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The Henry J. Kaiser Family Foundation

Web Briefing: Early Impacts of the Medicaid Expansion for the Homeless Population

The Affordable Care Act’s Medicaid expansion provides a significant opportunity to increase health coverage and improve access to care for individuals experiencing homelessness, who historically have had high uninsured rates and often have multiple, complex physical and mental health needs. On Monday, December 15, 2014, the Kaiser Family Foundation hosted a…

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The Henry J. Kaiser Family Foundation

Proposed Medicaid Expansion in New Hampshire

This fact sheet provides a summary of the waiver request in New Hampshire. New Hampshire has already implemented the ACA Medicaid expansion, but state legislation required the state to submit a waiver to implement mandatory Qualified Health Plan (QHP) premium assistance beginning in January 2016.

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The Henry J. Kaiser Family Foundation

Women’s Health Insurance Coverage

This fact sheet provides updated statistics on health coverage and describes the major sources of health insurance for non-elderly adult women ages 18–64, including employer-sponsored or job-based coverage, Medicaid, insurance in the individual market, and Medicare. It also provides data on the more than 19 million women who are uninsured, and summarizes the major implications of the Affordable Care Act (ACA) for women and their health coverage.

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El seguro de salud, explicado: ¡los YouToons lo tienen cubierto!

El seguro de salud, explicado: ¡los YouToons lo tienen cubierto!

En Español El seguro de salud, explicado: ¡los YouToons lo tienen cubierto! desglosa conceptos de seguros como primas, deducibles y redes de proveedores.  Explica cómo las personas pagan por su cobertura y cómo obtener cuidado médico y medicamentos recetados con distintos tipos de seguros de salud, incluyendo HMOs y PPOs.…

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The Henry J. Kaiser Family Foundation

The Uninsured: A Primer – Key Facts About Health Insurance and the Uninsured in America

The Uninsured: A Primer presents basic information about health coverage and the uninsured population leading up to and after the implementation of the Affordable Care Act–who the uninsured are and why they do not have health coverage, and the impact lack of insurance can have on health outcomes and personal finances.

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YouToons: Health Insurance Explained

Health Insurance Explained: The YouToons Have it Covered

In this five-minute animated video, the YouToons help consumers understand their health insurance through fun, easy-to-understand explanations and scenarios. This cartoon serves as a tutorial for consumers and organizations. The YouToons previously appeared in the 2010 animated movie, “Health Reform Hits Main Street” and the 2013, “The YouToons Get Ready for Obamacare: Health Insurance Changes Coming Your Way Under the Affordable Care Act.”

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The Henry J. Kaiser Family Foundation

Estimating Federal Payments and Eligibility for Basic Health Programs: An Illustrative Example

In some states, policymakers and stakeholders are considering adoption of the Basic Health Program (BHP) option permitted under the Patient Protection and Affordable Care Act (ACA). Federal regulations allow BHP implementation beginning in 2015. Through BHP, consumers with incomes at or below 200 percent of the federal poverty level (FPL) who would otherwise qualify for subsidized qualified health plans (QHPs) offered in health insurance marketplaces instead are offered state-contracting standard health plans that provide coverage no less generous and affordable than what have been provided in the marketplace. To operate BHPs, states receive federal funding equal to 95 percent of the premium tax credits (PTCs) and cost-sharing reductions (CSRs) that BHP enrollees would have received if they had been covered through QHPs. This paper seeks to inform state-level analysts about the characteristics of BHP-eligible people in their state and how to use that information to estimate the approximate federal BHP payment amount per average BHP-eligible resident.

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The Henry J. Kaiser Family Foundation

The ACA’s Basic Health Program Option: Federal Requirements and State Trade-Offs

The Patient Protection and Affordable Care Act (ACA) gives states the option to implement a Basic Health Program (BHP) that covers low-income residents through state-contracting plans outside the health insurance marketplace, rather than qualified health plans (QHPs). In March 2014, the Centers for Medicare & Medicaid Services (CMS) issued final regulations on the requirements for a BHP and the methodology for calculating federal payments to states. States can choose to implement BHP beginning in 2015. This report summarizes these federal policies, including the requirements for BHP as well as the methodology for determining federal BHP payments. It then analyzes the key trade-offs facing states as they decide whether and, if so, how to implement BHP, with a particular focus on the impact of BHP on state budgets and the size, stability, and risk level of state marketplaces.

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The Henry J. Kaiser Family Foundation

Early Impacts of the Medicaid Expansion for the Homeless Population

This analysis provides an early look at the impact of the expansion for homeless providers and the patients they serve. It is based on focus groups conducted with administrators, providers, and enrollment workers at four sites serving homeless individuals in states that have expanded Medicaid (Albuquerque, NM; Baltimore, MD; Chicago, IL; and Portland, OR) and one site in a state that has not expanded (Jacksonville, FL), as well as administrative data collected from the sites.

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The Henry J. Kaiser Family Foundation

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.

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