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Medicaid Financing: An Overview of the Federal Medicaid Matching Rate (FMAP)

Since its enactment in 1965, the Medicaid program has used the Federal Medical Assistance Percentage (FMAP) to determine the federal government’s share of the cost of covered services in state Medicaid programs. On average, the federal share has been 57 percent. Beginning in 2014, the Affordable Care Act (ACA) establishes…

A Dose of Reality in the Virtual World of Health IT

The Alliance for Health Reform hosted a September 28 briefing to discuss electronic health records (EHRs), and the progress of the Health Information Technology for Economic and Clinical Health (HITECH) Act. Speakers explored such questions as: How does health information technology fit in the strategy for health care delivery transformation?…

How Small Business Owners Get Health Insurance

As with any economic policy issue, there has been much discussion of how the Affordable Care Act (ACA) will affect small businesses. But, there’s been very little focus on how the health reform law will affect the owners of those businesses as people. As our recently released Employer Health Benefits…

Pulling it Together: How the ACA Can Help The Homeless

Estimates are that there are approximately 630,000 people who are homeless on any given night in the U.S. — about two-thirds in shelters and one-third on the street or without real shelter. Several million people are estimated to experience homelessness over the course of a year. About two-thirds are individuals and the…

Making Sense of the Census Uninsured Numbers

The Alliance for Health Reform and the Kaiser Family Foundation’s Commission and Medicaid and the Uninsured discuss the Census uninsured numbers. The Census Bureau announced that the number of people without health insurance dropped from 50 million to 48.6 million in 2011, marking the first decrease since 2007. That information…

How the ACA Changes Pathways to Insurance Coverage for People with HIV

There are multiple sources of insurance coverage and care for people with HIV in the United States.  These include public programs, such as Medicaid and Medicare, and the Ryan White HIV/AIDS program, as well as private coverage through an employer or in the individual market. Medicaid, the nation’s principal safety-net…

Repealing the Affordable Care Act: Implications for Medicare Spending and Beneficiaries

A number of Republican proposals to repeal the 2010 health reform law, the Patient Protection and Affordable Care Act (ACA), include the elimination of the law’s Medicare provisions. This Data Note reviews the impact of repealing those provisions for Medicare beneficiaries and program spending. If the ACA were repealed, Medicare…