News and Reports

The Center is pleased to present its 2025 Annual Report, entitled “Partnering for Progress: Advancing Medicaid Through Evidence and State Collaboration”. Check it out here!

This brief examines whether care models that blend telehealth and in-person visits can effectively deliver pediatric preventive care without sacrificing quality. It helps state Medicaid agencies navigate which telehealth expansions to keep after the expiration of the COVID-19 public health emergency, which to discard, and whether hybrid care should remain a viable strategy for keeping children current on preventive screenings.

Medicaid and CHIP provide coverage to around 50% of children with special health care needs (CYSHCN).  This presentation provides a review of key principles, state strategies, and example programs to help state Medicaid agencies build a more integrated system of care for children with special needs. It also provides a single-state data snapshot of CYSHCN […]

Children and youth with special health care needs often receive services from many different care providers and settings, including specialty health care, education systems, and other state agencies such as child welfare. Medicaid and the Children’s Health Insurance Program play a significant role in the care of children with special needs. Developed through a collaboration […]

Since 2021, more than 20 states have passed legislation requiring the coverage of biomarker testing by state-regulated insurers – typically including both commercial plans and state Medicaid agencies. This presentation explores the impetus for this recent trend and uses a 50-state review to explain the structure of these laws and their potential impact on Medicaid […]

This presentation examines the ways in which state Medicaid agencies engage their clinical staff. It examines different clinical staff structures, leadership roles, and disciplines, the range of responsibilities and strategic portfolios held by clinical staff, and how clinical expertise can drive value for the agency. It also includes considerations for how states might optimize, extend, […]

The MED DME Workgroup Tool: Medicaid Coverage of Enclosed Beds examines the use of enclosed beds—specialized safety devices designed to prevent injury for children with conditions like autism spectrum disorder (ASD) or developmental disabilities. It highlights the rising use of enclosed beds—specialized safety devices for children with conditions like autism spectrum disorder (ASD) or developmental […]

The MED Policy Brief: Enhancing Global Billing Practices for Medicaid Pregnancy Services examines the use of global obstetric billing in 37 state Medicaid programs, a bundled payment model covering prenatal, delivery, and postpartum care. It identifies practical challenges, such as inadequate compensation for complex pregnancies, limited data transparency due to bundled coding, and care fragmentation […]

The Center for Evidence-based Policy is excited to announce the release of the second set of briefs from its Medicaid Evidence and Review of Cost Initiative (MERCI) project. Focused on drugs approved through the FDA’s accelerated approval pathway, each MERCI drug brief is a case study which includes the clinical trial evidence used for FDA […]