Your Source for Health Reform

Topic: Medicaid

Medicaid is a state-run program that provides medical coverage for low-income populations. Traditionally, families with children, pregnant women, children, seniors, and persons with disabilities have been eligible. The Affordable Care Act broadened eligibility to low-income adults without children in states that chose to implement the expansion.

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Opting Out of Medicaid Expansion: How Many Left Behind?

This July 2012 analysis from Urban Institute Health Policy Center finds that state decisions may leave without coverage 11.5 million of the 15.1 million uninsured adults who would be newly eligible for Medicaid.

A Guide to the Supreme Court’s Affordable Care Act Decision

This policy brief from the Kaiser Family Foundation describes the Court’s decision and looks ahead to the implementation of health reform now that the constitutionality of the ACA has been resolved. The brief contains sections describing the background to the case, specifics pertaining to the individual mandate and Medicaid expansion, as well as how the overall decision will affect the future.

A Closer Look at the Medicaid Holding in NFIB v Sebelius

This implementation brief from HealthReformGPS examines exactly what the Court held in its Medicaid ruling and discusses the significance of the majority conclusion, as well as the key implementation questions that arise in the wake of this opinion. (more…)

Medicare, Medicaid and the Deficit Debate

The Urban Institute’s April 2012 report on the relationship between Medicaid, Medicare and the federal budget deficit finds that spending in both programs has been and will continue to be significantly affected by growth in enrollment.

The Diversity of Dual Eligible Beneficiaries

This April 2012 issue brief from the Kaiser Family Foundation analyzes linked Medicare and Medicaid data to examine utilization and spending in in 2007 by people eligible for both programs.

Five Key Questions About Medicaid And Its Role in State/Federal Budgets and Health Reform

This May 2012 fact sheet from the Kaiser Family Foundation explains Medicaid’s structure, financing, purpose, its role for low-income beneficiaries, its share of the federal budget and state budgets, and the significant implications of the coverage expansion under the Affordable Care Act.

Enrollment-Driven Growth: Medicaid Spending during the Economic Downturn

This Kaiser Family Foundation report presents data on changes in Medicaid’s enrollment and spending from federal fiscal year 2007 to fy 2011, a period which includes the worst economic downturn in the United States since the Great Depression of the 1930s. The paper also examines what factors drove Medicaid spending over the period, and concludes that overall spending growth was driven largely by the enrollment growth that resulted from many people losing jobs and income during the recession. (more…)

Building a Relationship between Medicaid, the Exchange and the Individual Insurance Market

This January 2012 report examines the practical and conceptual factors that underlie the federal/state relationship between Medicaid and the State Health Benefits Exchanges. Released by the Study Panel on Health Insurance Exchanges created under the Patient Protection and Affordable Care Act.

Simplifying Enrollment and Eligibility with MAGI

This October 2011 fact sheet from Families USA explains the MAGI, or Modified Adjusted Gross Income, which states must transition to from their current income counting rules in Medicaid as coverage is expanded in 2014. The MAGI is essentially the amount of income people report on their taxes. (more…)

Ten Considerations for States in Linking Medicaid and the Exchanges

This August 2011 policy brief from the Center for Health Care Strategies is intended to provide early orientation to the principle issues involved. The Center notes that HHS guidance while extensive, allows states flexibility to chart a course that best meets their unique needs. The brief is part of the “State Health Reform Assistance Network: Charting the Road to Coverage” series.

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