As Concern Rises Over Medicaid Cuts, Health Insurers Hold Their Fire

  • Jan 24, 2025

    With chatter in the Capitol heating up about revamping the Medicaid program, some interest groups are already kicking off their efforts to sway lawmakers away from proposals like per capita funding caps, work requirements and changes to the federal funding match rate. Yet at least one health insurer trade group says that it’s focusing more on nearer term threats such as inadequate capitation rates and the cost of covering GLP-1 drugs. 

    “The broader discussion on any kind of newer approach to Medicaid is an excellent conversation to have, but we’re not at that point yet,” says Ceci Connolly, president and CEO of the Alliance of Community Health Plans (ACHP). “Nobody is really providing any specific detail about what they mean by work requirements, for instance, or by block grants. They’re just kind of slogans right now.” 

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  • Leslie Small

    Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.

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