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The Henry J. Kaiser Family Foundation

Special Needs Plans: Availability and Enrollment

Special Needs Plans are a form of Medicare Advantage plan authorized to provide a managed care option for beneficiaries with significant or relatively specialized care needs, including Medicare beneficiaries who are dually eligible for Medicare and Medicaid, beneficiaries living in nursing homes or other institutions, and beneficiaries with severe chronic…

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The Henry J. Kaiser Family Foundation

Governors’ Budgets for FY 2013 — What is Proposed for Medicaid?

This report provides Medicaid highlights from governors’ proposed state budgets for FY 2013, which starts July 1, 2012 for most states. While some states are beginning to see signs of economic recovery, many remain cautiously optimistic as they continue to experience the recession’s lingering effects. State revenues have not rebounded…

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The Henry J. Kaiser Family Foundation

Health Insurance Coverage for Older Adults: Implications of a Medicare Buy-In

As the Senate debates comprehensive health reform legislation, the idea of a Medicare buy-in option for uninsured adults aged 55-64 has re-emerged as a potential component of a reform plan. This Kaiser Family Foundation policy brief provides an updated profile of the more than 4 million uninsured people between ages…

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The Henry J. Kaiser Family Foundation

Pulling it Together: When Premiums Go Up 39%

Our group that works on health care cost issues just updated an analysis that sheds light on what’s really happening to people in the individual health insurance market, the issue Secretary Sebelius, a former Kansas insurance commissioner, and others have put in the spotlight by calling on Anthem and other…

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The Henry J. Kaiser Family Foundation

The New Health Reform Law and Medicaid

This briefing, cosponsored by the Alliance for Health Reform and the Kaiser Family Foundation, explores the provisions of the Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act of 2010 (HCERA). A panel of experts explain how PPACA and HCERA affect Medicaid, and answer…

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The Henry J. Kaiser Family Foundation

The Medicare Part D Low-Income Subsidy Program: Experience to Date and Policy Issues for Consideration

This policy brief examines the low-income subsidy program that provides premiums and cost-sharing assistance under Part D plans, documenting trends in both beneficiary and plan participation over time. With fewer plans available to low-income enrollees without having to pay a premium, and annual changes in those plans, the brief discusses…

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The Henry J. Kaiser Family Foundation

Medicare Part D Update: Lessons Learned and Unfinished Business

Enacted in 2003, Medicare’s Part D prescription drug benefit reflected an unprecedented and controversial new approach for Medicare, relying exclusively on private plans to provide health coverage and including an unusual gap in coverage. This analysis by Kaiser researchers examines in detail how the new model has worked since its…

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The Henry J. Kaiser Family Foundation

Explaining Health Care Reform: What is Comparative Effectiveness Research?

The brief examines current funding for comparative effectiveness research, the provisions included in the current health reform legislation, and issues related to which treatments that might be studied, whether and how to weigh costs of care, and how such findings will be used and shared with health-care practitioners and the…

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The Henry J. Kaiser Family Foundation

Medicaid Coverage and Spending in Health Reform: National and State-By-State Results for Adults at or Below 133% FPL

This analysis, performed by the Urban Institute for the Kaiser Commission on Medicaid and the Uninsured, shows that the expansion of Medicaid under the health reform law will significantly increase the number of people covered by the program and reduce the uninsured in states across the country, with the federal…

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The Henry J. Kaiser Family Foundation

Financial Incentives in the Long-Term Care Context: A First Look at Relevant Information

Financial Incentives in the Long-Term Care Context: A First Look at Relevant Information This report reviews Medicare’s payment policies as they may affect medical care for residents in long-term care environments, including a look at the financial incentives that could play a role in hospital and skilled nursing facility admissions.…

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