This fact sheet from the Obamacare & You series explains health coverage options that may be available to people who have low-incomes or may be qualified for Medicaid under the Affordable Care Act, The law expands Medicaid and creates creates new private insurance marketplaces, in which subsidies will be available to low- and moderate-income people.
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Regardless of state Medicaid expansion decisions, all states must implement new eligibility and enrollment processes, including a transition to determine income eligibility for most groups based on Modified Adjusted Gross Income (MAGI). As part of the transition to MAGI, states’ existing Medicaid income limits for children, pregnant women, parents, and childless adults will be converted to MAGI-equivalent limits. This fact sheet provides Medicaid income limits for parents and childless adults as of January 2013, and the new income limits that will be in effect as of January 1, 2014.
Preparing for Outreach and Enrollment under the Affordable Care Act: Lessons from the States – Briefing and Panel Discussion
With open enrollment beginning Oct. 1, this event examines outreach and enrollment efforts to help millions of uninsured Americans gain coverage in the Affordable Care Act’s new health insurance Marketplaces or through the expansion of state Medicaid programs.
Providing Outreach and Enrollment Assistance: Lessons Learned from Community Health Centers in Massachusetts
As states and communities gear up to provide outreach and enrollment assistance under the ACA, the enrollment assistance experience of health centers in Massachusetts, where a major expansion of health coverage was implemented six years ago, offers valuable lessons that can help to inform current and emerging efforts by health centers and other community-based organizations to reach and enroll millions of low-income, uninsured Americans in health insurance.
Health Affairs Article: Medicaid Expansion: Chronically Homeless Adults Will Need Targeted Enrollment and Access to a Broad Range of Services
Homeless adults may gain access to health services under the Affordable Care Act’s Medicaid expansion, which takes effect in 2014. This study, published in Health Affairs, analyzed the health coverage, health status, and health services use of 725 chronically homeless adults with disabilities in eleven cities in the United States.
What is Medicaid’s Impact on Access to Care, Health Outcomes, and Quality of Care? Setting the Record Straight on the Evidence
Medicaid now covers more than 1 in every 5 Americans, and millions of uninsured individuals will become newly eligible for Medicaid under the ACA. Considering Medicaid’s large and growing coverage role, an evidence-based assessment of the program’s impact on access to care, health outcomes, and quality of care is of major interest. This brief takes a look at what the research literature shows regarding the difference Medicaid makes.
This brief finds that people of color will be disproportionately impacted by state decisions to expand Medicaid and that the impact of current state Medicaid expansion decisions varies widely by race and ethnicity, with Blacks at the highest risk of continuing to face coverage gaps and remaining uninsured due to state decisions not to expand at this time. As such, state Medicaid expansion decisions have important implications for efforts to reduce disparities and promote greater equity in health coverage and care.
This study examines quality among health centers relative to Medicaid managed care organizations (MCOs). Chronic care quality among health centers is high; gaps in women’s preventive care are a concern. Lower-performing health centers have very high uninsured and homeless rates. The expansion of Medicaid and private insurance under the ACA may foster gains in health center quality performance.
Drew Altman, President and CEO of the Foundation, was asked to contribute to the New York Times’ Room for Debate discussion on More Medicaid, More Health? In his piece, Dr. Altman concludes “Insurance — public or private — provides financial protection and access to medical care which low-income people need just as everybody else does. But it cannot by itself change behavior, alleviate poverty, or guarantee that the medical system is doing all it can to improve health.”
What Difference Does Medicaid Make? Assessing Cost Effectiveness, Access, and Financial Protection under Medicaid for Low-Income Adults
This brief examines the cost and use of health care among low-income nonelderly adults who are covered by Medicaid relative to their expected service use and costs if they instead had employer-sponsored insurance (ESI) coverage or were uninsured. The analysis controls for a wide array of factors that also influence utilization and spending in an effort to isolate the specific effects of Medicaid coverage. Consistent with previous research, the analysis underscores how Medicaid facilitates access to care for program beneficiaries.