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Express Lane Eligibility: How to Enroll Large Groups of Eligible Children in Medicaid and CHIP

This issue paper explores the potential for increasing enrollment in children’s health insurance programs through “Express Lane Eligibility.” Express Lane Eligibility is the accelerated enrollment of low-income uninsured children already participating in other income-comparable publicly funded programs, such as WIC or school lunch, into Medicaid or CHIP. The paper reviews…

Variations in State Medicaid Buy-in Practices for Low-Income Medicare Beneficiaries: A 1999 Update

This report updates a 1997 Foundation report to assess how states are implementing financial protections for the 16 million Medicare beneficiaries who are low-income. These protections, generally referred to as “buy-in programs,” help low-income Medicare beneficiaries meet Medicare's cost-sharing requirements by using state Medicaid programs to pay either all or…

Long-Term Care:  Medicaid’s Role and Challenges

Long-Term Care: Medicaid's Role and ChallengesThis Policy Brief examines Medicaid's role in providing long-term care services. It describes long-term care services, the population that needs these services, and how people get long-term care services. It provides an overview of health insurance coverage of persons with long-term care needs and describes…

Medicaid and Welfare Reform: States’ Use of the $500 Million Federal Fund

This report reviews how states have responded to the $500 million federal fund that was created by the federal welfare reform legislation in 1996 to help states maintain Medicaid coverage for individuals affected by welfare reform. State Medicaid officials were asked whether they have drawn down federal funds from the…

The Difference Different Approaches Make: Comparing Proposals to Expand Health Insurance

The Difference Different Approaches Make: Comparing Proposals to Expand Health InsuranceThis paper estimates and compares the impacts of alternative mechanisms for expanding health insurance coverage. A variety of approaches-expansions of existing public programs, direct subsidies, and tax credits-and target populations-including children, poor adults, parents of Medicaid- or CHIP-covered children, and…

Options for Expanding Health Insurance Coverage: Report on a Policy Roundtable

This paper is a summary of a 1999 policy conference, The Kaiser Incremental Health Reform Project, which highlighted both the policy and politics of incrementalism. This paper identifies issues and tradeoffs associated with alternative approaches to expanding health insurance coverage-including enactment and implementation of CHIP and further coverage expansions through…

Medicare Buy-In Proposal

Americans at the end of their working lives are increasingly facing greater uncertainty regarding health insurance and hence access to health care. This paper describes a proposal that would allow older persons not yet eligible for Medicare (under age 65) to “buy into” Medicare coverage. This paper is part of…

Expanding Health Insurance Through Tax Reform

This paper discusses the impacts of the Heritage Foundation proposal for expanding health insurance coverage. Under the proposed tax reform, the employer tax exclusion and all other deductions for health-related expenses would be repealed. A new refundable tax credit would be created for unreimbursed medical expenses. This paper is part…

An Assessment of Strategies for Expanding Health Insurance Coverage

This paper provides a conceptual analysis of alternative mechanisms (tax credits, public programs, and direct subsidies) for expanding health insurance coverage. The paper, which is part of the Kaiser Incremental Health Reform Project, discusses the likely impacts alternative approaches on a variety of outcomes including efficiency in increasing coverage and…

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.