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State Health Insurance Marketplace Profiles

Up-to-date state profiles give an in-depth look at each state’s progress in setting up marketplaces, formally known as exchanges, including the legislative process and the next steps.

Health Coverage by Race and Ethnicity: The Potential Impact of the Affordable Care Act

Executive Summary One of the key goals of the Affordable Care Act (ACA) is to reduce the number of uninsured through a Medicaid expansion and the creation of health insurance exchange marketplaces with advance premium tax credits to help moderate-income individuals pay for this coverage. Given that people of color…

Ensuring the Health Care Needs of Women: A Checklist for Health Exchanges

To inform the development of the state health insurance Exchanges under the Affordable Care Act, this checklist identifies key coverage, affordability and access issues that are important for women. Based on lessons learned from women’s health research and the Massachusetts experience, the checklist considers essential health benefits, implementation of no-cost preventive services including contraception, provider networks and affordability, outreach and enrollment efforts, and the importance of including gender and other demographic characteristics in data collection and reporting standards.

Can We Learn From ACA Implementation and Improve the Law?

Senator Baucus made headlines recently when he predicted a “train wreck” for Obamacare. David Brooks predicted “chaos” in a recent column. In a news conference, the President offered a different perspective.  “There’ll still be, you know, glitches and bumps…. That’s pretty much true of every government program that’s ever been…

Zooming in on Health Reform: Understanding the Potential Impact of the ACA on Medicaid and the Uninsured at the Local Level

The impact of the Affordable Care Act (ACA) will vary by geography depending on current coverage patterns and socio-demographic factors. Use this interactive Zooming In tool to see how the number and composition of individuals enrolled in Medicaid or who are uninsured could change in local areas and at the state level if your state expands Medicaid.

Low Medicaid Spending Growth Amid Rebounding State Revenues:  Results From a 50-State Medicaid Budget Survey State Fiscal Years 2006 and 2007

Low Medicaid Spending Growth Amid Rebounding State Revenues: Results From a 50-State Medicaid Budget Survey State Fiscal Years 2006 and 2007 The 50-state annual survey about budget conditions and Medicaid cost containment actions in FY2006-07 finds an improved economy combined with the implementation of the new Medicare prescription drug benefit…

As Tough Times Wane, States Act to Improve Medicaid Coverage and Quality:  Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2007 and 2008

As Tough Times Wane, States Act to Improve Medicaid Coverage and Quality: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2007 and 2008 The annual 50-state survey of state officials on Medicaid and state budget actions reports enrollment in Medicaid declined for the first time in nearly…

Medicaid Financing Issues: Provider Taxes

Current law allows states to use revenue from provider taxes to help fund the state share of spending on Medicaid, a program that is jointly financed by the states and the federal government. Almost all states have at least one provider tax in place. This issue brief reviews the use…