MACPAC Releases June 2020 Annual Report to Congress

The Medicare and CHIP Payment and Access Commission (MACPAC) released its annual June 2020 Report to Congress on Medicaid and CHIP. This six-chapter report outlines improvements in the integration of care for dually eligible Medicaid and Medicare beneficiaries and provides recommendations to ensure Medicaid remains the payer of last resort.

MACPAC identified significant differences in health outcomes for dually eligible Medicaid and Medicare beneficiaries when they are enrolled in integrated care models. These beneficiaries, who tend to have higher rates of underlying complex health conditions, yet only 10% are enrolled in an integrated care model. The Commission provides recommendations to improve enrollment rates and health outcomes and better integrate Medicaid and Medicare.

Medicaid is the payer of last resort, and by law, other health coverage options must pay for care before Medicaid covers any residual costs. MACPAC evaluated coordination efforts of the Department of Defense (DoD) providing two recommendations to keep Medicaid from covering costs of the DoD.

The Commission noted that while these analyses and recommendations were drafted prior to the COVID-19 pandemic, they remain relevant as the pandemic has disproportionately affected the Medicaid population. MACPAC stated, moving forward, they will fully assess how Medicaid beneficiaries have been impacted by the pandemic.

MACPAC is a non-partisan legislative branch agency that provides policy and data analysis and makes recommendations to Congress, the Secretary of the US Department of Health and Human Services, and the states on a wide array of issues affecting Medicaid and the State Children’s Health Insurance Program (CHIP). The US Comptroller General appoints MACPAC’s 17 commissioners, who come from diverse regions across the United States and bring broad expertise and a wide range of perspectives on Medicaid and CHIP.

 

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For more information visit the McDermottPlus Payment Innovation Resource Center or contact Katie Waldo at 212-547-5433 or kwaldo@mcdermottplus.com.