Health Affairs December 24, 2025
Mary-Beth Malcarney

Editor’s Note

This article is part of a Health Affairs Forefront featured topic, Medicaid Financing. The featured topic includes analysis, proposals, and commentary that will inform policies on the state and federal levels to address sustainability, efficiency, and access to care in Medicaid programs. Submissions will be reviewed on a rolling basis until the deadline. Health Affairs Forefront alone reviews all submissions then selects, edits, and publishes them only if they meet Forefront’s editorial standards. We are grateful to Arnold Ventures for supporting this work.

Compared to people with other health insurance types, Medicaid recipients have far greater difficulty accessing needed outpatient ambulatory care, nursing facility, and specialty care services, due to widespread provider shortages and refusal of health care...

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