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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

Enrollment-Driven Expenditure Growth: Medicaid Spending During the Economic Downturn, FY 2007-2011

This report presents data on changes in Medicaid’s enrollment and spending between federal fiscal year 2007 and federal fiscal year 2011, a period which includes the worst economic downturn in the United States since the Great Depression of the 1930s. The paper also examines what factors drove Medicaid spending over…

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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

Program Integrity in Medicaid: A Primer

Medicaid covers more than 60 million Americans and accounts for about one in six dollars spent on health care in the United States. Multiple agencies at the state and federal levels are involved in efforts to prevent waste, fraud and abuse in the program and ensure appropriate use of taxpayer…

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The Henry J. Kaiser Family Foundation

Health Coverage in an Economic Downturn: Impact of Tight Budgets on Families and States

The economic downturn has strained family finances and prompted some Americans to cut back on medications and forgo preventive care and visits to the doctor. At the same time, the downturn has triggered declines in tax revenue that inhibit states’ ability to meet rising Medicaid program costs as enrollment spikes…

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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

Health Reform Issues: Key Issues About State Financing and Medicaid

This updated issue brief from the Kaiser Commission on Medicaid and the Uninsured examines key issues related to state financing and the expansion of the Medicaid program under the new health reform law. Issue 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

Five Key Questions About Medicaid And Its Role in State/Federal Budgets and Health Reform

This fact sheet highlights key issues about Medicaid, including the structure, financing and purpose of the program, its role for low-income beneficiaries, its share of the federal budget and state budgets, and the significant implications of the coverage expansion under the Affordable Care Act. Fact Sheet (.pdf) Related chartpack: Five…

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