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Understanding The Medicaid And CHIP Maintenance of Eligibility Requirements

This fact sheet examines the provisions in the Patient Protection and Affordable Care Act (ACA) that require states to maintain eligibility and enrollment standards for Medicaid and the Children’s Health Insurance Program. These maintenance of eligibility (MOE) provisions were designed to keep Medicaid and CHIP coverage stable until coverage expands…

Uniform Coverage Summaries for Consumers

This brief explains the proposed federal rule that requires private health plans to provide a short, easy-to-read uniform summary of benefits and coverage to all health insurance applicants and enrollees. The rule, which implements a provision in the Affordable Care Act (ACA), is intended to make it simpler for consumers…

Adolescent Health: Coverage and Access to Care

This issue brief provides a broad-based grounding in adolescent health and related policy by examining access to health services for adolescents, their insurance coverage, and the role of state and federal policies in shaping access to care. The brief also discusses how implementation of the the health reform law may affect health coverage, access, and incentives to use preventive care for adolescents.

Pulling it Together: The Most Popular Provision in the ACA?

In our most recent monthly tracking poll, we asked the American people what elements of the health reform law they like and dislike. Surprisingly, the runaway favorite was a relatively obscure requirement that health plans provide consumers with a short, easy to understand description of their benefits and coverage. Sixty…

Changes in Health Insurance Coverage in the Great Recession, 2007-2010

This issue brief examines changes in health insurance coverage over the last decade, with a focus on how changes in the economy, particularly during the “Great Recession” of 2007 to 2009, have affected coverage and the number of uninsured. The paper finds that the number of uninsured grew substantially during…

Key Issues to Consider for Outreach and Enrollment Efforts under Health Reform

The Affordable Care Act will significantly expand health coverage opportunities through an expansion in Medicaid and the creation of new health insurance exchanges in 2014. Effective outreach and enrollment efforts will be vital for assuring the expansions translate into increased coverage. Based on a discussion with federal and state officials…

The Role of National Firms in Medicare+Choice

This report addresses national managed care firms participation in M+C and the factors influencing their decision processes about M+C products. Based on interviews with executives and senior staff of national managed care firms, this report examines how eight national firms strategically position their M+C product, including the process that firms…

Health Insurance Coverage in America, 2010

Over 49 million people in the United States had no health insurance coverage in 2010—more than one in every six (18.5%) of the population under age 65. Having a clear picture of who the uninsured are is fundamental to addressing this nation-wide problem.This slideshow provides figures and tables on the…