Faces of Dually Eligible Beneficiaries: Profiles of People with Medicare and Medicaid Coverage July 3, 2013 Issue Brief This brief examines the role of Medicare and Medicaid in the lives of dually eligible beneficiaries – low-income seniors and younger adults with disabilities who are eligible for both programs – through personal profiles. It includes a glossary of eligibility and service delivery system terms and state-level enrollment and expenditure data for dual eligibles.
Transitioning Beneficiaries with Complex Care Needs to Medicaid Managed Care: Insights from California July 1, 2013 Issue Brief This brief examines how health service providers, plan administrators, and community-based organizations in Contra Costa, Kern, and Los Angeles Counties experienced the transition of Medi-Cal-only seniors and persons with disabilities (SPDs) to managed care as part of the state’s “Bridge to Reform” Medicaid waiver. Findings presented may inform similar transitions of high-need beneficiaries in other states and coverage expansions in 2014 under the Affordable Care Act.
Improving the Financial Accountability of Nursing Facilities June 28, 2013 Report This report examines nursing facility expenditures to assess relative spending increases in areas such as nursing services, administrative costs, and profits. Using California as a case study, it explores reimbursement by cost category and a standard medical loss ratio (MLR) as potential policy options to improve nursing facility financial accountability and care quality.
VH1 Joins With Greater Than AIDS and Alicia Keys to Spotlight Impact of HIV on Women in the U.S. June 26, 2013 News Release June 26, 2013 – VH1 is helping to bring attention to the impact of HIV/AIDS on women with a new series of public service ads slated to air during its popular Monday night programming block starting June 24. The spots are part of a new campaign from Greater Than AIDS…
Testimony: Rethinking Medicare’s Benefit Design: Opportunities and Challenges June 26, 2013 Issue Brief Foundation Senior Vice President Tricia Neuman testified June 26, 2013 before the House Energy and Commerce Committee Subcommittee on Health about Medicare’s benefit design, and the implications of possible changes for beneficiaries, other stakeholders, and program spending.
Medicaid Managed Care in the Era of Health Reform – Briefing and Panel Discussion June 25, 2013 Event Amid increasing state and national interest in using managed care delivery models for Medicaid beneficiaries, the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured (KCMU) hosted a public briefing on Tuesday, June 25, 2013 to provide information on recent transitions from fee-for-service to managed care, and to discuss their…
California’s Health Care Environment and Health Reform Efforts: June 2013 Update June 25, 2013 Issue Brief This brief provides and update of the health care and health policy environment in California, discussing the budgetary environment, implementation of the state’s “Bridge to Reform” Medicaid waiver, and efforts to prepare for coverage expansions and new coverage options in 2014 under the Affordable Care Act.
Mapping the Donor Landscape in Global Health: HIV/AIDS June 21, 2013 Report This report maps the complex network of international assistance aimed at addressing the global impact of HIV/AIDS, looking both at donor governments and multilateral organizations. It seeks to provide perspective on the geographic presence of global health donors and to enable more effective coordination and delivery of services globally and within individual recipient nations. This report is the first in a series that will examine donor presence and magnitude of assistance by issue area, region and country.
Pre-X Redux June 20, 2013 Perspective With the focus now mainly on exchanges, Medicaid expansions, and enrolling the uninsured in newly available coverage arrangements, there is less attention lately to the ACA insurance reforms which have always been the most popular parts of the law – changes which could affect every American’s insurance in some way…
Kaiser Health Tracking Poll: June 2013 June 19, 2013 Poll Finding As the country gears up for implementation of the major provisions of the Affordable Care Act (ACA), June’s Kaiser Health Tracking Poll takes a step back and examines views on health insurance more broadly among some key subgroups, including young adults, the uninsured, and those with pre-existing conditions. The poll finds that the large majority of Americans want and value health insurance.