How the ACA Changes Pathways to Insurance Coverage for People with HIV September 18, 2012 Perspective There are multiple sources of insurance coverage and care for people with HIV in the United States. These include public programs, such as Medicaid and Medicare, and the Ryan White HIV/AIDS program, as well as private coverage through an employer or in the individual market. Medicaid, the nation’s principal safety-net…
Medicaid Coverage and Care for the Homeless Population: Key Lessons to Consider for the 2014 Medicaid Expansion September 1, 2012 Report Beginning in 2014, the Affordable Care Act ACA provides for a significant Medicaid expansion uninsured, low-income adults. Given their low incomes and high uninsured rate, individuals experiencing homelessness could significantly benefit from this expansion. However, it will be important to address the barriers they face to enrolling in coverage and…
Coverage of Preventive Services for Adults in Medicaid September 1, 2012 Issue Brief This brief highlights data from a survey of coverage of 42 recommended preventive services for adults in Medicaid fee-for-service programs as of October 2010. Medicaid programs must cover preventive services for children as part of the Early Periodic Screening, Diagnosis and Treatment (EPSDT) benefit, but generally are not required to…
Current and Emerging Issues in Medicaid Risk-Based Managed Care: Insights from an Expert Roundtable September 1, 2012 Issue Brief Half of all Medicaid enrollees receive care through comprehensive risk-based managed care organizations (MCOs). Most Medicaid MCO enrollees today are low-income children and parents, but states are increasingly moving beneficiaries with more complex needs into MCOs. Managed care enrollment may grow more rapidly as states work with the Centers for…
Medicaid: It’s Role Today and Under the Affordable Care Act. JAMA, August 22/29, 2012 August 22, 2012 Slideshow
Visualizing Health Policy: Medicaid—Its Role Today and Under the Affordable Care Act August 21, 2012 Infographic The August 2012 Visualizing Health Policy infographic examines the role Medicaid plays in the lives of many Americans today, and how that role will change under the Affordable Care Act. See the full-size infographic at The Journal of the American Medical Association View the related Slideshow Visualizing Health Policy is a monthly infographic…
Medicaid Managed Long-Term Services and Supports: Are More Caution and Oversight Needed? August 3, 2012 Event The Alliance for Health Reform and AARP sponsor an August 3rd briefing to discuss who is being served by Medicaid managed care, how enrollment is determined, and whether sufficient oversight of the programs exist. Speakers will explore such questions as: Does Medicaid managed care cover a full range of long-term…
How Five Leading Safety-Net Hospitals Are Preparing For The Challenges and Opportunities of Health Care Reform August 1, 2012 Report This study, published in the journal Health Affairs, examines how five leading safety-net hospitals are preparing for major changes expected to result from the Affordable Care Act (ACA), including less government support for uncompensated care and the need to compete for newly insured people. The hospitals studied are Bellevue Hospital…
Health Homes for Medicaid Beneficiaries with Chronic Conditions August 1, 2012 Issue Brief This brief profiles four states that were the first to receive federal approval to take up a state option under the Affordable Care Act to implement health homes for Medicaid beneficiaries with chronic conditions. Almost half of the 9 million people who qualify for Medicaid on the basis of disability…
A Historical Review of How States Have Responded to the Availability of Federal Funds for Health Coverage August 1, 2012 Issue Brief This historical review finds that the availability of federal funds has served as an effective incentive for states to provide health coverage to meet the health and long-term care needs of their low-income residents despite state budget pressures. The brief examines the history of earlier experiences and provides important context for how states may respond as they weigh the costs and benefits of expanding their Medicaid programs in 2014 as called for under the Affordable Care Act.