SCHIP Administration and Accountability June 29, 2001 Report The third in a series of reports on implementation issues and challenges in the first year of S-CHIP finds that non-Medicaid S-CHIP programs faced more administrative challenges. Success with enrollment appeared primarily related to administrative decisions, including a lower band of S-CHIP income eligibility, and the lack of premiums.
The Medicare Program: Servicios De Salud Administrados Por Medicare December 30, 1997 Fact Sheet Panorama General: Medicare proporciona servicios de salud a casi 39 millones de norteamericanos, incluyendo aproximadamente a 34 millones de ancianos y a 5 millones de discapacitados. La gran mayoria de estas personas cubren sus gastos medicos directamente mediante el programa tradicional de “pago por servicio,” mientras que el 15 porciento…
A Medicare Buy-In for the Near Elderly: Design Issues and Potential Effects on Coverage January 30, 2002 Report This report examines a Medicare-based approach to reducing the ranks of the uninsured that would permit early retirees between the ages of 62 and 65 to purchase coverage under Medicare. The paper begins with an overview of the challenges of insuring the near-elderly and explores the potential effects of a…
California’s Undocumented Latino Immigrants: A Report on Access to Health Care Services April 29, 1999 Report California’s Undocumented Latino Immigrants: A Report on Access to Health Care Services This report provides the results of a survey of undocumented Latino immigrants in two California counties (Fresno and Los Angeles), including their access to health care services, insurance status, health status, and economic circumstances. Report
Comparison of Medi-Cal and Healthy Families Programs for Children in California October 2, 2000 Report A new side-by-side examination of California’s Medicaid program (Medi-Cal) and CHIP program (Healthy Families) shows how these two low-income health coverage programs differ in structure, eligibility, enrollment process, service delivery and scope. This California case study helps to illustrate differences between Medicaid and CHIP.
The Characteristics and Roles of Medicaid-Dominated Managed Care Plans February 1, 2000 Report This policy brief (Publication #2180) provides a national profile of Medicaid-dominated managed care plans – those in which Medicaid enrollees make up at least 75 percent of total enrollment. While recent policy and market forces have encouraged the growth of these plans, basic information about them has been lacking, partly…
The Medicaid Eligibility Maze: Coverage Expands, but Problems Persist August 30, 1999 Report This report examines Medicaid eligibility policies and operations in five states – California, Colorado, Florida, Minnesota and Wisconsin – following initial changes introduced by the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 and the new Children’s Health Insurance Program (CHIP). The study findings suggest that eligibility policy…
Access To Health Care: July 30, 1999 Report Promises and Prospects For Low-Income AmericansThis book explores critical issues affecting access to health care for low-income Americans by assessing the importance of expansions of health coverage for the poor, the emerging challenges providers who serve low-income and uninsured populations face in a rapidly evolving health care delivery system, and…
Employment-Based Health Insurance Coverage and its Decline:-2134 April 29, 1999 Report Employment-Based Health Insurance Coverage and its Decline:The Growing Plight of Low-Wage WorkersThis background paper examines the increase in uninsured workers and the growing disparity in health insurance coverage between low- and high-wage workers. While a larger proportion of higher wage workers had health coverage in 1996 than a decade before,…
Falling Through the Cracks: Health Insurance Coverage of Low-Income Women January 30, 2001 Report Access to health coverage is a challenge for millions of low-income women. Because they are more likely to be low-wage workers and work in industries that don't offer benefits, access to job-based coverage is often problematic. Avenues for assistance are available to some through Medicaid. However, despite the program s…