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5 Key Questions: Medicaid Block Grants & Per Capita Caps

Medicaid covers more than 70 million low-income children, pregnant women, adults, seniors, and people with disabilities in the United States. The program represents $1 out of every $6 spent on health care in the US and is the major source of financing for states to provide coverage for the health and long-term needs of low-income residents. President Trump and other GOP leaders have called for fundamental changes in the structure and financing of Medicaid. This brief outlines five key questions to consider as the debate moves forward as well as some potential implications of these changes for states, beneficiaries and providers.

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An Early Look at Medicaid Expansion Waiver Implementation in Michigan and Indiana

This brief explains key components of Michigan and Indiana’s Medicaid expansions under Section 1115 demonstration waivers and presents insights from stakeholder interviews and focus groups about early implementation experience.

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Current Flexibility in Medicaid: An Overview of Federal Standards and State Options

The Trump Administration and new Congress have indicated that they will seek to cap Medicaid financing through a block grant or per capita cap, reduce federal funding for the program, and offer states increased flexibility to manage their programs within this more limited financing structure. The size of the federal reductions as well as which federal program standards would remain in place and what increased flexibility might be provided to states under such proposals would have significant implications. To help inform discussion around increased flexibility, this brief provides an overview of current federal standards and state options in Medicaid and how states have responded to these options in four key areas: eligibility, benefits, premiums and cost sharing, and provider payments and delivery systems.

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Event: Major Considerations for Repealing & Replacing the ACA

Major Considerations for Repealing and Replacing the ACA

The Kaiser Family Foundation and the Committee for a Responsible Federal Budget host a public forum to discuss the process and implications of repealing and replacing the Affordable Care Act, including the implications of using the budget reconciliation process to repeal the ACA, and what an ACA replacement could mean for health insurance coverage and costs.

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Web Briefing for Journalists: Repealing and Replacing Obamacare

On Wednesday, January 25, the Kaiser Family Foundation hosted a web briefing for journalists to answer questions and sort through possible scenarios for repealing and replacing the Affordable Care Act, also known as Obamacare, including implications for coverage, the insurance market, the Medicaid program, and women’s health.

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The Henry J. Kaiser Family Foundation

Data Note: Estimated Medicaid Savings in the House Budget Resolution from March 2016

While the current Budget Resolution under consideration will set the framework for a repeal of the ACA, the Budget Resolution that passed in March 2016 provides insight into other Medicaid cuts that could be considered by Congress later this year. This Data Note examines proposed reductions in federal Medicaid funding under the March 2016 House Budget Resolution.

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The Henry J. Kaiser Family Foundation

JAMA Forum: What Might an ACA Replacement Plan Look Like?

Larry Levitt’s January 2017 post explains the logistics of a “repeal and delay” approach to the Affordable Care Act, and outlines key elements of a proposed replacement plan from Rep. Tom Price, who is President Trump’s nominee for Secretary of Health and Human Services. The post is now available at The JAMA Forum.

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The Henry J. Kaiser Family Foundation

High-Risk Pools as Fallback for High-Cost Patients Require New Rules

In this Wall Street Journal Think Tank column, Drew Altman examines how Republicans would “split the risk pools” between the healthier and the sick in their Affordable Care Act replacement plans, using state high risk pools as a fallback for higher cost patients, and examines the steps that would be necessary to make them effective based on prior experience in the states.

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The Henry J. Kaiser Family Foundation

New Interactive Map with Local Data: Estimated 2016 ACA Marketplace Enrollment by Congressional District

As the 115th U.S. Congress deliberates the future of the Affordable Care Act, also known as Obamacare, a new interactive map from the Kaiser Family Foundation provides estimates of the number of people in each congressional district who enrolled in a 2016 ACA marketplace health plan and the political party of each district’s representative as of January. The analysis also includes maps charting by state the total number of people enrolled under the ACA Medicaid expansion in 2015, along with the political parties of the governors and U.S. senators.

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The Henry J. Kaiser Family Foundation

Obamacare Debate: Where GOP Governors Stand on Repeal and Replace

As congress prepares to vote on repeal of the Affordable Care Act, Drew Altman discusses whether Republican governors and congressional Republicans will be at odds over key issues when it comes to repealing and replacing the law in this Wall Street Journal Think Tank column.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.