Managed Care and Low-Income Populations: Four Years’ Experience with the Oregon Health Plan August 30, 1999 Report This report updates an earlier study of Oregon's experience with restructuring their Medicaid programs. It is one of a series of reports from The Kaiser/Commonwealth Low-Income Coverage and Access Project. This project examines how changes in the Medicaid Program have affected health insurance coverage and access to care for the…
Expansions in Public Health Insurance and Crowd-Out: What the Evidence Says October 1, 1999 Report Enactment of the Children's Health Insurance Program has been accompanied by concerns that new coverage will “crowd out” private health insurance coverage. Part of the Kaiser Incremental Health Reform Project, this paper reviews existing empirical literature on the magnitude of crowd-out and discusses implications for CHIP. Issue Paper
Retiree Health Coverage: Recent Trends and Employer Perspectives on Future Benefits October 1, 1999 Report The report, based on an analysis of Hewitt Associates' client database, presents new trend data on the prevalence of retiree health coverage sponsored by large employers and finds a continued erosion of retiree health benefits. The report also includes findings from a new survey assessing how large employers might change…
Incrementalism: Ethical Implications of Policy Choices October 1, 1999 Report This paper discusses ethical issues in incremental approaches to expanding health insurance coverage. Although any reduction in the number of uninsured is morally desirable, there are real moral differences between different policy options. This paper, which is part of the Kaiser Incremental Health Reform Project, examines these moral differences by…
Public Health in a Changing Health Care System: Linkages Between Public Health and MCOs In the Treatment and Prevention of STDs March 30, 2000 Report Public health agencies and managed care organizations share responsibility for the health of the populations they serve. Their relationships are particularly important in the area of STDs. This study analyzes the evolving relationships between managed care organizations and public health agencies in how they manage the prevention, treatment, and tracking…
Making Child Health Coverage a Reality: Lessons From Case Studies of Medicaid and CHIP Outreach and Enrollment Strategies September 30, 1999 Report Recent expansions in public health insurance for children and changes in welfare laws present states with the challenge of identifying and enrolling the large population of uninsured children in their Medicaid and Children’s Health Insurance Programs (CHIP). This study describes and analyzes the outreach and enrollment strategies and systems in…
A Profile of the Low-Income Uninsured July 30, 1999 Issue Brief This policy brief provides an overview of the low-income, uninsured population. Based on an analysis of the March 1998 Current Population Survey, the report discusses the demographic characteristics of this vulnerable population. It also presents information detailing health insurance coverage for low-income children and adults, as well as trends in…
Public Subsidies and Private Markets: Coverage Expansions in the Current Insurance Environment October 1, 1999 Report Many proposals for incremental expansion of health insurance coverage would provide subsidies for the purchase of nongroup policies. This paper assesses how subsidy options might play out in regulated or unregulated markets and explores the possible trade-off between two distinct policy goals: maximizing the absolute number of families with insurance…
The New Child Health Insurance Program: A Carefully Crafted Compromise October 1, 1999 Report This paper explores the major policy compromises embodied in the CHIP program. It focuses on two areas: the relative control of the federal and state governments over the program, and the design of the program in relation to the private, employer-based health insurance market. This paper is part of the…
Family Circle/Kaiser Family Foundation National Survey on Health Care & Other Elder Care Issues September 1, 2000 Poll Finding As part of a joint project with Family Circle, this national survey examines the knowledge and experiences of 806 adults with a parent 65 and older in an effort to understand their role in helping their aging parents. The survey found that half check in on their parent with regular…