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The Henry J. Kaiser Family Foundation

A Case Study of the Utah Primary Care Network Waiver: Insights into Its Development, Design, and Implementation

This report examines the creation and implementation of Utah’s waiver through interviews with key stakeholders and an analysis of state enrollment data and quarterly reports. Also see Health Affairs article, Can States Stretch the Medicaid Dollar Without Passing the Buck? Lessons from UtahReport (.pdf)

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The Henry J. Kaiser Family Foundation

The Impact of Recent Changes in Health Care Coverage for Low-Income People:  A First Look at the Research Following Changes in Oregon’s Medicaid Program

The Impact of Recent Changes in Health Care Coverage for Low-Income People: A First Look at the Research Following Changes in Oregon's Medicaid ProgramOregon recently restructured its Medicaid program through a Section 1115 waiver and other program changes, largely in response to particularly difficult state budget problems. This report summarizes…

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The Henry J. Kaiser Family Foundation

Section 1115 Waivers in Medicaid and the State Children’s Health Insurance Program: An Overview

A new policy brief provides a description of the Section 1115 law, its history, and an overview of how it plays a role in the restructuring of Medicaid and SCHIP.

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The Henry J. Kaiser Family Foundation

The New Medicaid and CHIP Waiver Initiatives

A new report describes past waiver activity, the principles of the new HIFA initiative, and related policy implications. Background Paper Appendix: Side-by-Side Comparison

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The Henry J. Kaiser Family Foundation

Section 1115 Medicaid and SCHIP Waivers: Policy Implications of Recent Activities

This policy brief provides an overview of recent Section 1115 waivers and a discussion of key issues. The HIFA initiative, combined with state fiscal pressures, have led to an increase in the number of states seeking Section 1115 waivers. Many of these recent waivers stake out new ground in terms of the scope of changes in coverage that they permit.

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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

Decoding Medicaid Care Delivery and Financing Models: A Glossary of Widely Used Terms

As care delivery and financing models in Medicaid have multiplied, so has the terminology used to refer to them. This glossary seeks to clarify and define the terms that are widely used to describe the diverse approaches that states are taking to reform the way they organize and pay for…

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The Henry J. Kaiser Family Foundation

Explaining the State Integrated Care and Financial Alignment Demonstrations for Dual Eligible Beneficiaries

This paper provides an overview of the joint efforts of states and the Centers for Medicare and Medicaid Services (CMS) to develop more integrated ways of paying for and delivering health care to the 9 million people who are eligible for both the Medicare and Medicaid programs. Dual eligible beneficiaries…

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The Henry J. Kaiser Family Foundation

Colorado Section 1115 Waiver Fact Sheet

Fact Sheet

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The Henry J. Kaiser Family Foundation

Medicaid as a Health Insurer: Current Benefits and Flexibility

This issue brief focuses on one subset of “flexibility” issues: the current federal benefits and cost-sharing rules that apply with respect to acute care. Issue Paper (.pdf)

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