Friday Five – October 27, 2017

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October 27, 2017

In this week’s Friday Five, MAXIMUS is reading about the status of the Alexander-Murray bill, CHIP funding running low, anticipated changes to Medicaid waivers, and how states are experimenting with Medicaid payment and delivery.

1. Senate Republicans push Trump to join Obamacare talks

Republicans want to know the bipartisan Alexander-Murray bill is supported by President Trump and that the White House is directly engaged before bringing it to a vote, according to a recent article in The Hill. It’s still unclear whether the bill will move forward.

2. CBO: Bipartisan healthcare bill would reduce deficit by $4B over 10 years

The Hill reports on the Congressional Budget Office’s findings: The Alexander-Murray bill would lower the deficit nearly $4 billion by 2027, while the decision to stop making cost-sharing reduction payments (CSRs) will raise the deficit by $194 billion in the same time period.

3. States may roll back children’s health coverage without money from Congress

Congress still hasn’t reauthorized funding for the Children’s Health Insurance Program (CHIP) that expired September 30. While states have been able to provide coverage so far through short-term solutions, these charts from Politico show funding is running low and enrollees will soon need to be notified they are losing coverage.

4. How Medicaid Section 1115 waivers are evolving: Early insights about what to watch

The Kaiser Family Foundation reports on current or anticipated changes to Medicaid Section 1115 waivers, including waiver approval criterion, requirements to include public comment, oversight and reporting during implementation, and more.

5. How 10 states are reforming Medicaid payment and delivery

This new report from the Commonwealth Fund examines ten states that implemented Medicare expansion and had a history of providing managed care for enrollees. The states are not only health care purchasers, but also experimenting with delivery, quality improvement and payment strategies.