Source: Health Policy Institute of Ohio
The Biden Administration recently rolled out proposals to set national standards for care in Medicaid and children’s healthcare plans, amid upheaval for millions of Americans’ coverage in both programs (Source: “Biden Officials Propose Slate of Medicaid Transparency Changes,” Stat News, April 27, 2023).
A pair of draft rules recently released by federal health officials would require Medicaid plans to book enrollees for appointments within two weeks. The rules would also require states to track and report the quality of care patients receive, to share provider payment rates, and to oversee these changes through “secret shopper” surveys.
However, while the agency proposed a slew of reporting requirements, the changes did not come with clear penalties or incentives for improving wait time and care.
The draft plans come as states reassess Medicaid and Children’s Health Insurance Program enrollment in the wake of the COVID-19 emergency. Congress recently allowed states to begin removing people from Medicaid rolls, ending a pandemic freeze that saw Medicaid coverage balloon with more than 20 million new enrollees. An estimated 18 million people could lose coverage in the next year, according to a KFF survey of state Medicaid programs.