You might think that we learned the lesson of discredited managed care in the 1990s. The term "managed care" is confusing to many, but really amounts to managed reimbursement rather than managed care, whereby a set prospective annual payment is made by federal/state governments, as in the case of Medicaid managed care (MMC), to cover whatever services patients will receive over the coming year.
At a time when we should be celebrating Medicaid and CHIP successes, serious threats to Medicaid, CHIP and the ACA continue to surface in Congress. So, in addition to advocating for continuing improvements in children's health coverage, we must also play defense to protect the hard-earned gains made for children as well as adults.
In the House and Senate budget proposals for fiscal year 2016, passed with only Republican votes at the end of March, there are big winners and big losers. The big winners are defense spending and contractors and very wealthy people and powerful special interests. The big losers are children, our poorest group in America, and struggling low- and middle-income families.