Tennessee’s New “Medically Necessary” Standard: Uncovering the Insured? July 2, 2004 Issue Brief Tennessee's New “Medically Necessary” Standard: Uncovering the Insured?This policy brief describes a new standard passed by Tennessee’s legislature for determining whether an item or service is “medically necessary” under the state’s Medicaid program, TennCare. The brief concludes with some questions regarding the implications of the new standard for the populations…
Federal Medicaid Waiver Financing: Issues for California July 1, 2004 Report Federal Medicaid Waiver Financing: Issues for CaliforniaThis issue brief focuses on the potential fiscal implications of a section 1115 Medicaid waiver for California.Report (.pdf)
Economic Stress and the Safety Net: A Health Center Update June 29, 2004 Issue Brief The issue paper provides data on the demographic profile of health center patients and the revenue sources available for financing their care, including recent increases in federal discretionary funding. It examines the impact of the recent economic downturn on health centers in selected communities, exploring the effect of elevated unemployment…
The New Medicare Prescription Drug Law: Issues for Dual Eligibles with Disabilities and Serious Conditions June 29, 2004 Issue Brief The New Medicare Prescription Drug Law: Issues for Dual Eligibles with Disabilities and Serious ConditionsThe new issue paper discusses the challenges the new Medicare drug program faces in meeting the needs of dual eligible individuals with disabilities, who tend to have extensive, complex and varying needs. The brief examines four…
The U.S. Supreme Court’s Olmstead Decision: Five Years Later June 1, 2004 Event The U.S. Supreme Court’s Olmstead Decision: Five Years Later Five years after the Supreme Court’s landmark Olmstead decision applying the Americans with Disabilities Act to the right of individuals with disabilities to receive health care in a community-based setting, the Kaiser Commission on Medicaid and the Uninsured releases two new…
Moving Immigrants from a Medicaid Look-Alike Program to Basic Health in Washington State: Early Observations April 30, 2004 Report In 2002, the state of Washington eliminated state-funded Medicaid look-alike coverage for certain immigrant families. These families then became eligible for more limited coverage in the state's Basic Health program. This report details the process of this transition and the outcomes for coverage and access for these individuals.Report (.pdf)
Medicaid: A Lower-Cost Approach to Serving a High-Cost Population March 2, 2004 Issue Brief This brief brings new analysis to the debate concerning the efficiency of Medicaid versus private health insurance as a mechanism for covering low-income children and adults.Policy Brief (.pdf)
Prescription Drug Coverage for Medicare Beneficiaries: A Side-by-Side Comparison of S. 1 and H.R. 1 and the Conference Agreement H.R. 1 November 1, 2003 Report This document, prepared by Health Policy Alternatives, Inc., provides a detailed side-by-side comparison of the prescription drug provisions of the Conference Agreement (H.R. 1) passed by the House and Senate in November 2003 and the House (H.R. 1) and Senate (S. 1) Medicare proposals passed in June 2003.Report (.pdf)
A Medicare Prescription Drug Benefit: Implications for Medicaid and Low-Income People August 30, 2003 Report The Senate and House of Representatives each approved legislation in June of 2003 that would establish outpatient prescription drug coverage for Medicare beneficiaries as part of Medicare program reform. Among the key differences in the House and Senate bills that still must be addressed are the treatment of Medicaid beneficiaries…
Estimated Cost of a Child Health Program in California – Report August 31, 1997 Report Estimated Cost of a Child Health Program in California Prepared by Gordon R. Trapnell, F.S.A., Actuarial Research Corporation For the Kaiser Family Foundation September 10, 1997SummaryThe Balanced Budget Act of 1997 created a new federal/state program to cover uninsured children. The new federal legislation provides states with a substantial amount…