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Community Health Centers: A 2012 Profile and Spotlight on Implications of State Medicaid Expansion Decisions

Community health centers are an integral part of the health care safety-net, providing access to care for over 21 million people in the U.S. The ACA made a major investment in the health center program, and expanded health coverage will provide new revenues to health centers, permitting grant funding to support care of the uninsured to go further. This annual update provides a pre-ACA snapshot of community health centers and also examines newly reported data on “look-alike” health centers. In addition, the brief highlights significant differences between the profiles and revenue situations of health centers in Medicaid expansion and non-expansion states in 2012, before the ACA coverage expansions took effect. Finally, it considers financial challenges facing health centers and the implications of state Medicaid decisions for health centers and their capacity to ensure access to care for low-income communities they serve.

The Ohio Health Care Landscape

This fact sheet provides an overview of population health, health coverage, and health care delivery in Ohio under the Affordable Care Act (ACA).

The Impact of the Children’s Health Insurance Program (CHIP): What Does the Research Tell Us?

The Children’s Health Insurance Program (CHIP) was established in 1997 to provide coverage for uninsured children who are low-income but above the threshold for Medicaid eligibility. In 2009, and again in the Affordable Care Act (ACA), Congress extended federal funding for CHIP, but funding will expire a little over a year from now. Decisions about CHIP’s future funding will be consequential as more than 8 million low-income children were covered by CHIP at some point during 2012. To help inform the policy debate about CHIP, this brief reviews key data and evidence from the large body of research on the impact of children’s coverage.

What Worked and What’s Next? Strategies in Four States Leading ACA Enrollment Efforts

This brief highlights the experiences of four states—Colorado, Connecticut, Kentucky, and Washington—that established a State-based Marketplace (SBM), implemented the ACA’s Medicaid expansion, and achieved success enrolling eligible individuals into coverage. Based on interviews with key stakeholders in each state, it identifies effective strategies that contributed to enrollment and current priorities looking forward.

Children’s Health Coverage – What You Need To Know

On Monday, July 14, 2014, the Kaiser Family Foundation and the Alliance for Health Reform will host a briefing to discuss CHIP, and why it was created, as well as experiences with children’s coverage through CHIP and Medicaid, and some of the key policy and financing questions around children’s health coverage looking forward.

Medicaid Spending Growth in the Great Recession and Its Aftermath, FY 2007-2012

This report presents data on changes in Medicaid’s enrollment and spending between federal fiscal year 2007 and federal fiscal year 2012, a period which includes the worst economic downturn in the United States since the Great Depression. The paper also examines what factors drove Medicaid spending over the period, and concludes that overall spending growth from 2007 to 2012 was driven largely by the enrollment growth that resulted from many people losing jobs and income during the recession. However, on a per enrollee basis, Medicaid spending has grown more slowly than other sectors of the health system.

Advancing Opportunities, Assessing Challenges: Key Themes from a Roundtable Discussion of Health Care and Health Equity in the South

This brief summarizes the primary themes expressed by participants of a roundtable discussion of current and future opportunities and challenges for advancing health care and health equity in the South organized by Kaiser Family Foundation’s Commission on Medicaid and the Uninsured and the Satcher Health Leadership Institute at Morehouse School of Medicine in Atlanta, Georgia.