MACPAC’S March 2023 Report to Congress on Medicaid and CHIP contains four chapters of interest to Congress: (1) Medicaid race and ethnicity data collection and reporting, (2) principles for assessing Medicaid nursing facility payment programs, (3) strengthening evidence under Medicaid drug coverage, and (4) our statutorily required review of hospital payment policy for the nation’s safety-net hospitals.
- Chapter 1 makes recommendations to improve the collection of Medicaid race and ethnicity data.
- Chapter 2 makes recommendations on increasing the transparency and improving the collection of nursing facility payment data.
- Chapter 3 focuses on states’ concerns about covering drugs that have limited evidence of a clinical benefit and makes recommendations that would give states the flexibility to align with a Medicare decision to link coverage with participation in clinical trials or comparative studies.
- Chapter 4 fulfills MACPAC’s annual, statutorily required report on Medicaid disproportionate share hospital allotments to states for payments to hospitals that serve a high proportion of Medicaid beneficiaries and other low-income patients.