The Independent Payment Advisory Board: A New Approach to Controlling Medicare Spending April 13, 2011 Issue Brief In 2010, the Patient Protection and Affordable Care Act authorized the creation of the Independent Payment Advisory Board (IPAB) to help control the growth in Medicare costs. Beginning in 2014, IPAB will issue recommendations to lower Medicare costs in the event that spending exceeds targets established in the health care…
Pulling It Together: What Conservatives Won In Health Reform (And Don’t Seem to Know It) April 13, 2011 Perspective Conservatives obviously don’t like what they call “Obamacare” because they think it expands the role of government too much and spends too much money. But ironically, the Affordable Care Act (ACA) actually promotes — though not explicitly — something that has been a fundamental objective of conservatives in health care…
Snapshots: Health Care Spending in the United States & Selected OECD Countries April 12, 2011 Issue Brief Health spending is rising faster than incomes in most developed countries, which raises questions about how countries will pay for their future health care needs. The issue is particularly acute in the United States, which not only spends much more per capita on health care, but also has had one of…
A Public Opinion Surprise, The Latest “Pulling It Together, From Drew Altman” April 5, 2011 Perspective With Medicaid being the focus of federal and state debate on deficits, the Kaiser Family Foundation’s President and CEO examines recent poll findings about the program’s popularity that may be a surprise considering the current discussion.
The State of Children’s Health, Care and Coverage April 4, 2011 Event A record 90 percent of children now have health coverage – more than a third of whom are covered by Medicaid and CHIP. Yet about 7.5 million children remain uninsured, including 5 million who are eligible for Medicaid and CHIP but not enrolled. Who are the at-risk kids? How are…
Pulling It Together: A Public Opinion Surprise April 4, 2011 Perspective Medicaid is the nation’s primary health insurance program for low-income people and people with disabilities, covering more than 60 million people this year. And it’s about to get a lot of attention: it’s likely to be a prime target for spending reductions by “deficit hawks” in debate over the budget;…
Medicaid Policy Options for Meeting the Needs of Adults with Mental Illness under the Affordable Care Act April 1, 2011 Issue Brief This paper examines the salient issues raised in a November 2010 roundtable discussion of national and state experts convened by the Kaiser Commission on Medicaid and the Uninsured, in partnership with the Bazelon Center for Mental Health Law, to discuss Medicaid policy options available under health reform to help meet…
What the Actuarial Values in the Affordable Care Act Mean April 1, 2011 Issue Brief The Patient Protection and Affordable Care Act (PPACA) establishes four levels of coverage based on the concept of “actuarial value,” which represents the share of health care expenses the plan covers for a typical group of enrollees. As plans increase in actuarial value – bronze, silver, gold, and platinum –…
Mental Health Financing in the United States: A Primer April 1, 2011 Report This primer provides an overview of behavioral health care, reviews the sources of financing for such care, assesses the interaction between different payers, and highlights recent policy debates in mental health. It also discusses the role of Medicaid, currently the largest source of financing for behavioral health services in the…
How Popular Is The Idea Of Changing Medicare To A Defined Contribution Plan? April 1, 2011 Poll Finding In March 2011, House Budget Committee Chair Paul Ryan released his “Path to Prosperity” budget plan, which included a proposal to change Medicare from a defined benefit program into one in which the government pays a specific amount towards the cost of private health insurance for each enrollee. Surveys conducted…