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The Henry J. Kaiser Family Foundation

States Getting a Jump Start on Health Reform’s Medicaid Expansion

One of the primary goals of the Affordable Care Act (ACA) is to decrease the number of uninsured through a Medicaid expansion to nearly all individuals with incomes up to 133 percent of the federal poverty level (FPL) ($14,856 for an individual or $25,390 for a family of three in…

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The Henry J. Kaiser Family Foundation

A Focus Group with Medicaid Directors: As FY 2012 Ends, Looking Toward FY 2013

This report is based on a focus group discussion in May 2012 with the Executive Board of the National Association of Medicaid Directors (NAMD) and other leading Medicaid directors. The group of nine directors reflected perspectives from various regions of the country. The discussion focused on state fiscal conditions, Medicaid…

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The Henry J. Kaiser Family Foundation

Efforts in States to Promote Medicaid Community-Based Services and Supports

This brief summarizes lessons in offering more home and community-based services from states at the forefront of the effort. It describes current options for state Medicaid programs and draws on interviews with state officials to provide details about specific policies and procedures in states. Brief (.pdf)

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The Henry J. Kaiser Family Foundation

Medicaid and Managed Care: Key Data, Trends, and Issues

This brief provides a snapshot of the Medicaid program’s use of managed care to deliver services to beneficiaries. It examines the prevalence of managed care in state Medicaid programs; the various approaches states have used, including primary-care case management; managed care for long-term services and for beneficiaries dually eligible for…

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The Henry J. Kaiser Family Foundation

Explaining Health Reform: Building Enrollment Systems That Meet The Expectations of the Affordable Care Act

The new health reform law will require most U.S. citizens and legal residents to have health coverage by 2014. It provides new options for coverage by expanding Medicaid eligibility to more low-income people and creating a state-based system of health insurance Exchanges through which individuals can purchase coverage, with federal…

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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

Medicaid Spending: What Factors Contributed to the Growth Between 2000 and 2002?

The report finds that rapid Medicaid spending growth has been driven, in part, by enrollment increases resulting from the loss of income and private insurance coverage during the current economic downturn, together with continued increases in hospital and prescription drug costs that have affected the entire health care sector. Issue…

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The Henry J. Kaiser Family Foundation

Getting the Most Bang for Our Health Reform Buck: Enrolling and Retaining Everyone Who’s Eligible

As Congress looks for ways to increase access to health care, existing programs such as Medicaid and the Children’s Health Insurance Program are often overlooked. Yet enrolling those who are eligible for such programs is one of the easiest ways to expand coverage. This briefing, co-sponsored by Alliance for Health…

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The Henry J. Kaiser Family Foundation

Vermont’s Choices for Care Medicaid Long-Term Services Waiver: Progress and Challenges As the Program Concluded Its Third Year

Vermont's Choices for Care experiment in long-term services, created through a five-year Medicaid waiver in 2005, was designed to increase access to home and community-based services while reducing the use of institutional services and controlling overall costs. In exchange for agreeing to a federal funding cap, Vermont was able to…

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The Henry J. Kaiser Family Foundation

Optimizing Medicaid Enrollment: Spotlight on Technology

The health reform law provides for a national expansion of Medicaid in 2014 that will extend eligibility to millions more low-income people, primarily uninsured adults. It also requires implementation of a coordinated system for determining eligibility for Medicaid and subsidized coverage in the new health insurance exchanges. Given the expected…

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