Medicare pays between $16,500 and $33,000 for hip or knee replacements depending upon the hospital and geographic area of the country, but with a new payment program Medicare expects to save $343 over the next five years.

On Nov. 16, 2015, the Centers for Medicare & Medicaid Services announced they would begin to make bundled payments for these surgeries in 800 hospitals in 67 geographic areas under a model program over the next five years.

The Kaiser Family Foundation released a report Oct. 13 with state by state estimates of the uninsured. Nationally, 32.3 million non-elderly persons are uninsured, but one half of that number is missing out on Medicaid or CHIP eligibility in...

Two sources of contemporaneous data available from reputable national research institutions provide evidence that the Affordable Care Act has realized its principal goal of increasing the rate of health insurance coverage in the United States. The rates of uninsured Americans between late 2013 and early 2015 have dropped from 18 percent to 11.9 percent, according to Gallup, and from 17.4 to 10.1 percent, according to the Urban Institute. Further, the Gallup data which also provide state-by-state statistics show that the states with the greatest uptake in health insurance were more likely to have increased Medicaid eligibility and to operate state-based health insurance exchanges

While the same-sex marriage and Affordable Care Act cases are the most significant of the U.S. Supreme Court’s 2014–15 term in general and specifically affecting states, other cases will significantly impact states too. The court will decide three tax cases, a Medicaid reimbursement case, two redistricting cases and a Fair Housing disparate impact case.

On Tuesday, the Legislative Council, which handles budget and business when the full legislature is not in session, voted 10-1 to file a lawsuit against Gov. Bill Walker over his unilateral executive action to expand Medicaid eligibility, according to the Alaska Dispatch News.

Gov. Walker, after unsuccessfully trying to get the legislature to approve his budget proposal to expand Medicaid eligibility during the 2015 session, followed the lead of governors in Kentucky and West Virginia and took action without the legislature’s approval.

The new Medicaid rules are to go into effect on September 1 and would made Alaska the 30th state to expand Medicaid as allowed under the Affordable Care Act.

For much of the past week, the Supreme Court has been issuing opinions at a dizzying pace. Four cases in particular impact states directly. Rulings on same-sex marriage and Affordable Care Act cases affect everyday life and have incited much discussion in Congress and among the public. Other rulings on what license plates may say and access to hotel registry information have not garnered as much attention, but have important impacts on states as well.

Long-term care and supports were the focus of the 2015 CSG Medicaid Policy Academy, held in Washington, D.C., June 17-19, 2015. The 30 registered CSG members came from 19 states. Home states are marked in purple in the map below. Over the four years CSG has convened the Medicaid Policy Academy, legislators from 42 states have participated. 

The program concluded with a plenary session featuring Dr. Jeffrey Brenner, medical director of the Urban Health Institute at the Cooper University Healthcare as well as the founder and executive director of Camden (N.J.)  Coalition of Healthcare Providers. In 2013, Dr. Brenner was named a MacArthur Fellow for his work on addressing the health care needs of the chronically ill in impoverished neighborhoods. 

In 6-3 decision the Supreme Court ruled today that health insurance tax credits are available on the 34 Federal Exchanges. The Court’s opinion focused largely on the consequences of ruling to the contrary:  the destruction of health insurance markets.

Chief Justice Roberts, writing for the majority, began his opinion by pointing out that the Affordable Care Act relies on three reforms:  making sure health insurance is available to everyone regardless of their heath and not charging higher premiums depending on health, requiring everyone to be insured, and offering tax credits to those with low-income so they can afford insurance. If only the first reforms were implemented a well-documented economic “death spiral” occurs, where health insurance premiums skyrocket, because only the sick buy insurance.

Last week Pennsylvania and Delaware moved toward a Plan B in case the Supreme Court rules against the Obama administration in the pending King v. Burwell lawsuit that questions whether tax subsidies can be provided in those states that did not opt to operate their own state health exchanges.

With a special session of the Florida legislature underway to adopt a state budget for the next fiscal year that begins July 1, federalism questions abound. Florida Gov. Rick Scott filed a lawsuit against the Obama administration in April, challenging what Florida Attorney General Pam Bondi characterized in an April 28 press release as “the federal government’s attempt to coerce Florida into expanding Medicaid” by withholding federal funding for hospitals that provide care to the uninsured. The federal government had notified Florida it would withhold $2.2 billion in funding for Florida hospitals in fiscal year 2016.