CMS Releases Latest Enrollment Figures for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP)

The Centers for Medicare & Medicaid Services (CMS) released the latest enrollment figures for Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). These programs serve as key connectors to care for more millions of Americans.

Medicare

  • As of September 2023, 66,472,325 people are enrolled in Medicare. This is an increase of 134,147 since the last report.
  • 33,990,369 are enrolled in Original Medicare.
  • 32,481,956 are enrolled in Medicare Advantage or other health plans. This includes enrollment in Medicare Advantage plans with and without prescription drug coverage.
  • 52,204,330 are enrolled in Medicare Part D. This includes enrollment in stand-alone prescription drug plans as well as Medicare Advantage plans that offer prescription drug coverage.
  • Over 12 million individuals are dually eligible for Medicare and Medicaid, so are counted in the enrollment figures for both programs.

Detailed enrollment data can be viewed here: https://data.cms.gov/summary-statistics-on-beneficiary-enrollment/medicare-and-medicaid-reports/medicare-monthly-enrollment . The data now include counts of Part D enrollees receiving the low income subsidy.

Medicaid and Children’s Health Insurance Program (CHIP)

  • As of September 2023, 88,414,773 people are enrolled in Medicaid and CHIP. This is a decrease of 1,593,385 since the last report.
    • 81,408,432 are enrolled in Medicaid
    • 7,006,341 are enrolled in CHIP

For more information on Medicaid/CHIP enrollment, including enrollment trends, visit https://www.medicaid.gov/medicaid/program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot/index.html

Every state across the country is currently resuming their regular processes for renewing individuals’ Medicaid and Children’s Health Insurance Program (CHIP) coverage. CMS’ goal is to help people stay connected to the coverage for which they are eligible. Read more about data related to renewals at www.medicaid.gov/unwinding-data

See the latest coverage totals across all CMS programs at https://www.cms.gov/pillar/expand-access. This information is updated on a monthly basis. Enrollment data for CMS programs are compiled on different timelines owing to the unique nature of each program.

CMS OCCHE Alert: Climate Change and Health Equity at HHS

CMS OCCHE will be launching a catalytic program  in January 2024 to support health care providers in taking advantage of the tax credits, grants and other supports made available by the historic Inflation Reduction Act (IRA) for projects to address climate change.

The legislation creates unprecedented opportunities for health sector organizations to make investments in clean energy, building efficiency, infrastructure resilience and more. OCCHE’s planned initiative will occur through collaboration with federal partners including the Environmental Protection Agency and Department of Energy and will feature national webinars as well as breakout sessions by provider type to help organizations assess their needs and opportunities.

You can SIGN UP NOW for national sessions (which will begin on January 25th), as well as breakouts for different safety net provider types (which will begin on February 1st), on the program website.

For more details on the initiative, check out the recording from our November 30th information session.

New Brief Published! Advancing Value-Based Payment Policies Relevant to Rural Areas

The Rural Health Value team is pleased to share a policy paper entitled Advancing Value-Based Payment Policies Relevant to Rural Areas – Continued Challenges and New Opportunities.

Building on RHV’s “How to Design Value-Based Care Models for Rural Participant Success: A Summit Findings Report,” this paper suggests potential Innovation Center and CMS policy opportunities to ensure that all fee-for-service Medicare beneficiaries will be in a care relationship with accountability for quality and total cost of care by 2030, and to ensure the inclusion of rural health care providers in CMS models, programs, and quality improvement initiatives.

Related resources on the Rural Health Value website:

New CMS Coverage to Care Resources Available!

The Coverage to Care initiative is excited to release several new and updated resources to assist with care management.

C2C updated and released Medicare chronic care management (CCM) resources for health care providers and patients to raise awareness of the benefits of CCM for Medicare patients with multiple chronic conditions and provide health care providers with information to implement CCM.

Understanding prescriptions is an important part of managing care. C2C also released a new resource focused on understanding prescriptions and drug coverage. View the Tips for Understanding Your Drug Coverage & Prescriptions resource.

Better Understand Your Drug Coverage & Prescriptions

Learning about drug list rules or restrictions, prescription cost, and prescription labels ensure patients, including those with chronic conditions, continue to feel confident in properly managing their care. View the Tips For Understanding Your Drug Coverage & Prescriptions (available in Spanish, with additional languages to be developed) to learn more about the prescriptions and services available under your drug coverage and how to understand your prescriptions once you have them.

Explore these chronic care management resources

  • Read the Tips for Understanding Your Drug Coverage & Prescriptions to learn more about your drug coverage and staying healthy with your medications. (English | Spanish)
  • Download the Chronic Care Management at a Glance fact sheet, which outlines the benefits of CCM, responsibilities for CCM providers, payment information, and more. (English | Spanish)
  • View the Chronic Care Management Presentation for Health Care Professionals to learn more about CCM and how to start a successful program in your practice. (English | Spanish)
  • Share the Chronic Care Management for You and Your Family poster with those you serve, which explains how CCM can help them manage their chronic conditions and outlines the requirements to enroll in CCM services. (English | Spanish)
  • Review the Chronic Care Management Toolkit to learn how you can successfully build out CCM services in your practice and to educate patients, colleagues, and communities about the importance of CCM. (Spanish coming soon!)
  • Consult the CCM Provider Checklist to help you stay organized when providing CCM to those you serve.
  • Help your patients understand how they can benefit from CCM by sharing the Chronic Care Management Video.

To learn more about Coverage to Care, visit https://go.cms.gov/c2c or sign up for our listserv.

Update: National & State Census Bureau Estimates

Nation & State Population Estimates

The U.S. Census Bureau released today estimates of the total population as of July 1, 2023, at the nation and state levels. Population estimates are calculated using administrative records to estimate components of population change such as births, deaths, and migration.

The nation showed a modest growth of 1.6 million (+0.5%) from 2022 to 2023. During that time, Pennsylvania experienced a slight loss of just over 10,000 (-0.1%) which was in line with the Northeast region overall (-0.1%). Pennsylvania was one of 8 states to lose population during this time. As of July 1, 2023, Pennsylvania continued to rank 5th highest among states based on total population.

View the full release HERE and access the data HERE.

Department of Transportation Maps Intercity Transportation in Rural Areas

The recently updated data resource provides information and an interactive map that shows the percentage of rural residents who have access to commercial air, intercity bus, or intercity rail transportation. Includes county-level data for the years 2006, 2012, 2018, and 2021. Depicts state-level transportation access data as well as demographic characteristics of rural areas.

Click here to read the full report.

Learn About Grantees for Rural Opioid Response Program

This series of short videos highlights the work of grantees for the FORHP-supported Rural Communities Opioid Response Program (RCORP).  Newly updated directories of FY2023 grantees are now available for four separate RCORP programs:

Click here to read the full article.

New Medicaid Health Equity Data Briefs Released

In an effort to measure disparities in access to care, the Centers for Medicare & Medicaid Services released three new briefs with data describing certain demographics and benefit use of enrollees in Medicaid and the Children’s Health Insurance Program (CHIP).  Adding to previous data briefs on race and ethnicity, disability, and primary language, new data is provided showing beneficiary information for:

Each includes information for rural populations.  For example, in 2020, about 5.7 million Medicaid- and CHIP-enrolled children under age 19 resided in a rural area, and 45 percent received a well-child visit compared to 51 percent of those living in urban areas.

Click here to read the full article.