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Economic and Fiscal Trends in Expansion and Non-Expansion States: What We Know Leading Up to 2014

This brief was prepared with the Rockefeller Institute of Government, the public policy research arm of the State University of New York. It is designed to provide some insight into the underlying economic and fiscal conditions in expansion and non-expansion states leading up to 2014 by looking at the typical (i.e. median) state for each group. This analysis will provide a framework against which to measure the impact of expansion decisions going forward. The sections focus on: demographics, tax capacity and revenue, state budgets and employment.

Medicaid Financing: How Does it Work and What are the Implications?

The Medicaid program is jointly funded by states and the federal government. There has been renewed interest in how Medicaid is financed in light of the additional federal financing for the Medicaid expansion under the Affordable Care Act (ACA) as well as ongoing budget discussions at the federal level. This brief reviews how the Medicaid program is financed as well as the implications for budgets, responsiveness to state policy choices and need, the links between Medicaid spending and state economies.

Health Insurance Coverage in 2013: Gains in Public Coverage Continue to Offset Loss of Private Insurance

The recession accelerated the long-standing decline in employer-sponsored health insurance and through 2013 most of the recovery in the uninsured rate was due to increased enrollment in public insurance, primarily Medicaid and the Children’s Health Insurance Program (CHIP). With the exception of young adults ages 19 to 25, who are able to remain on their parents’ health plan until age 26 under the ACA, ESI coverage rates for adults and children continued to decrease between 2010 and 2013.

Health Care Costs: What You Need To Know

On Wednesday, April 1, the Kaiser Family Foundation and the Alliance for Health Reform presented a briefing to explore the trends in health care costs in both the public and private sectors.

Trends in Medicaid Spending Leading up to ACA Implementation

This paper presents data on Medicaid spending during the years leading up to the implementation of the Affordable Care Act (ACA). It uses administrative data to first examine overall spending trends and trends by service type. We then draw on additional data to analyze per enrollee spending growth during this period, both by service type and by eligibility group, to understand what drove Medicaid spending.

Visualizing Health Policy: Medicare Spending: A Look at Present, Short-Term and Long-Term Trends

This Visualizing Health Policy infographic provides an overview of Medicare spending, including information on current federal spending relative to other government programs (e.g., Social Security) and percent-share of spending across Medicare services, as well as projected Medicare spending over the next decade and beyond. Recent federal spending on Medicare is…

Visualizing Health Policy: Medicare Spending: A Look at Present, Short-Term and Long-Term Trends

This Visualizing Health Policy infographic with the Journal of the American Medical Association (JAMA) provides an overview of Medicare spending trends in the present, short term and long term. In the long term, Medicare spending as a share of the economy is projected to grow, and Medicare is projected to lack sufficient funds to pay all hospital bills beginning in 2030.

Kaiser Family Foundation/New York Times/CBS News Non-Employed Poll

To help shed light on recent trends in the U.S. employment market, the Kaiser Family Foundation partnered with the New York Times and CBS News to conduct a survey of adults between the ages of 25-54 (generally considered to be prime working age) who are not currently employed. Rather than focusing only on those who meet the official government definition of unemployment, this survey takes a broad look at all prime-age adults who are not working, regardless of their desire for work or job-seeking activities. While the official U.S. unemployment rate has declined since the start of the recession in late 2007, the total share of adults who are not employed has risen in recent years. This survey examines the views and experiences of this broad group of prime-age workers who are not employed, including how they get by financially, the factors to which they attribute their lack of employment, what it would take to get them working, and – for those who used to work – how being out of work has changed their lives.