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The Henry J. Kaiser Family Foundation

Getting into Gear for 2014: Briefing, Survey Examine 2013 Data From 50-State Survey of Medicaid and CHIP Eligibility and Enrollment Policies

Following the Supreme Court ruling upholding the Affordable Care Act (ACA) and as 2014 approaches, many states are moving into high gear to prepare for implementation of the major provisions of the law, including a new streamlined Medicaid enrollment system and, at states’ option, the expansion of Medicaid. Nearly all…

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The Henry J. Kaiser Family Foundation

Premiums and Cost-Sharing in Medicaid: A Review of Research Findings

Medicaid covers nearly 60 million Americans. Because the population covered by the program is low-income, federal law limits the extent to which states can charge premiums and cost-sharing amounts, particularly for pregnant women, children and adults with incomes below poverty. Yet there is renewed interest in the use of premiums…

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The Henry J. Kaiser Family Foundation

Premiums and Cost-Sharing in Medicaid

Medicaid, the nation’s public health insurance program for low-income people, now covers nearly 60 million Americans, including many working families, low-income elderly, and individuals with disabilities. Medicaid beneficiaries tend to be poorer and sicker than those enrolled in private insurance. Given these characteristics, federal law limits the extent to which…

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The Henry J. Kaiser Family Foundation

Testimony: Changing Medicare’s Benefit Design: Implications for Beneficiaries

Foundation Senior Vice President Tricia Neuman testified Feb. 26, 2013 before the House Ways & Means Subcommittee on Health about how restructuring Medicare’s deductibles and other cost-sharing requirements could affect beneficiaries.  Testimony (.pdf)

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The Henry J. Kaiser Family Foundation

Average Annual Premiums for Family Health Benefits Top $15,000 in 2011, Up 9 Percent, Substantially More than the Growth in Worker’s Wages, Benchmark Employer Survey Finds

NEWS RELEASE September 27, 2011 Average Annual Premiums for Family Health Benefits Top $15,000 in 2011, Up 9 Percent, Substantially More than the Growth in Worker’s Wages, Benchmark Employer Survey Finds About 2.3 Million Young Adults Added to Parents’ Plan As a Result of Health Reform At Small Firms, One…

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The Henry J. Kaiser Family Foundation

How Does the Benefit Value of Medicare Compare to the Benefit Value of Typical Large Employer Plans?: A 2012 Update

This study compares the value of Medicare’s fee-for-service benefits last year with the value of benefits in two large employer health plans — a large health plan serving federal employees and a typical large employer Preferred Provider Organization (PPO) plan. For individuals ages 65 and older, the study finds that…

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The Henry J. Kaiser Family Foundation

Medicare Part D 2011 Data Spotlight: The Coverage Gap

This data spotlight examines the availability of gap coverage in the private Medicare Part D drug plans offered to beneficiaries in 2011, the first year of the phase-out of the gap, as required under the 2010 health reform law. The changes for 2011 include a 50 percent discount on brand-name…

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The Henry J. Kaiser Family Foundation

Performing Under Pressure: Annual Findings of a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP, 2011-2012

The annual 50-state survey of Medicaid and CHIP eligibility rules, enrollment and renewal procedures and cost-sharing practices, conducted by the Kaiser Commission on Medicaid and the Uninsured with the Georgetown University Center for Children and Families, found that, despite continued fiscal pressures on states, eligibility policies remained stable in nearly…

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The Henry J. Kaiser Family Foundation

Managing Medicaid Pharmacy Benefits: Current Issues and Options

This report examines reimbursement, benefit management and cost sharing issues in Medicaid pharmacy programs. The analysis, conducted by researchers from the Foundation’s Kaiser Commission on Medicaid and the Uninsured and Health Management Associates, focuses on the potential of several measures recently highlighted by Health and Human Services Secretary Kathleen Sebelius…

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The Henry J. Kaiser Family Foundation

Questions About Essential Health Benefits

The Institute of Medicine (IOM) recently issued its long-awaited report on defining the essential health benefits under the Affordable Care Act (ACA). As expected, the committee preparing the IOM report did not recommend which specific services should be covered, but rather discussed what the process should be for defining the essential benefits,…

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