Transitions 2006 April 30, 2006 Video On January 1, 2006, the six million Americans who are covered by both Medicare and Medicaid saw a change in how their prescription drugs are covered. The dual eligible population was transitioned from Medicaid into the Medicare prescription drug benefit. As a group, these beneficiaries are poorer and sicker than…
Outreach Strategies for Medicaid and SCHIP: An Overview of Effective Strategies and Activities April 29, 2006 Report Outreach Strategies for Medicaid and SCHIP: An Overview of Effective Strategies and ActivitiesThis paper highlights key components of effective outreach strategies to enroll children in Medicaid and SCHIP and also to get them access to care once enrolled. In addition, the paper examines how these strategies have been implemented in…
Vermont’s Global Commitment Waiver: Implications for the Medicaid Program April 29, 2006 Issue Brief This issue brief provides some general background on Vermont's Medicaid program and the Global Commitment waiver; answers a series of key questions about how it is designed to work; and discusses the potential implications for the state of Vermont, beneficiaries, and the Medicaid program.In the fall of 2005, Vermont secured…
Opening Doorways to Health Care for Children: 10 Steps to Ensure Eligible but Uninsured Children Get Health Insurance April 29, 2006 Report Despite the success of Medicaid and SCHIP in reducing the number of uninsured low-income children by one-third in the last decade, over eight million children remain uninsured. Seventy percent of these uninsured children are eligible for public health coverage. This report by the Children's Partnership lays out a plan for…
Who Needs Medicaid? April 1, 2006 Issue Brief This brief reviews Medicaid’s current eligibility structure and the health needs of the people covered by Medicaid. Due to the trends of limited and declining access to private health coverage in the low-income population and the growing health and long-term care demands of an aging population, a broader model for…
Medicaid and SCHIP Eligibility for Immigrants April 1, 2006 Fact Sheet Immigrants in the U.S. face increasing challenges securing health care coverage. They have less access to employer-sponsored insurance than native citizens and face tighter restrictions on their eligibility for Medicaid and SCHIP, the nation’s major public health coverage programs for low-income children and families. This fact sheet provides an overview…
Medicaid’s High Cost Enrollees: How Much Do They Drive Program Spending? March 31, 2006 Issue Brief This brief presents new information on the distribution of Medicaid spending for all enrollees, including those residing in institutions. The analysis finds that fewer than five percent of enrollees (each exceeding $25,000 in annual costs) account for almost half of all Medicaid spending.Issue Brief (.pdf)
Beyond Cash and Counseling: An Inventory of Individual Budget-based Community Long-Term Care Programs March 31, 2006 Issue Brief Beyond Cash and Counseling: An Inventory of Individual Budget-based Community Long-Term Care ProgramsThis brief describes the evolution of beneficiary-managed home and community-based services since the original demonstration and provides an overview of state activity as of January 2006. The Deficit Reduction Act of 2005 gives states the option to use…
Medicaid Long-Term Services Reforms in the Deficit Reduction Act March 31, 2006 Issue Brief The Deficit Reduction Act of 2005 (DRA) was signed by the President in February 2006 and included major changes to the Medicaid program. This brief provides an overview of the changes to the rules and direction of Medicaid long-term care services as enacted in the DRA.Issue Brief (.pdf)
Nursing Home Transition Programs: Perspectives of State Medicaid Officials March 31, 2006 Report Nursing Home Transition Programs: Perspectives of State Medicaid OfficialsThis report draws on interviews with state Medicaid program officials for insight into the issues that arise in establishing programs to move individuals with significant long-term care needs from institutional to community settings. The five states that participated in this study—Florida, Louisiana,…