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The Henry J. Kaiser Family Foundation

The Nuts and Bolts of Medicare Premium Support Proposals

In April 2011, as part of its 2012 budget resolution, the U.S. House included a proposal to reduce Medicare spending by transforming the program into a system sometimes called “premium support” or vouchers. Such an approach also has been a central element of other proposals by national leaders seeking to…

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The Henry J. Kaiser Family Foundation

The Role of Medicare and Beneficiaries in the Deficit-Reduction Debate

This Kaiser Family Foundation briefing examined how Medicare reform options now under consideration might work and their implications for beneficiaries and taxpayers. As context for understanding the potential effects of reforms, the briefing looked at the current and projected income and assets of people on Medicare, out-of pocket health care…

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The Henry J. Kaiser Family Foundation

An Overview of Changes in the Federal Medical Assistance Percentages (FMAPs) for Medicaid

The joint federal-state financing of the Medicaid program works through a matching mechanism known as the Federal Medical Assistance Percentage (FMAP). This mechanism determines the federal and state shares of Medicaid costs based on a state’s per capita personal income relative to the national average. While the FMAP formula has…

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The Henry J. Kaiser Family Foundation

Pulling It Together: Bono, Jon Stewart and the HIV/AIDS Message

One of the most interesting conversations on a health topic happened recently on The Daily Show between Bono and Jon Stewart. Bono told Stewart that we were “at the beginning of the end of the AIDS epidemic,” promising an announcement the next day that would explain how a combination of…

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The Henry J. Kaiser Family Foundation

Implications Of A Federal Block Grant Program For Medicaid

This issue brief examines the broad implications of converting Medicaid to block grant financing, one of several ideas that have been put forth to help reduce the federal deficit. The paper, which does not analyze any specific proposal, notes that switching to block grant financing would fundamentally alter the Medicaid…

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The Henry J. Kaiser Family Foundation

Proposed Changes to Medicare in the “Path to Prosperity”: Overview and Key Questions

This brief examines key Medicare provisions included in “The Path to Prosperity: Restoring America’s Promise,” a long-term budget proposal released by House Budget Chairman Paul Ryan on April 5, 2011, which outlines a strategy for reducing federal spending and reducing the national debt over time. The Medicare provisions are among…

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The Henry J. Kaiser Family Foundation

Pulling It Together: Are We Headed for a Government Takeover of Health Care?

Remember the “government takeover of the health care system” argument that critics of the health reform law have used?  Well, last week the Office of the Actuary in the Centers for Medicare and Medicaid Services published the latest projections of health spending in the journal Health Affairs.  Attention focused mainly…

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The Henry J. Kaiser Family Foundation

The Budget Control Act of 2011: Implications for Medicare

Beginning January 2013, Medicare spending will be subject to automatic, across-the-board reductions, known as “sequestration,” which is slated to reduce Medicare payments to plans and providers by up to 2 percent. This sequestration results from provisions in the Budget Control Act of 2011, which raised the debt ceiling and will…

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The Henry J. Kaiser Family Foundation

Medicaid Enrollment and Expenditures by Federal Core Requirements and State Options

To receive federal Medicaid matching funds, states that participate in Medicaid must meet federal requirements, which include covering specified “federal core” enrollee groups and mandatory health benefits. States also may choose to cover additional “state expansion” enrollees and optional benefits with federal Medicaid matching funds. The federal core eligibility standards…

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The Henry J. Kaiser Family Foundation

2009 National ADAP Monitoring Project Annual Report

The National ADAP Monitoring Project Annual Report provides the latest data on state AIDS Drug Assistance Programs (ADAPs). ADAPs, part of the Ryan White Program, provide HIV medications to low-income people with HIV/AIDS who have limited or no prescription drug coverage. ADAPs operate in all 50 states, the District of…

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