71 Million Individuals Are Enrolled in Medicaid and CHIP
According to CMS's monthly Medicaid/CHIP eligibility and enrollment report, 71.6 million individuals were enrolled in Medicaid and CHIP in September 2015. Nearly 13.3 million additional individuals have enrolled in Medicaid and CHIP since October 2013, an increase of 23.3% over the average monthly enrollment for July 2013 through September 2013. Compared to that same 2013 timeframe, Medicaid expansion states have seen an average 30.6% increase in enrollment, while states that have not expanded report an average increase of 10%.
West Virginia: Medicaid Agency Settles Lawsuit, Will Implement Competitive Bidding
The Department of Health and Human Resources (DHHR) has agreed to use a competitive bidding process for the State's Medicaid program beginning in 2017, settling a lawsuit brought against DHHR and several other State agencies by five West Virginia residents. The change is expected to save the State's $1 billion Medicaid program approximately $100 million annually. The settlement also instructs the State's Medicaid managed care contracts not to exceed 48 months and to require a medical loss ratio of at least 85%, up from the current medical loss ratio of 70%-75%. DHHR's Deputy Secretary Jeremiah Samples said that the State agreed to the settlement to save West Virginia taxpayers further litigation expenses and to eliminate the uncertainty that the lawsuit had created for Medicaid patients and providers. West Virginia Medicaid currently contracts with four managed care companies.