October 2014 MACPAC Public Meeting

Transcript (pdf)

Meeting Start Date: October 30, 2014
Meeting End Date: October 31, 2014
Meeting Location: Washington DC

The October 2014 meeting opened with a summary of recent analyses comparing cost sharing and benefits in CHIP to exchange coverage, and a review of the U.S. Department of Health and Human Services’ (HHS) recent CHIP evaluation.

The Commission reviewed findings of a September HHS Office of the Inspector General report on the Centers for Medicare & Medicaid Services’ oversight of managed care access standards. The Commission looked at eight states’ experiences with the Medicaid primary care payment increase, set to expire at the end of 2014.

The Commission also heard a summary of site visits to some of the growing number of states providing Medicaid long-term care services through managed care, and considered potential themes for policymakers. That session was followed by a discussion of new findings showing how state Medicaid policies for paying Medicare cost sharing affect use of services. The Commission also reviewed two HHS reports on efforts to improve quality of care for adults and children in Medicaid.

Meeting Agenda


  1. Behavioral Health Services in the Medicaid Program: Background and Policy Issues
  2. Managed Long-Term Services and Supports (MLTSS) Overview and Themes from Site Visits
  3. Policy Issues Concerning the Medicare Savings Programs
  4. Comparison of Separate CHIP and QHP Affordability and Benefits
  5. Review of CHIP’s Current Status and MACPAC Analysis Plan
  6. Review of CHIPRA Mandated Evaluation of CHIP
  7. Review of HHS Reports on Adult and Child Quality in Medicaid and CHIP
  8. Framework for Evaluating Medicaid Provider Payment Policy
  9. An Update on the Medicaid Primary Care Payment Increase