Health Affairs August 8, 2023
While policy makers have sought solutions to integrate Medicare and Medicaid for decades, progress is still limited, as states are faced with several challenges, including:
Competing priorities. State Medicaid agencies must manage a long list of program issues and day-to-day processes. This includes program oversight across populations with diverse and often distinct needs (including new mothers, infants, young adults, older adults, dual-eligible individuals, and people with disabilities); processing program eligibility and enrollment; addressing information technology system challenges; certifying and regulating providers and health plans; providing for appeals, grievances, and hearings; collecting and submitting data to the federal government; and many other responsibilities. Currently, Medicaid agencies are also overwhelmed with the unwinding of the public health emergency further diverting attention from...
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