Old Medicaid Is Gone; Expanded Medicaid Is Here to Stay

Gail Wilensky, Ph.D.

With control of both houses of Congress and the White House, many Republicans, as well as a large segment of the American public assumed Republicans would make good on their pledge to “repeal and replace” the Affordable Care Act (ACA)—including its expansion of the Medicaid program to anyone below 138% of the poverty line. What…

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CMS, Demonstration Projects, and the Future of Value-Based Payments

Volume 95 December, 2017 In August, the Centers for Medicare and Medicaid Services (CMS) announced a proposed rule that eliminated or changed its mandatory bundled-payment models.1 Although this change, at least directionally, had been widely anticipated, given Secretary Price’s outspoken opposition to large-scale, mandatory demonstration models, there has been speculation as to whether this means…

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