What’s in There? The New Health Reform Law and Medicare May 7, 2010 Event As part of an ongoing series to explore what is in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, this May 7 briefing sponsored by the Alliance for Health Reform and the Kaiser Family Foundation examines how the reform law affects…
Wisconsin’s BadgerCare Plus Program: Moving Forward on Health Reform Amid a Recession June 16, 2010 Fact Sheet This fact sheet provides a brief overview of Wisconsin’s BadgerCare Plus Program, a three-year-old initiative that merged the state’s three distinct Medicaid programs for children, parents and pregnant women into a single comprehensive health coverage program. It also expanded eligibility to provide near-universal coverage for children and greater coverage for…
Chronic Disease and Co-Morbidity Among Dual Eligibles: Implications for Patterns of Medicaid and Medicare Service Use and Spending July 1, 2010 Report The health reform law contains provisions that aim to improve the delivery and coordination of services for persons enrolled in both Medicaid and Medicare, known as the dual eligibles. This population includes individuals with some of the most severely disabling chronic conditions. While the higher costs associated with services to…
A Challenge for States: Assuring Timely Access to Optimal Long-Term Services and Supports in the Community January 30, 2011 Issue Brief The Medicaid program is a major payer for long-term services and supports (LTSS) in the United States, accounting for 40 percent of total spending for long-term services and supports. The federal government has played an active role in sponsoring initiatives to promote a shift to community-based care; and evidence from…
Medicaid Spending Growth over the Last Decade and the Great Recession, 2000-2009 February 1, 2011 Report This report examines Medicaid spending growth nationally during the last decade, with a focus on growth during the recession of 2007 to 2009. The recession-driven enrollment growth in recent years drove program spending to increase faster than national health spending overall, but on a per enrollee basis the growth in…
Explaining Health Reform: Uses of Express Lane Strategies to Promote Participation in Coverage July 1, 2011 Issue Brief Under the Patient Protection and Affordable Care Act (ACA), millions of uninsured adults and children will gain eligibility for Medicaid or health coverage through new health insurance Exchanges beginning in 2014. The law calls upon states to develop simple and streamlined processes for establishing, verifying, and updating eligibility for Medicaid,…
The Role of the Basic Health Program in the Coverage Continuum: Opportunities, Risks & Considerations for States March 28, 2012 Issue Brief This brief assesses the potential benefits and drawbacks to states from implementing a Basic Health Program under the Affordable Care Act. The law gives states the option of creating a Basic Health Program, using federal tax money to subsidize insurance coverage for low-income residents who would otherwise be eligible to…
Health Care Use and Chronic Conditions Among Childless Adult Medicaid Enrollees in Arizona May 29, 2012 Issue Brief Under the Affordable Care Act (ACA), beginning in 2014, Medicaid eligibility will expand to 133% of the federal poverty level for nearly all individuals. Arizona is one of the few states that already cover adults without dependent children in Medicaid through a longstanding Section 1115 waiver. This report, based on…
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,…
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)