Program Integrity in Medicaid: A Primer July 1, 2012 Issue Brief 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…
A Guide to the Supreme Court’s Affordable Care Act Decision June 29, 2012 Issue Brief This policy brief describes the Supreme Court’s decision on the Affordable Care Act and looks ahead to the implementation of health reform now that questions about the constitutionality of the law have been resolved. Brief (.pdf)
Children and Oral Health: Assessing Needs, Coverage and Access June 1, 2012 Issue Brief This policy brief highlights the prevalence of dental problems among children and examines gaps in oral health coverage and access to dental care, as well as disparities by income and race/ethnicity. It also looks at out-of-pocket costs for dental care, explains the role of Medicaid and CHIP in dental care,…
Oral Health in the U.S.: Key Facts June 1, 2012 Fact Sheet This fact sheet provides data on oral health care coverage and access for children, nonelderly adults and Medicaid beneficiaries, including state-by-state data on measures such as the share of adults who have had a dental visit within the past year. Fact Sheet (.pdf)
Articles Examine Data and Issues For Expanding Integrated Care Models For Dual-Eligible Beneficiaries June 1, 2012 Report As state and federal policymakers move to develop and test integrated care models for people dually eligible for Medicare and Medicaid, two new Kaiser Family Foundation articles in the June 2012 issue of Health Affairs highlight the diverse needs and challenges facing these 9 million beneficiaries, describe their current care…
A Focus Group with Medicaid Directors: As FY 2012 Ends, Looking Toward FY 2013 June 1, 2012 Report 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…
CHIP Enrollment: June 2011 Data Snapshot June 1, 2012 Issue Brief This data snapshot provides the latest data on Children’s Health Insurance Program (CHIP) enrollment and policy trends nationally and across the states through June 2011, based on survey responses and data provided by CHIP directors in all 50 states and the District of Columbia. The report finds that in June…
Access to Affordable Dental Care: Gaps for Low-Income Adults June 1, 2012 Issue Brief This policy brief provides data and analysis of coverage and access to oral health care for low-income nonelderly adults. Lack of resources to pay for dental services, either through dental insurance or out-of-pocket, is a major barrier to oral health care for many low-income Americans. The problem is particularly acute…
Pulling it Together: Duals: The National Health Reform Experiment We Should Be talking More About June 1, 2012 Perspective The Center for Medicare & Medicaid Services (CMS) and 26 states are moving to launch a large scale managed care demonstration project potentially involving millions of the poorest, sickest, most expensive Medicare and Medicaid beneficiaries, the so-called dual eligibles. The experiment is getting more and more attention from policy experts,…