Section 1115 Waiver Tracker Work Requirements | KFF
Work requirements in Medicaid may be considered as part of a broader federal legislative package of potential changes to Medicaid designed to significantly reduce federal Medicaid spending. A draft bi...
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Amaya Diana @amayadiana.bsky.social · 11/04/2025
Even as the federal Medicaid debate evolves, some states are already pursuing Medicaid demonstration waivers to introduce work requirements. Yesterday, Arkansas and Arizona submitted Medicaid work requirement requests to CMS. KFF is tracking the latest state activity: www.kff.org/report-secti...
Map showing which states have Medicaid work requirement state waiver and legislative activity. 1 state has an approved waiver (GA), 3 have pending waivers (AZ, AR, OH), and 10 have state-level legislative or other activity.
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Reposted by Amaya Diana
Adrianna McIntyre @adrianna.bsky.social · 01/04/2025
With no disrespect meant to the EHBS, this has to be my fave annual KFF report
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Reposted by Amaya Diana
Liz Williams @liz-williams.bsky.social · 25/03/2025
NEW @kff.org analysis illustrates what $880B in potential federal #Medicaid cuts could mean for states and residents. Potential Medicaid cuts represent: 29% of state Medicaid spending per resident 6% of state taxes per resident 19% of state education spending per pupil www.kff.org/medicaid/iss...
kff.org
Putting $880 Billion in Potential Federal Medicaid Cuts in Context of State Budgets and Coverage | KFF
This brief explores the magnitude of the potential federal Medicaid funding cuts under the House budget resolution. This brief puts the $880 billion in cuts in context by comparing the size of the cut...
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Reposted by Amaya Diana
KFF @kff.org · 25/02/2025
States have used Section 1115 waivers to expand Medicaid coverage or benefits, change policies for existing populations, modify delivery systems, restructure financing or authorize new payments, and make other program changes. Learn more: on.kff.org/3PRC1SZ
Table showing the history of Medicaid Section 1115 Waivers from 1990s-2024. The table shows the breakdown by time period and what the waiver priorities were, including: Broad Coverage Expansions, HIFA & Other Waivers, Pre-ACA Expansion, Expansion Waivers / Delivery System Reform, Condition Eligibility & Provide Payment for IMD Services, and Continuous Eligibility for Kids and Health-Related Social Needs. Periodic cover over time: Emergency Waivers.
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Reposted by Amaya Diana
Priya Chidambaram @preetabread.bsky.social · 25/02/2025
Great new work from @kff.org -- When asked about the consequences of losing Medicaid, a 55-year old Trump voter from Oklahoma said "For me it would, it would probably lead to death, and that’s kinda harshly speaking, but it’s the way that it would be." www.kff.org/medicaid/rep...
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Amaya Diana @amayadiana.bsky.social · 25/02/2025
We asked Medicaid enrollees who had voted for Trump and Harris about their Medicaid coverage, views on govt’s role in health care, and the recent election. Participants were also asked for their reaction to current proposals to reduce federal spending on Medicaid and impose work requirements. (1/9)
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Reposted by Amaya Diana
Robin Rudowitz @robinr.bsky.social · 19/02/2025
The @KFF #Medicaid team has been busy - check out our round-up of recently released resources: connect.kff.org/medicaid-top...
connect.kff.org
medicaid topic roundup february 2025
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Reposted by Amaya Diana
Liz Williams @liz-williams.bsky.social · 13/02/2025
NEW @kff.org analysis finds a congressional proposal to eliminate the ACA Medicaid expansion could reduce total Medicaid spending by up to nearly one-fifth, or $1.9 trillion, over a 10-year period, and end Medicaid coverage for as many as 20 million people. www.kff.org/medicaid/iss...
kff.org
Eliminating the Medicaid Expansion Federal Match Rate: State-by-State Estimates | KFF
This analysis examines the potential impacts on states and Medicaid enrollees of eliminating the 90% federal match rate for the Affordable Care Act (ACA) expansion. Eliminating the federal match rate ...
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Reposted by Amaya Diana
KFF @kff.org · 04/02/2025
The 5 largest companies operating Medicaid managed care organizations — Centene, CVS Health, Elevance, Molina, and UnitedHealth — account for half of Medicaid MCO enrollment nationally. A look at their recent enrollment and financial trends:
on.kff.org
A Look at Medicaid Enrollment and Finances of the Five Largest Medicaid Managed Care Plans | KFF
This brief examines enrollment and financial data through the end of September 2024 from quarterly company earnings reports and calls, financial filings, and other company materials as well as from na...
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Reposted by Amaya Diana
KFF @kff.org · 23/01/2025
Our latest analysis outlines major Medicaid issues to watch in 2025. Potential funding cuts, work requirements, and state budget challenges could impact millions of enrollees. Explore what’s ahead:
on.kff.org
Medicaid: What to Watch in 2025 | KFF
In 2025, many issues are at play that could affect Medicaid coverage, financing, and access to care.
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Reposted by Amaya Diana
Cynthia Cox @cynthiaccox.bsky.social · 17/01/2025
New @kff.org poll: What SHOULD be a top priority for Congress & Trump? 1. Price transparency (MOST popular) 2. Chemicals in food 3. Drug price negotiations What SHOULD NOT be? 1. Medicaid cuts (LEAST popular) 2. Abortion limits 3. Less $ to schools w/vax mandates www.kff.org/health-costs...
kff.org
KFF Health Tracking Poll: Public Weighs Health Care Spending and Other Priorities for Incoming Administration | KFF
With the incoming Trump administration and Republican-led Congress looking to ways to reduce federal spending, this Poll finds that the Medicare and Medicaid programs remain broadly popular, and more ...
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Amaya Diana @amayadiana.bsky.social · 16/01/2025
Hawaii was approved for a Medicaid contingency management program last week. Contingency management uses motivational incentives to encourage recovery for substance use disorder, and is more frequently being eyed for stimulant use disorder (which has no FDA-approved medication treatment option)
kff.org
Section 1115 Waiver Watch: A Look at the Use of Contingency Management to Address Stimulant Use Disorder | KFF
Contingency management is an evidence-based psychosocial intervention that uses motivational incentives, such as vouchers or gift cards, to encourage recovery behaviors like stimulant abstinence and t...
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Amaya Diana @amayadiana.bsky.social · 08/01/2025
In the past month CMS has approved 5 Medicaid waivers to provide reentry supports to individuals leaving incarceration, bringing the total to 16 states. Other major areas of activity include approving services targeting social determinants of health & behavioral health. For more, see KFF’s tracker:
kff.org
Section 1115 Waiver Tracker Key Themes Maps | KFF
Social Determinants of Health Social determinants of health (SDOH) are the conditions in which people are born, grow, live, work and age. SDOH include but are not limited to housing, food, education, ...
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Amaya Diana @amayadiana.bsky.social · 19/12/2024
Lots of CMS Medicaid waiver activity leading into the holidays, including new approvals or extensions in California, Kentucky, North Carolina, and West Virginia. Major themes in approvals include pre-release coverage, HRSN services, behavioral health services. See KFF's tracker and updated maps:
kff.org
Section 1115 Waiver Tracker Key Themes Maps | KFF
Social Determinants of Health Social determinants of health (SDOH) are the conditions in which people are born, grow, live, work and age. SDOH include but are not limited to housing, food, education, ...
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Amaya Diana @amayadiana.bsky.social · 13/12/2024
Earlier this week CMS approved an extension of North Carolina's Medicaid demonstration. This approval expands housing and nutrition supports for high-risk enrollees, introduces multi-year continuous eligibility for children, and provides reentry supports for individuals leaving incarceration.
kff.org
Section 1115 Waiver Tracker Key Themes Maps | KFF
Social Determinants of Health Social determinants of health (SDOH) are the conditions in which people are born, grow, live, work and age. SDOH include but are not limited to housing, food, education, ...
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Amaya Diana @amayadiana.bsky.social · 22/11/2024
Maybe lost in the fray of other election news: South Dakota just passed a ballot measure allowing the state to pursue a Medicaid work requirement. We recap other recent state activity and provide a refresher on the history of Medicaid work requirements
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Reposted by Amaya Diana
Edwin Park @edwincpark.bsky.social · 18/11/2024
Washington Post confirms Medicaid is high priority target for draconian spending cuts in 2025. Congressional GOP and staff are meeting with Trump economic advisors about pairing Medicaid cuts (and SNAP cuts) with extension of 2017 tax cuts. #healthpolicy www.washingtonpost.com/business/202...
washingtonpost.com
Trump allies eye overhauling Medicaid, food stamps in tax legislation
As Republican leaders look for ways to offset the costs of a new set of tax cuts, social safety net programs are under discussion.
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Liz Williams @liz-williams.bsky.social · 18/11/2024
Data from the CDC shows vaccination rates for kindergarten children continue to decline in the U.S. Last school year, only 11 states had MMR vaccination rates above 95%, the "target" rate needed to prevent community transmission of measles. More in our NEW analysis: www.kff.org/policy-watch...
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Amaya Diana @amayadiana.bsky.social · 18/11/2024
Our tracker and updated maps show the landscape of states adopting these policies, including these new approvals for multi-year continuous eligibility for children in CO, HI, MN, NY and PA:
kff.org
Section 1115 Waiver Tracker Key Themes Maps | KFF
Social Determinants of Health Social determinants of health (SDOH) are the conditions in which people are born, grow, live, work and age. SDOH include but are not limited to housing, food, education, ...
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Amaya Diana @amayadiana.bsky.social · 14/11/2024
ok well. In OTHER health news: CMS just approved 5 states' requests for multi-year continuous eligibility for young children enrolled in Medicaid and CHIP. Also approved 12 months continuous eligibility for individuals leaving incarceration in Colorado and Pennsylvania.
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Matthew Rae @mattrae.bsky.social · 13/11/2024
@cynthiaccox.bsky.social looked at this. Turns out new mothers have a lot of other expenses, and a little bit of cost-sharing is enough to push some into debt. www.healthsystemtracker.org/brief/medica...
healthsystemtracker.org
Medical debt among new mothers - Peterson-KFF Health System Tracker
The high medical costs associated with pregnancy and childbirth can lead to significant financial burdens for new mothers. While 4 in 10 births are covered by Medicaid, which has minimal cost-sharing,...
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Larry Levitt @larrylevitt.bsky.social · 06/11/2024
If Medicare and Social Security cuts are off the table, Medicaid and the ACA will have targets on their backs to pay for tax cuts. But, don't underestimate powerful interests that will oppose those cuts, including hospitals, physicians, insurers, patient groups, and governors.
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Amaya Diana @amayadiana.bsky.social · 04/11/2024
How half of states have taken steps to make it easier for children to get or maintain Medicaid and CHIP coverage since the start of the pandemic:
kff.org
Medicaid and CHIP Eligibility Expansions and Coverage Changes for Children Since the Start of the Pandemic | KFF
KFF's new analysis examines how state coverage changes and expansions in Medicaid and CHIP eligibility for children may help to bolster coverage following the unwinding of the continuous enrollment pr...
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Amaya Diana @amayadiana.bsky.social · 21/10/2024
ICYMI: CMS approved 1115 waivers in Arizona, California, New Mexico, and Oregon to allow Medicaid and CHIP (for the first time ever!) to cover traditional health care practices provided by Indian Health Service facilities
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Amaya Diana @amayadiana.bsky.social · 02/08/2024
New Mexico was also the latest state to be approved to provide Medicaid services that address housing and nutrition needs. For more on how the current administration has broadened the availability of Medicaid services to address health related social needs, see:
kff.org
Section 1115 Medicaid Waiver Watch: A Closer Look at Recent Approvals to Address Health-Related Social Needs (HRSN) | KFF
This issue brief provides an overview of how Section 1115 waivers have been used to address the health-related social needs of enrollees, including a summary of recent approvals for eight states.
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Amaya Diana @amayadiana.bsky.social · 02/08/2024
In July, CMS approved a total of 7 states’ requests to use Medicaid to provide pre-release supports and reentry services for individuals transitioning back to the community after incarceration. New Mexico was the most recent of these approvals. See KFF's waiver tracker:
kff.org
Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State | KFF
This Medicaid waiver tracker page aggregates tracking information on pending and approved Section 1115 Medicaid waivers. It includes resources such as an overview figure, detailed waiver topic tables,...
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Amaya Diana @amayadiana.bsky.social · 22/05/2024
Last week, CMS approved Medicaid waiver requests from Tennessee and Delaware to provide diapers to infants/children. These waiver initiatives aim to improve infant health and prevent avoidable health care use. See KFF's waiver tracker: www.kff.org/medicaid/iss...
kff.org
Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State | KFF
This Medicaid waiver tracker page aggregates tracking information on pending and approved Section 1115 Medicaid waivers. It includes resources such as an overview figure, detailed waiver topic tables,...
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Amaya Diana @amayadiana.bsky.social · 24/04/2024
For more information on this new waiver opportunity from CMS and how states are using Medicaid waivers to help incarcerated individuals get care and transition back into their communities, see our recent explainer:
kff.org
Section 1115 Waiver Watch: Medicaid Pre-Release Services for People Who Are Incarcerated | KFF
In April 2023, the Centers for Medicare and Medicaid Services (CMS) released guidance encouraging states to apply for a new Section 1115 demonstration opportunity to test transition-related strategies...
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Amaya Diana @amayadiana.bsky.social · 24/04/2024
Massachusetts is now the 4th state with approval to partially waive the Medicaid "inmate exclusion" policy and provide reentry services for individuals transitioning back to the community after release from incarceration. Colorado also submitted a reentry request last week. See KFF's waiver tracker:
kff.org
Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State | KFF
This Medicaid waiver tracker page aggregates tracking information on pending and approved Section 1115 Medicaid waivers. It includes resources such as an overview figure, detailed waiver topic tables,...
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Reposted by Amaya Diana
NPR @npr.org · 18/03/2024
Physician Céline Gounder traveled to India and Bangladesh to bring back unheard stories from the eradication of smallpox, many from health workers whose voices have been missing from the record.
npr.org
The improbable victory over smallpox holds lessons for health threats in 2024
Physician Céline Gounder traveled to India and Bangladesh to bring back unheard stories from the eradication of smallpox,, many from health workers whose voices have been missing from the record.
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Amaya Diana @amayadiana.bsky.social · 29/02/2024
Montana has been approved for limited Medicaid pre-release and re-entry services, making it the 3rd state with a waiver to facilitate re-entry for individuals who are incarcerated
medicaid.gov
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Amaya Diana @amayadiana.bsky.social · 15/02/2024
Today's request from PA is the latest example of states looking to use Medicaid Section 1115 waivers to provide multi-year continuous enrollment for children up to age 6. See our summary of Medicaid continuous eligibility waivers for more info: 🩺📊
kff.org
Section 1115 Waiver Watch: Continuous Eligibility Waivers | KFF
The pandemic continuous enrollment provision and other research show that continuous eligibility reduces Medicaid disenrollment and “churn” rates and helps to ensure stable coverage. As many Medicaid ...
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Reposted by Amaya Diana
Krutika Amin @krutika.bsky.social · 12/02/2024
New KFF analysis looks at how the burden of medical debt opens floodgates to financial distress. 🩺💸 Medical debt is only a part of people's finances, but often compounds financial instability. www.healthsystemtracker.org/brief/how-fi... @cpalosky.bsky.social @cynthiaccox.bsky.social
healthsystemtracker.org
How financially vulnerable are people with medical debt? - Peterson-KFF Health System Tracker
People with medical debt are more likely to have other forms of financial distress than other people including loans, overdrawn accounts, and few savings.
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Amaya Diana @amayadiana.bsky.social · 30/01/2024
In our new brief, we outline the different Medicaid authorities and flexibilities that states can use to address the social determinants of health
kff.org
Medicaid Authorities and Options to Address Social Determinants of Health | KFF
Social determinants of health (SDOH) are the conditions in which people are born, grow, live, work and age. While there are limits, states can use Medicaid – which, by design, serves a primarily low...
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Amaya Diana @amayadiana.bsky.social · 16/01/2024
Not captured in our tracker, but also worth keeping an eye on the trend of state approval for workforce initiatives (e.g., student loan repayments for primary care/behavioral health providers) via 1115 waivers - NY was authorized for $694 million for workforce recruitment/retention 📊🩺
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Amaya Diana @amayadiana.bsky.social · 16/01/2024
New York is the 8th state to be approved to provide health-related social needs services via a Medicaid 1115 waiver demonstration.    Approved to provide: housing supports (including short-term pre-procedure housing!), nutrition services, case management and transportation to HRSN services
kff.org
Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State | KFF
This Medicaid waiver tracker page aggregates tracking information on pending and approved Section 1115 Medicaid waivers. It includes resources such as an overview figure, detailed waiver topic tables,...
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