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Data Note: Medicaid’s Role in Providing Access to Preventive Care for Adults

Chronic illness is prevalent in the adult Medicaid population. Preventive care, including immunizations and regular screenings that permit early detection and treatment of chronic conditions, improves the prospects for better health outcomes. This Data Note focuses on Medicaid’s role in providing access to preventive care for low-income adults.

Gaps in Coverage Among People With Pre-Existing Conditions

The American Health Care Act (AHCA), which has passed the House of Representatives, contains a controversial provision that would allow states to waive community rating in the individual insurance market. In this brief we estimate the number of people with pre-existing conditions who might be affected by such a policy.

6 Things to Know About Uninsured Adults with Opioid Addiction

This fact sheet highlights the characteristics of uninsured adults with opioid addiction and the important role Medicaid plays in facilitating access to treatment. It also describes the potential impact of Medicaid restructuring as proposed in the American Health Care Act.

Data Note: A Large Majority of Physicians Participate in Medicaid

About 70% of all office-based physicians accept new Medicaid patients, including two-thirds of primary care physicians and close to three-quarters (72%) of specialists. The percentage of physicians accepting new Medicaid patients varies widely by state, ranging from 39% to 97%. In one-quarter of states, more than 85% of physicians accept new Medicaid patients, including 10 states where at least 90% do. There is no evidence that physician participation in Medicaid is declining.

Proposed Medicaid Section 1115 Waivers in Maine and Wisconsin

While Congress continues to consider repeal and replacement of the Affordable Care Act (ACA) as well as fundamental changes to the structure and funding of the Medicaid program, states and the Administration may achieve major changes to Medicaid through the use of Section 1115 Medicaid waivers. In April, 2017, Maine and Wisconsin released for public comment at the state level proposed waivers that include many of these provisions. Unlike previous waivers that encompass the ACA’s Medicaid expansion, Wisconsin and Maine are seeking waiver authority to make significant changes to Medicaid that would affect non-expansion Medicaid populations.

10 Things to Know about Medicaid: Setting the Facts Straight

The Medicaid program covers 1 in 5 Americans, including many with complex and costly health and long-term care needs. Most Medicaid beneficiaries would be uninsured or underinsured without it. President Trump and other GOP leaders have called for major changes to Medicaid, including caps on federal funding. In the debate, some Medicaid critics have made statements that are at odds with data, research, and basic information about Medicaid. This brief highlights 10 facts about Medicaid to inform policy that may have significant implications for the program.

Ten Ways That the House American Health Care Act Could Affect Women

In this brief, the Kaiser Family Foundation outlines 10 ways women could be affected under the House of Representatives’ American Health Care Act. In particular, the brief analyzes how changes might affect Medicaid and its expansion population, financial assistance in the individual insurance market, coverage for essential health benefits and preventive services such as contraception, abortion, and maternity care, as well as insurance reforms such as gender rating.

Medicaid’s Role in Behavioral Health

This infographic highlights Medicaid’s role in facilitating access to behavioral health treatment and the impact of potential reductions in federal Medicaid financing on behavioral health coverage and access to services.

The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.