Medicare Advantage

Why Trump's Medicaid work requirements lost

Of all the policies the Health and Human Services Department has actually finalized under President Trump, it's hard to think of a more significant rightward turn than the approval of Medicaid work requirements.

Driving the news: Judge James Boasberg is still not having it. He ruled against Kentucky's work requirements yesterday for the second time, citing many of the same reasons from his first opinion — namely, that HHS is not living up to Medicaid's legally defined purpose as a health care program.

Where Medicare Advantage is most popular

Data: Centers for Medicare & Medicaid Services; Map: Harry Stevens/Axios

States in the Midwest, South and West have the highest proportions of Medicare members enrolled in Medicare Advantage. Some states have more than 40% of their Medicare population in the taxpayer-subsidized private plans.

The big picture: Roughly a third of all Medicare enrollees are in MA, a program that has garnered bipartisan support despite its shortcomings, and some Wall Street estimates think MA will be the majority option by 2021.