Medicaid and Children’s Health Insurance Program Provisions in the New Health Reform Law April 7, 2010 Issue Brief This brief compares the Medicaid and Children’s Health Insurance Program provisions in the new health reform law with pre-reform law governing those programs. The analysis focuses on Medicaid coverage and financing changes; how Medicaid and CHIP will interface with a new health insurance exchange and other Medicaid benefits and access…
Pulling It Together: Implementation Is Forever April 5, 2010 Perspective Now that historic health reform legislation is law, everyone is rightfully focused on implementation. There are two very different ways to look at implementation. One is the more legalistic worm’s eye view, which sees implementation largely as the process of putting into effect what was written in the law. In…
Medicaid Beneficiaries and Access to Care April 1, 2010 Fact Sheet The health reform law relies on a large expansion of Medicaid to reach many low-income uninsured people, many of them adults. This fact sheet summarizes Medicaid beneficiaries’ experience in obtaining access to care, a subject that is of keen interest in view of the planned expansion of the program. Medicaid…
Explaining Health Care Reform: Questions About Health Insurance Exchanges April 1, 2010 Issue Brief The Patient Protection and Affordable Care Act (PPACA), signed into law in March 2010, made broad changes to the way health insurance will be provided and paid for in the United States. PPACA created a new mechanism for purchasing coverage called Exchanges, which are entities that will be set up…
Aging Out of Medicaid: What is the Risk of Becoming Uninsured? March 19, 2010 Issue Brief This policy brief uses the most recent available data to examine the patterns of health coverage for young adults after they turn 19 and typically are no longer eligible for Medicaid or the Children’s Health Insurance Program (CHIP). Medicaid is a key source of coverage for children in the U.S.,…
Assessing the Risk of Becoming Uninsured After Leaving a Job: A Look at the Data March 17, 2010 Fact Sheet This fact sheet examines the impact of unemployment on health insurance coverage by using data from 2004 to 2007 (before the current recession) to assess the increased risk of becoming uninsured among those who are no longer employed. It finds that more than one-third of individuals who stopped working and…
CHIP TIPS: Children’s Oral Health Benefits March 8, 2010 Issue Brief This brief examines a new requirement under the Children’s Health Insurance Program Reauthorization Act of 2009 that state CHIP programs cover comprehensive dental benefits. The reauthorization law also allows states with separate CHIP programs to offer a dental-only plan for children who have other health insurance but lack adequate dental…
Pulling it Together: When Premiums Go Up 39% March 8, 2010 Perspective Our group that works on health care cost issues just updated an analysis that sheds light on what’s really happening to people in the individual health insurance market, the issue Secretary Sebelius, a former Kansas insurance commissioner, and others have put in the spotlight by calling on Anthem and other…
Snapshots: Comparison of Expenditures in Nongroup and Employer-Sponsored Insurance: 2004-2007 March 3, 2010 Issue Brief Data from the insurance industry and reviews of premiums offered through on-line sellers show that premiums for nongroup health insurance are lower than premiums reported on national surveys for employer-sponsored health insurance (ESI). This paper uses pooled data from the 2004 through 2007 Medical Expenditure Panel Survey to compare the…
Medicare Part D 2010 Data Spotlight: Prices for Brand-Name Drugs in the Coverage Gap March 1, 2010 Issue Brief This Medicare Part D data spotlight finds prices for some commonly used brand-name drugs rising in 2010 for beneficiaries who reach the coverage gap (or “doughnut hole”), with increases since 2006 far exceeding the growth in inflation.