Pulling it Together: An Actuarial Rorschach Test February 11, 2010 Perspective Drew Altman, Larry Levitt, Gary Claxton My colleagues have worked on this column with me and I invited them to join me as authors. As with pretty much every other discussion of health care going back to the days of Roosevelt, the great reform debate of 2009 (and now 2010)…
Medicaid’s Continuing Crunch In a Recession: A Mid-Year Update for State FY 2010 and Preview for FY 2011 February 1, 2010 Report This report finds that 44 states and the District of Columbia are experiencing higher than expected program enrollment and spending for fiscal year 2010. At least 29 states say they are considering additional mid-year cuts in provider rates and program benefits. The recession and the scheduled end on Dec. 31,…
Explaining Health Care Reform: How Do Health Care Costs Vary By Region? November 30, 2009 Issue Brief Although regional variations in health spending have been studied for decades, there is renewed focus on this issue because of the role of health care costs in health care reform and the potential source of funds if addressing cost variations can yield savings. This explainer examines what is known about…
Health Insurance Coverage for Older Adults: Implications of a Medicare Buy-In November 30, 2009 Issue Brief As the Senate debates comprehensive health reform legislation, the idea of a Medicare buy-in option for uninsured adults aged 55-64 has re-emerged as a potential component of a reform plan. This Kaiser Family Foundation policy brief provides an updated profile of the more than 4 million uninsured people between ages…
Alternatives for Financing Medicaid Expansions in Health Reform November 30, 2009 Report Expanding Medicaid to cover low-income populations has been a fundamental component of leading health reform proposals. The House Leadership Bill would expand Medicaid to 150 percent of the federal poverty level and the Senate Leadership Bill would expand Medicaid to 133 percent of the federal poverty level. In both scenarios…
The U.S. Global Health Initiative: Overview & Budget Analysis November 29, 2009 Issue Brief In April 2010, the Foundation issued a policy brief examining key issues affecting the U.S. Global Health Initiative (GHI). This policy brief and chartpack provide a detailed breakdown of the U.S. budget for the global health programs in President Obama’s GHI, announced in May 2009. In addition, the regularly updated Budget…
Medicare Savings in Perspective: A Comparison of 2009 Health Reform Legislation and Other Laws in the Last 15 Years November 29, 2009 Issue Brief Although Medicare is not the main focus of current health reform legislation, the bill recently passed by the House—H.R. 3962, America’s Affordable Health Choices Act of 2009—and the bill before the Senate—H.R. 3590, Patient Protection and Affordable Care Act—include a number of provisions that would affect Medicare program expenditures. This…
Medicare Part D 2010 Data Spotlight: The Coverage Gap October 30, 2009 Report This data spotlight examines the coverage gap, or “doughnut hole,” in Medicare stand-alone drug plans available in 2010. While in the gap in coverage, Part D enrollees (other than those receiving low-income subsidies) are required to pay 100 percent of total drug costs until they reach the catastrophic coverage level.…
Medicare Advantage 2010 Data Spotlight: Plan Availability and Premiums October 30, 2009 Issue Brief This data spotlight examines changes in the availability and premiums of private Medicare Advantage options for Medicare beneficiaries in 2010 as the annual open enrollment period begins. While the number of plans available in 2010 declined somewhat from 2009, the analysis finds that Medicare beneficiaries on average have 33 Medicare…
The Sleeper in Health Reform: Long-Term Care and the CLASS Act October 1, 2009 Event The Kaiser Family Foundation briefing examines a little-noticed but major provision in two leading health reform bills that would change the way that the U.S. pays for long-term care. The provision, known as the Community Living Assistance Services and Supports (CLASS) Act, would establish a national voluntary insurance program that…