Medicaid/SCHIP - Health Policy, Public Opinion & Research

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New Analysis Shows Effect of Rising Unemployment on Health Coverage, Medicaid and SCHIP Spending and Enrollment
Every one percentage point rise in the unemployment rate leads to a 1.1 million increase in the uninsured population and a one million increase in Medicaid and SCHIP enrollment, according to a new Kaiser analysis. Another report analyzes the history of Medicaid during recent economic downturns.

New Reports Examine Consumer Direction for Personal Assistance Services in Four States' Medicaid Programs
With a shift towards providing long-term services and supports in the community, policy interest in Medicaid consumer direction of personal assistance services (CD-PAS) has grown. Two new reports examine Medicaid’s role in providing CD-PAS in four states: California, Colorado, New York and Virginia.

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New Analysis Shows Effect of Rising Unemployment on Health Coverage, Medicaid and SCHIP Spending and Enrollment -- April 2008

This analysis finds that every one percentage point rise in the unemployment rate leads to a 1.1 million increase in the uninsured population and a one million increase in Medicaid and SCHIP enrollment. Another report analyzes the history of Medicaid during recent economic downturns.

Medicaid, SCHIP and Economic Downturn: Policy Challenges and Policy Responses -- April 2008

This analysis projects the implications of an economic downturn for health coverage and state programs.

Medicaid in a Declining Economy: Limited Approaches for States to Control Spending -- April 2008

This brief analyzes results from annual 50-state budget surveys of Medicaid directors from 2003 to 2007 to determine how past actions by states and the federal government may impact Medicaid programs during the current economic downturn.

States Moving Towards Comprehensive Health Care Reform -- April 2008

With the problem of the uninsured continuing to grow, states have taken the lead in developing proposals to reform of their health care systems with the goal of significantly increasing the number of people with health coverage. An interactive map and related summaries of plans track which states have enacted or are planning comprehensive initiatives to cover their uninsured population.

New Reports Examine Consumer Direction for Personal Assistance Services in Four States' Medicaid Programs -- March 2008
With a shift towards providing long-term services and supports in the community, policy interest in Medicaid consumer direction of personal assistance services (CD-PAS) has grown. Two new reports examine Medicaid’s role in providing CD-PAS in four states: California, Colorado, New York and Virginia.

Consumer Direction of Personal Assistance Services in Medicaid: A Review of Four State Programs -- March 2008

This report examines consumer direction of personal assistance services in four states' Medicaid programs. Its findings are based on interviews with program administrators from California, Colorado, New York and Virginia.

Consumer Direction of Personal Assistance Services Programs in Medicaid: Insights from Enrollees in Four States -- March 2008

This report examines consumer direction of personal assistance services in four states' Medicaid programs. Its findings are based focus group interviews with CD-PAS enrollees from California, Colorado, New York and Virginia.

Report Examines the Potential Impact of New Federal Initiative To Review Payment and Eligibility Errors in Medicaid -- February 2008

The federal government has launched a new initiative, Payment Error Rate Measurement (PERM), to estimate the number of errors states make in determining eligibility for Medicaid and the State Children’s Health Insurance Program (SCHIP). This paper reports on state officials’ views of how the new initiative could impact their management of Medicaid programs.

President's FY 2009 Budget and SCHIP -- February 2008

The President released his Fiscal Year 2009 budget proposal in January 2008. The President’s plan would increase SCHIP funding by $19.7 billion over the next five years, more than the $5 billion included in his FY 2008 budget proposal, but less than the $35 billion included in the SCHIP reauthorization bills that were vetoed last year. The Foundation's KCMU has prepared a fact sheet summarizing the proposal and places it in the context of last year's SCHIP reauthorization debate.

President's FY 2009 Budget and Medicaid -- February 2008

The President released his Fiscal Year 2009 budget plan in January 2008 and it includes proposals on Medicaid that would reduce federal Medicaid spending by over $17 billion over the next five years. This fact sheet summarizes the proposals and potential implications.

This analysis projects the implications of an economic downturn for health coverage and state programs.

With a shift towards providing long-term services and supports in the community, policy interest in Medicaid consumer direction of personal assistance services (CD-PAS) has grown. Two new reports examine Medicaid’s role in providing CD-PAS in four states: California, Colorado, New York and Virginia.

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Medicaid/SCHIP

Medicaid is the nation's public health insurance program for low-income Americans, financing health and long term care services for more than 55 million individuals. The program provides access to affordable and comprehensive health care for children and adults in low-income working families and for the elderly and disabled who often rely on the program to fill in critical gaps in their Medicare coverage. Although three quarters of Medicaid's enrollees are adults or children, the elderly and disabled account for 70% of the program's expenditures. Financed and operated jointly by the states and federal government, Medicaid accounts for roughly one sixth of the nation’s health care spending and almost half of all spending on long term care. As the largest source of federal support to the states, Medicaid is also a major engine in state economies, supporting millions of jobs across the country. Its guarantee of open-ended federal financing that matches state spending enables states to respond to losses of private health insurance attributable to unemployment and rising health insurance premiums, increases in health care costs, emergencies and disasters, and an aging society.

The State Children's Health Insurance Program (SCHIP) was enacted in 1997 to provide a capped amount of federal matching funds to states for coverage of children and some parents with incomes too high to qualify for Medicaid, but for whom private health insurance was either unavailable or unaffordable. Covering roughly four million children, SCHIP has played an important role in reducing the number of uninsured children in America.

This section provides data and information on the Medicaid and SCHIP programs with a focus on the populations they serve. Analyses of proposals to restructure these programs, data from surveys, studies of the impact of recent programmatic changes on beneficiaries, and basic information on how the programs operate and are administered can all be found here. These materials can help to inform discussions of reform proposals and efforts to improve and maintain health coverage and financing for the low-income disabled and elderly populations, families, and children who are left out of our country’s fragmented, employer-based health care system.

The Kaiser Commission on Medicaid and the Uninsured is the main source for the Foundation's work related to the Medicaid and SCHIP programs. Begun in 1991, the Commission is the largest operating program of Henry J. Kaiser Family Foundation and has brought increased analysis and attention to health coverage issues facing the low-income population for over a decade. Through its reports and briefings, the Commission continues to provide up-to-date information on Medicaid and SCHIP and assesses options for reform.