INTRODUCTION In 2015, the Ohio Department of Medicaid processed more than 3 million claims through its online portal, the Medicaid Information Technology System (MITS), representing nearly $960 million in reimbursement and providers submitted more than 24 million eligibility inquiries.[1] Additionally, with nearly $48,000 a minute reimbursed to Ohio’s nearly 90,000 providers, the Ohio Medicaid program’s...
INTRODUCTION Pursuant to Ohio Revised Code §5166.37,[1] the Ohio General Assembly has mandated the Ohio Department of Medicaid seek federal approval for an 1115 Demonstration Waiver imposing work requirements on individuals covered through Medicaid via the Group VIII expansion. Pursuant to law established in the Patient Protection and Affordable Care Act, and further articulated in...
INTRODUCTION After signing the Higher Education Act of 1965, President Lyndon Johnson returned to San Marcos, Texas, a place where he had once taught impoverished schoolchildren in a segregated environment, and recalled his experience as a teacher stating, “…this nation could never rest while the door to knowledge remained closed to any American.”[1] Through this...
INTRODUCTION Ohio’s County Departments of Job and Family Services are in the midst of significant changes to the way they administer public assistance programs – including food, cash and medical assistance. These programs are designed to help low-income families get back on their feet. In each of Ohio’s 88 counties, new technology and business processes...
The Center for Community Solutions Public Policy Fellow Loren Anthes recently authored an issue brief on the relationship between food insecurity and Medicaid. One of the key takeaways from the brief is that “as a social determinant of health, food insecurity increases cost and diminishes outcomes in health care.” With a high number of older...
Loren Anthes, Public Policy Fellow April 23, 2018 INTRODUCTION The United States spends twice as much as other industrialized nations on health care but performs worse on many population health outcomes.[1] While this spending is primarily the result of pricing and administrative costs, it is also a consequence of non-medical factors influencing the health of...
BACKGROUND In a March 1st testimony provided by Cuyahoga County Job and Family Services in opposition to Ohio’s “Group VIII Work Requirement and Community Engagement 1115 Demonstration Waiver,” the County provided administrative analysis indicating the case management needs the new eligibility conditions would impose on their operations. This analysis included information regarding what would be...
Loren Anthes, Public Policy Fellow, Medicaid Policy Center INTRODUCTION Pursuant to Ohio Revised Code §5166.37, [1] the Ohio General Assembly has mandated the Ohio Department of Medicaid seek federal approval for an 1115 Demonstration Waiver imposing work requirements on individuals covered through Medicaid via the Group VIII expansion. Pursuant to law established in the Patient Protection...
Medicaid Experiments: An Overview of Potential Waivers in Ohio January 31, 2018 Loren Anthes, Public Policy Fellow The following Issue Brief takes a look at the different waivers being pursued or considered by Ohio and the policy implications of the various proposals. This research will look into the policy underpinnings of these efforts both in...
