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December 2014 Public Meeting

In preparation for its March 2014 Report to the Congress, MACPAC resumed its examination of the future of the State Children’s Health Insurance Program (CHIP) at the December 2014 meeting. Topics included:

  • a review of governors’ responses to questions in the bicameral letter on the future of CHIP;
  • updated estimates on the sources of coverage for which children currently enrolled in CHIP would be eligible;
  • the affordability of coverage for children moving from CHIP to exchange coverage and options to increase affordability; and
  • MACPAC’s early December roundtable exploring pediatric network adequacy in different sources of coverage.

Also for the March report, Commissioners looked at the expanding connection between Medicaid and the private insurance market via premium assistance programs; provided direction for an analytic framework for Medicaid payment, and discussed policy options to improve access and reduce cost for beneficiaries with both Medicare and Medicaid coverage.

In addition, the Commission reviewed Centers for Medicare & Medicaid Services’ 2014 guidance on Medicaid pregnancy-related coverage, and heard an update on Medicaid managed care.


  1. CHIP Analysis Update and Review of Governors’ Letters
  2. Affordability of Coverage for Children Moving From CHIP to the Exchange
  3. Updated Estimates of Eligibility for Separate CHIP Children in a Post-CHIP Landscape
  4. Pediatric Network Adequacy Roundtable: Initial Themes
  5. Premium Assistance: Medicaid’s Expanding Role in the Private Insurance Market
  6. Framework for Evaluating Medicaid Provider Payment Policy
  7. Policy Options for Improving Access to Care and Reducing Out-of-Pocket Costs for Dually Eligible Beneficiaries
  8. Issues in Pregnancy-Related Medicaid and Minimum Essential Coverage
  9. Managed Care Update