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Health Reform and State Workforce Challenges: An Early Look at Five States

This report provides an early look at state efforts to prepare for health reform, examining the experiences to date in five states (Connecticut, Michigan, Massachusetts, North Carolina and Washington). The report finds that the state political environment and expected leadership transitions create uncertainties and are already factoring into state strategies…

Behavioral Health: Can Primary Care Help Meet the Growing Need?

The health reform law has specific provisions covering mental health and substance use conditions, as well as general provisions to benefit those in need of behavioral health services. While addressing unmet needs, the reform law provisions raise new challenges. Given their budgetary constraints, will states be able to expand capacity…

Medigap: Spotlight on Enrollment, Premiums and Recent Trends

Medicare supplemental insurance, also known as “Medigap,” is an important source of supplemental coverage for nearly one in four people on Medicare. Traditional Medicare has cost-sharing requirements and significant gaps in coverage; Medigap helps make health care costs more predictable and stable for beneficiaries by covering some or all Medicare…

Medicare Advantage 2012 Data Spotlight: Enrollment Market Update

This data spotlight examines the growth in private Medicare Advantage plan enrollment in 2012, with a record 13 million Medicare beneficiaries enrolled as of March, representing 27 percent of all Medicare beneficiaries. Enrollment jumped by more than 1 million enrollees from the previous year and increased in every state except…

Building an Express Lane Eligibility Initiative: A Roadmap of Key Decisions for States

The Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) provides states new options to reach and enroll the estimated 5 million eligible but uninsured low-income children into Medicaid and CHIP. One key tool provided to states by the law is Express Lane Eligibility (ELE), which allows state Medicaid and…

Overview of Health Coverage for Individuals with Limited English Proficiency

This brief provides an overview of the population of people in the United States with limited English proficiency (LEP) and describes their access to health coverage and care. There were 21.1 million such individuals in 2010, accounting for nearly 9 percent of the nonelderly population. Most are Hispanic, Spanish-speaking adults.…