The Kaiser Family Foundation has published the results of its annual survey of state Medicaid programs for the 2022 and 2023 fiscal years. Among the survey’s findings (in language taken directly from the Kaiser report):
- More than 3/4 of states that contract with MCOs [managed care organizations] enroll ≥75% of all beneficiaries in MCOs
- Some states reported newly implementing or expanding MCO programs
- States also report continued use of other service delivery and payment system reforms
- Two-thirds of states are using strategies to improve race, ethnicity, and language data
- About one-quarter of states are tying MCO financial incentives to health equity
- States are also leveraging MCO contracts in other ways to promote equity-related goals
- States report far more benefit expansions than benefit cuts
- States are most frequently expanding behavioral health and pregnancy/postpartum services
- Most states allow MCOs to cover “in lieu of” services, especially BH [behavioral health] and SDOH [social determinants of health] services
- States have seen high telehealth utilization across Medicaid enrollees
- States are addressing telehealth quality and other challenges
- Most states are adopting permanent telehealth expansions, though some are considering limits
Other subjects addressed in the report include provider taxes and intergovernmental transfers, supplemental Medicaid payments, health equity, long-term services and supports, state responses to the COVID-19 public health emergency, the unwinding of expanded Medicaid eligibility when the public health emergency official ends, and more.
Read about these and other subjects in the Kaiser Family Foundation report “How the Pandemic Continues to Shape Medicaid Priorities: Results from an Annual Medicaid Budget Survey for State Fiscal Years 2022 and 2023.”