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The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid – An Update

In states that do not implement the Medicaid expansion under the Affordable Care Act (ACA), many adults will fall into a “coverage gap” of earning too much to qualify for Medicaid but not enough to qualify for Marketplace premium tax credits. Nationwide, nearly four million poor uninsured adults are in this situation.This brief describes the population in the coverage gap and discusses the implications of them being left out of ACA coverage expansions.

Implementing the ACA: Medicaid Spending & Enrollment Growth for FY 2014 and FY 2015

This report provides an overview of Medicaid financing and Medicaid spending and enrollment growth with a focus on state fiscal years 2014 and 2015 (FY 2014 and FY 2015.) Findings are based on interviews and data provided by state Medicaid directors as part of the 14th annual survey of Medicaid directors in all 50 states and the District of Columbia conducted by the Kaiser Commission on Medicaid and the Uninsured (KCMU) survey with Health Management Associates (HMA). Findings examine changes in overall enrollment and spending growth and also look at expansion versus non-expansion states.

Community Health Centers: A 2012 Profile and Spotlight on Implications of State Medicaid Expansion Decisions

Community health centers are an integral part of the health care safety-net, providing access to care for over 21 million people in the U.S. The ACA made a major investment in the health center program, and expanded health coverage will provide new revenues to health centers, permitting grant funding to support care of the uninsured to go further. This annual update provides a pre-ACA snapshot of community health centers and also examines newly reported data on “look-alike” health centers. In addition, the brief highlights significant differences between the profiles and revenue situations of health centers in Medicaid expansion and non-expansion states in 2012, before the ACA coverage expansions took effect. Finally, it considers financial challenges facing health centers and the implications of state Medicaid decisions for health centers and their capacity to ensure access to care for low-income communities they serve.

Profiles of Medicaid Outreach and Enrollment Strategies: The Cook County Early Expansion Initiative

The brief provides an overview of the Cook County, Illinois “CountyCare” early expansion waiver experience, which may help inform continued efforts as the Medicaid expansion is implemented across states. It finds that, in just over 12 months, more than 82,000 Cook County residents successfully enrolled in CountyCare coverage, allowing the state and county to get a significant jump start on the Medicaid expansion. Illinois implemented the full Medicaid expansion in January 2014 and automatically transitioned CountyCare enrollees to the expansion. As of March 2014, CountyCare members account for nearly half of the total statewide enrollment of adults into the Medicaid expansion.

States Expanding Medicaid Under the Affordable Care Act Expect 18% Enrollment Growth in Fiscal Year 2015, With Federal Funds Picking Up Most of the Cost

States expect the number of people enrolled in Medicaid will increase an average of 13.2 percent across the country in state fiscal year 2015 (which runs through June in most states), showing the early effects of the first full year of Affordable Care Act implementation, according to the 14th annual 50-State Medicaid budget survey by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured (KCMU).

Medicaid Moving Forward

This fact sheet provides an overview of the Medicaid program, the populations it serves, the services it covers, how care is delivered, and how the program is financed. Medicaid’s expanded role under the Affordable Care Act (ACA) and other important changes in Medicaid stemming from the health reform law are highlighted.

Medicaid Enrollment: An Overview of the CMS April 2014 Update

CMS recently released its latest update on Medicaid and CHIP enrollment data, covering the period through April 2014. This fact sheet provides a brief overview of the latest data and what it suggests about the impact of the ACA on Medicaid and CHIP enrollment, providing historical trends for context