Medicaid provides health coverage for approximately 82 million people across the United States and was extended to most states by President Biden. The huge insurance program is jointly funded by state and federal governments, and was introduced to provide coverage for those who could not otherwise afford health insurance.
All 50 states, the District of Columbia, and all U.S. territories offer Medicaid coverage to residents, but the the exact terms of coverage may vary widely. Some states choose to add additional programs to complement the base model, while 12 states chose not to expand their programs earlier this year, leaving millions of people without coverage.
The services mandated by the federal government include:
- Hospital hospital services
- EPSDT, for children under 21
- FQHC Services
- Family planning services
- Emergency and non-urgent medical transport
- Pregnancy-related services
- Care in a nursing home, for people aged 21 and over
- Medical services
- Home health
Which States Are Best For Medicaid Health Insurance?
Different states are able to fund their Medicaid programs at different levels, so the quality and availability of coverage may vary. A WalletHub analysis found that the five states ranked highest on Medicaid spending were:
- Rhode Island
However, when it comes to the service offered, the top five were very different. Healthcare Insider has compiled a comprehensive list of the best places for Medicaid coverage, bringing together data from the Centers for Medicare & Medicaid Services; Kaiser Family Foundation; Medicaid and CHIP payment and access commission; and Prospects of opportunity.
The study combined 13 metrics in three categories: Cost; access; and quality, to produce a score out of 100 for the program in each state. Their research produced a top five states for the provision of Medicaid:
- new York
The big winner, Connecticut, was not the highest ranked in any of the three categories, but came in second in terms of cost of coverage and extent of access offered. Second place new York was rated best for price but was placed lower for quality and access, seventh and eighth respectively.
In terms of the best quality offered, Hawaii topped the national study, scoring 0.16 higher than Connecticut. Top five Medicaid Quality Reports were completed by California, Massachusetts and Oregon.
At the other end of the scale South Dakota received the lowest overall score and was also ranked third for access to coverage, for which neighbors North Dakota finished at the bottom. In terms of the quality of the coverage, it was Oklahoma who scored the worst with a score of just 2.94 out of a possible 33.33.