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Summary of the Affordable Care Act

This document summarizes the comprehensive 2010 health reform law, often called the Affordable Care Act or ACA, including changes made to it by subsequent legislation, with a focus on provisions to expand coverage, control costs, and improve delivery systems.

How Much Will Medicaid Cost in the Future and Why: A Look At Federal Projections

This brief examines the latest Congressional Budget Office (CBO) projections for federal Medicaid spending over the 2013-2023 period. CBO’s budget projections, also known as “baseline” projections, reflect CBO’s best judgment about how the economy and other factors will affect federal revenues and spending under existing laws. The Medicaid baseline includes estimates about the effects of the Affordable Care Act (ACA) on Medicaid enrollment and spending. Understanding the CBO baseline estimates is important because they are the basis to evaluate the federal cost and coverage implications of proposed federal policy changes. There is active debate and discussion about the federal budget and federal deficit reduction. The fiscal effect of any federal policy changes will be measured against the CBO baseline.

Impact of the Medicaid Expansion for Low-Income Communities of Color Across States

As states continue to weigh whether to expand Medicaid under the Affordable Care Act, one important consideration is the impact of the expansion for low-income people of color. While the Medicaid expansion will increase coverage options for all low-income Americans, it will disproportionately impact low-income people of color. Overall, people…

A Profile of Health Insurance Exchange Enrollees

The Patient Protection and Affordable Care Act calls for the creation of Health Insurance Exchanges in all states by January 1, 2014. The exchanges are a critical element of the health reform law, aimed at helping individuals and families shop for and purchase health insurance on their own with additional…

The Flip Side of Higher Premiums: Better Coverage

Time Magazine’s recent cover story on health care – “Bitter Pill” by Steven Brill – has focused attention on hospital prices, especially for people paying out of their own pockets. This is not a new issue, but certainly one that deserves attention. However, what has been lost in the ensuing…

Quick Take: Key Considerations in Evaluating the ACA Medicaid Expansion for States

A central goal of the Patient Protection and Affordable Care Act (ACA) is to significantly reduce the number of uninsured by providing a continuum of affordable coverage options through Medicaid and new Health Insurance Exchanges.  Following the June 2012 Supreme Court decision, states face a decision about whether to adopt…