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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…

Medicaid and HIV/AIDS

Medicaid is the nation’s major public health program for low-income Americans, financing health and long-term care services. It accounts for approximately half of federal spending on HIV/AIDS care in the U.S. and is a critical source of coverage for people living with HIV/AIDS. This fact sheet provides data and information on HIV/AIDS and Medicaid eligibility, benefits, spending, caseload and future outlook.

The News Media and “Entitlement Reform”

In the coming debate about the deficit, policymakers will struggle to craft a package of spending reductions and new revenues that both Democrats and Republicans can agree on, totaling as much as four trillion dollars over ten years.  Medicare, Medicaid and potentially the Affordable Care Act will have their turn…

Premium Assistance in Medicaid and CHIP: An Overview of Current Options and Implications of the Affordable Care Act

Premium assistance is the use of public funds through Medicaid or the Children’s Health Insurance Program (CHIP) to purchase private coverage. States have pursued premium assistance with varied objectives, including covering parents not otherwise eligible for public coverage and promoting the use of private coverage. Implementation of the Affordable Care…

Quality of Care in Community Health Centers and Factors Associated with Performance

This study examines quality among health centers relative to Medicaid managed care organizations (MCOs). Chronic care quality among health centers is high; gaps in women’s preventive care are a concern. Lower-performing health centers have very high uninsured and homeless rates. The expansion of Medicaid and private insurance under the ACA may foster gains in health center quality performance.

The Impact of Current State Medicaid Expansion Decisions on Coverage by Race and Ethnicity

This brief finds that people of color will be disproportionately impacted by state decisions to expand Medicaid and that the impact of current state Medicaid expansion decisions varies widely by race and ethnicity, with Blacks at the highest risk of continuing to face coverage gaps and remaining uninsured due to state decisions not to expand at this time. As such, state Medicaid expansion decisions have important implications for efforts to reduce disparities and promote greater equity in health coverage and care.