Author: Loren Anthes

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October 26, 2020

Increasing Medicaid caseloads during the pandemic, what can we learn?

Since February of this year, national Medicaid caseloads have increased by more than 7 percent with millions of Americans relying on the program as their primary source of coverage during the COVID-19 pandemic. This reverses a trend in recent years which saw many beneficiaries disenroll as the economy improved and federal administration imposed more stringent...

July 14, 2020

The Reentry Act: reducing spread and recidivism during COVID-19

Tucked away into the HEROES Act is a relatively underreported but critically important Medicaid provision which could help citizens returning to society after incarceration connect to critical medical supports. It can also alleviate the financial burden of Ohio’s local government spending on corrections-based medical care. The Reentry Act, found in section 30110 of the HEROES...

June 18, 2020

Ohio’s Balancing Act: Knowing the Risks of Reopening and Taking Action

On April 27, Ohio Governor Mike DeWine announced the Responsible Restart Ohio plan, outlining the state’s efforts to slowly revise the public health orders for COVID-19. After facing significant pressure and criticism from some in the business community, these changes reflected the administration’s efforts to balance the dual imperatives of proactive public health measures with...

April 30, 2020

The Math of Reopening: Looking into Ohio’s COVID-19 Testing and Mortality Numbers

The United States now leads the world in deaths related to COVID-19, representing one-third of all global daily deaths. While this figure is tragic, many states, including Ohio, aggressively implemented physical distancing policies to contain the spread of the virus and flatten the curve. Now, with Ohio poised to roll-back some of those public health...

April 1, 2020

Flatten the curve, raise the bar: The role of telehealth in the pandemic

The State of Ohio’s strategy to mitigate mortality tied to the novel coronavirus, which causes coronavirus disease (COVID-19), centers on two tactical threads. The first thread is a set of actions to suppress the spread of the virus through distancing measures such as school closures, the prohibition on large public events and the stay-at-home order....

March 13, 2020

Coronavirus: How Ohio Medicaid can help flatten the curve

While the United States is responding to the COVID-19 pandemic, it may be helpful to understand how Ohio Medicaid can play a role in “flattening the curve” and ensuring the health care delivery system’s capacity isn’t overwhelmed. Medicaid is a state/federal partnership, meaning steps can vary depending on the level of government initiating a policy....

February 3, 2020

New Medicaid block grant waiver: Risk disguised as flexibility

On January 30, the Centers for Medicare and Medicaid Services (CMS) unveiled a Medicaid block grant policy guidance to states calling it the ‘Healthy Adult Opportunity’ (HAO). CMS describes the new waiver program as a way for states to seek flexibility in program design for non-disabled adults and to achieve better outcomes. Upon review, however,...

January 13, 2020

Impact SNAP changes will have on Ohio, Medicaid

On January 10, the Ohio Department of Job and Family Services (ODJFS) submitted a request to the United States Department of Agriculture (USDA) to update its Supplemental Nutrition Assistance Program (SNAP) work requirement waiver. The number of counties in Ohio that would be exempt from the work requirements would drop from 42 to 13 and...

January 13, 2020

Medicaid enrollees asked state for more collaboration from managed care plans and providers. Will they listen?

Each time the Ohio legislature deliberates the state’s $65 billion biennial budget, its members are translating the power granted to them through elections into policy, appropriating dollars on behalf of the 11 million Ohioans who are served by the state government. It is true most of the resources budgeted for Medicaid come from the federal...