Author: Loren Anthes

Home / Loren Anthes
April 22, 2019

The Chopping Block: How Medicaid Block Grants Will Create Access Problems for Ohio’s Kids

More than 1 million children, or 40 percent of all children in Ohio are covered by the Medicaid program. As the largest single source of health coverage in the United States, Medicaid plays an integral role in ensuring successful outcomes for children from birth and throughout adolescence. It is primarily responsible for decreasing the uninsured rate...

March 25, 2019

Medicaid Director highlights “realistic” budget approach, including no new rate increases

During her first testimony as the Medicaid Director before the Ohio House Finance Committee, Maureen Corcoran stated that the amount allocated to Medicaid in the executive budget met the target growth rate of 3.3% put forth by the Joint Medicaid Oversight Committee (JMOC). Later in the day, at our first Medicaid Institute of the year,...

March 15, 2019

Medicaid work requirements: Why transparency is needed in Ohio’s eligibility waiver

Now that the federal government has approved the Ohio Department of Medicaid’s Group VIII Work Requirement and Community Engagement Section 1115 Demonstration Waiver, Governor Mike DeWine’s administration should do everything it can to ensure it is meeting its obligations for data transparency, legally, and as a matter of public interest. Such a significant potential cut...

December 26, 2018

Medicaid freeze would hurt families, increase health costs

After a series of vetoes by the governor, the General Assembly seems primed for some last minute veto overrides before the end of what has been a very active lame-duck session. Of particular consequence is the threat of “freezing” the Medicaid expansion. Evidence shows that this program is a true safety net, with the majority...

December 17, 2018

In establishing Medicaid target growth rate JMOC misses the target

Insurance is defined as protection from a financial loss. In this way, to think of Medicaid as an insurance product should create common ground between legislators from both sides of the aisle. For some, the objective of managing Medicaid policy is about containing cost growth and being cautious with limited resources. Others see the responsibility...

October 29, 2018

18 Questions for the 2018 Election: Medicaid

John Kasich’s administration has been marked by some of the most significant and impactful policy changes in Ohio’s Medicaid program during its history. Before the governor took office, there was no Medicaid expansion, Medicaid was under the purview of the Ohio Department of Job and Family Services and the beginnings of the opioid crisis were...

September 20, 2018

Payment, access two focal points of Joint Medicaid Oversight Committee

The Joint Medicaid Oversight Committee (JMOC) convened on September 20 to once again discuss the Behavioral Health Redesign. JMOC saw Ohio Department of Medicaid (ODM) Director Barbara Sears testify alongside ODM staff and representatives from the Ohio Association of County Behavioral Health Authorities (OACBHA) and the Ohio Council of Behavioral Health and Family Services Providers...

August 21, 2018

Analysis of Ohio’s report on Medicaid expansion

On Tuesday, August 21, the Ohio Department of Medicaid (ODM) released the second “assessment” of the Medicaid expansion as a follow-up to the first, General Assembly required, assessment from 2016. In this document the ODM found the following: EMPLOYMENT Employment for enrollees went up 15%, meaning 1 in 2 expansion enrollees are working The most...

July 30, 2018

If You Want to Cut Costs in Medicaid, Sharpen Your Knives: Innovation in Medicaid Pharmacy

Pharmacy is a Byzantine policy area that confounds and frustrates wonks, reporters and policymakers alike. However, it is common knowledge that the pharmacy benefit in Medicaid is, if anything, a major driver of cost. While this is well known and was most recently identified by the Joint Medicaid Oversight Committee’s (JMOC) actuary in late 2016,...