Medicaid and the Uninsured Reports produced by the Kaiser Commission on Medicaid and the Uninsured

Health Care Use and Chronic Conditions Among Childless Adult Medicaid Enrollees in Arizona

Tue, 08 May 2012 00:00:00 EST

Based on 2007 Medicaid claims data in Arizona, this report provides an analysis of health care utilization and health conditions for childless adults and compares them with parents and adults with disabilities. Understanding the health care use and needs of low-income childless adults can help inform other states’ efforts to care for these adults under the Medicaid expansion in 2014.

Understanding The Medicaid And CHIP Maintenance of Eligibility Requirements

Fri, 04 May 2012 00:00:00 EST

This fact sheet examines the provisions in the Patient Protection and Affordable Care Act (ACA) that require states to maintain eligibility and enrollment standards for Medicaid and the Children's Health Insurance Program. These maintenance of eligibility (MOE) provisions were designed to keep Medicaid and CHIP coverage stable until coverage expands under the health reform law.

Enrollment-Driven Expenditure Growth: Medicaid Spending during the Economic Downturn, FFY2007-2010

Fri, 04 May 2012 00:00:00 EST

This report presents data on changes in Medicaid's enrollment and spending between federal fiscal year 2007 and federal fiscal year 2010, a period which includes the worst economic downturn in the United States since the Great Depression of the 1930s.

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

Thu, 03 May 2012 00:00:00 EST

This fact sheet highlights key issues about Medicaid, including the structure, financing and purpose of the program, 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.

5 Key Questions and Answers About Medicaid

Thu, 03 May 2012 00:00:00 EST

This chartpack addresses five key questions about Medicaid.

Uninsured Quiz

Wed, 25 Apr 2012 00:00:00 EST

Take the Uninsured Quiz to gauge how much you know about the uninsured population and the consequences of not having health coverage.

The Diversity of Dual Eligible Beneficiaries: An Examination of Services and Spending for People Eligible for Both Medicaid and Medicare

Wed, 18 Apr 2012 00:00:00 EST

This issue brief analyzes linked Medicare and Medicaid data to examine dual eligibles' utilization and spending in both programs in 2007.

Massachusetts' Proposed Demonstration to Integrate Care for Dual Eligibles

Wed, 18 Apr 2012 00:00:00 EST

This brief examines Massachusetts' proposal to CMS to create an integrated service delivery and payment model in that state. Massachusetts is the first state to submit such a proposal as a part of a nationwide effort guided by CMS.

An Update on CMS's Capitated Financial Alignment Demonstration Model For Medicare-Medicaid Enrollees

Wed, 18 Apr 2012 00:00:00 EST

This policy brief describes significant characteristics of CMS's capitated financial alignment model for dual eligibles and summarizes key dates in the state demonstration approval and plan selection processes.

Among Dual Eligibles, Identifying The Highest Cost Individuals Could Help In Crafting More Targeted And Effective Responses

Wed, 18 Apr 2012 00:00:00 EST

This Health Affairs article by researchers at the Urban Institute analyzes linked Medicare and Medicaid data to examine dual eligibles' utilization and spending in both programs in 2007.

Tracking Federal Funds from the Affordable Care Act

Thu, 12 Apr 2012 00:00:00 EST

This tool allows users to track funds awarded by the Affordable Care Act (ACA) to a variety of governmental and private entities. This funding will go to states, local governments, employers, community health groups and health care providers to implement various provisions aimed at transforming areas of the existing health system and making health insurance coverage more affordable.

Medicaid's Role for Dual-Eligible Beneficiaries

Wed, 04 Apr 2012 00:00:00 EST

This brief provides key data and information about Medicaid's role providing supplemental coverage for 9 million Medicare beneficiaries, including state-specific enrollment and spending trends. 

Using Data and Technology to Drive Process Improvement in Medicaid and CHIP: Lessons From South Carolina

Tue, 03 Apr 2012 00:00:00 EST

This brief examines South Carolina as a case study example of how states can utilize data and technology to improve Medicaid processes and increase enrollment for children and low-income families.

States Getting a Jump Start on Health Reform's Medicaid Expansion

Tue, 03 Apr 2012 00:00:00 EST

This short paper highlights efforts by six states (California, Connecticut, Washington D.C., Minnesota, New Jersey and Washington) to expand Medicaid to low-income adults through the new health reform law option or Section 1115 waiver authority in order to help prepare for the expansion of Medicaid under health reform in 2014.

Medicaid MCOs and Medical Loss Ratio (MLR) Requirements

Mon, 02 Apr 2012 00:00:00 EST

This short paper looks at Medicaid managed care plans and Medical Loss Ratio (MLR) requirements.

Governors' Budgets for FY 2013 -- What is Proposed for Medicaid?

Tue, 27 Mar 2012 00:00:00 EST

This report provides Medicaid highlights from governors' proposed state budgets for fiscal year 2013, which begins July 1 in most states.

Community Health Centers: The Challenge of Growing to Meet the Need for Primary Care in Medically Underserved Communities

Thu, 22 Mar 2012 00:00:00 EST

This policy brief profiles community health centers and the patients they serve, discusses how health centers are<br />funded, and traces the history of health center growth. It closely examines the recent reduction in both federal appropriations and state grants for health centers, state cutbacks in benefits for adult Medicaid<br />beneficiaries, and the anticipated impact of President Obama’s FY 2013 request for federal funding for<br />health centers.

Medicaid and Community Health Centers: The Relationship Between Coverage for Adults and Primary Care Capacity in Medically Underserved Communities

Thu, 22 Mar 2012 00:00:00 EST

This issue paper compares the strength of community health centers in states that have expanded Medicaid coverage for adults to health centers states with more limited Medicaid coverage for adults.

The New Review and Approval Process Rule for Section 1115 Medicaid and CHIP Demonstration Waivers

Tue, 20 Mar 2012 00:00:00 EST

This brief provides an overview of the final rule issued by the Centers for Medicare and Medicaid Services on Feb. 22, 2012 that establishes a state and federal public notice process for Medicaid Section 1115 waiver applications and extensions as well as reporting, compliance, and evaluation requirements for operating waivers.

Establishing Health Insurance Exchanges: An Overview of State Efforts

Fri, 16 Mar 2012 00:00:00 EST

This issue brief examines states' progress in setting up the state-based health insurance exchanges through which millions of Americans are expected to purchase coverage under The Patient Protection and Affordable Care Act (ACA) beginning in 2014.

A Guide to the Medicaid Appeals Process

Thu, 15 Mar 2012 00:00:00 EST

This guide provides a comprehensive look at the appeals process for the Medicaid program, which differs significantly from those available through the Medicare program and private health insurance.

Policy and Political Implications of the Supreme Court Case on the Affordable Care Act

Wed, 14 Mar 2012 00:00:00 EST

The March 2012 briefing featured experts analyzing the policy and political implications of the pending U.S. Supreme Court case on the Affordable Care Act.

Where are States Today? Medicaid and CHIP Eligibility Levels for Children and Non‐Disabled Adults

Thu, 08 Mar 2012 00:00:00 EST

This updated fact sheet  provides an overview of Medicaid, Children’s Health Insurance Program, and state-funded coverage eligibility levels for non-disabled children and adults today and how this coverage will be impacted by the health reform law.

Key Facts on Health Coverage for Low-Income Immigrants Today and Under Health Reform

Tue, 21 Feb 2012 00:00:00 EST

This fact sheet provides an overview of coverage options for immigrants today and under health reform, and highlights key barriers to enrollment and access.

Key Issues to Consider for Outreach and Enrollment Efforts under Health Reform

Tue, 21 Feb 2012 00:00:00 EST

This report identifies key issues to consider for outreach and enrollment efforts in implementing the coverage expansions under health reform.  It is part of the Health Reform Roundtables series.

A Mid-Year State Medicaid Budget Update for FY 2012 & A Look Forward to FY 2013

Mon, 13 Feb 2012 00:00:00 EST

This KCMU report finds that, while most states are on track with their Medicaid budget and enrollment trends for FY 2012, some states are trying to close 2012 budget gaps by making mid-year revisions, including restricting additional benefits and provider payment rates. The report builds on findings from Kaiser's most recent comprehensive 50-state Medicaid budget survey.

People with Disabilities and Medicaid Managed Care: Key Issues to Consider

Mon, 13 Feb 2012 00:00:00 EST

With many states working to expand their use of managed care in Medicaid, this issue brief examines issues related to developing and implementing managed care programs able to serve Medicaid beneficiaries with disabilities.

Medicaid and Managed Care: Key Data, Trends, and Issues

Fri, 10 Feb 2012 00:00:00 EST

This brief provides a snapshot of the Medicaid program's use of managed care to deliver services to beneficiaries.

State Fiscal Conditions & Medicaid

Wed, 08 Feb 2012 00:00:00 EST

This fact sheet summarizes the relationship of Medicaid with state budgets and discusses the current fiscal situation in the states and how it is affecting Medicaid programs.

State Adoption of Coverage and Enrollment Options in The Children's Health Insurance Reauthorization Act of 2009

Wed, 01 Feb 2012 00:00:00 EST

This fact sheet provides an overview of new coverage options, enrollment tools and incentives provided by the Children's Health Insurance Reauthorization Act of 2009 and state adoption of those options to date.

Performing Under Pressure: Annual Findings of a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP, 2011-2012

Wed, 18 Jan 2012 00:00:00 EST

The annual 50-state survey of Medicaid and CHIP eligibility rules, enrollment and renewal procedures and cost sharing practices, found that, despite continued fiscal pressures on states, eligibility policies remained stable in nearly all state Medicaid and Children’s Health Insurance Programs during 2011.

Briefing, Survey Examine 2012 Data From 50-State Survey of Medicaid and CHIP Eligibility and Enrollment Policies

Wed, 18 Jan 2012 00:00:00 EST

Report and other materials from the Jan. 18, 2012 public briefing on KCMU's annual 50-state survey of Medicaid and CHIP Eligibility and Enrollment Policies.

Secrets to Success: An Analysis of Four States at the Forefront of the Nation’s Gains in Children’s Health Coverage

Wed, 18 Jan 2012 00:00:00 EST

This paper analyzes the experience of four states -- Alabama, Iowa, Massachusetts, and Oregon -- that have significantly improved health coverage of children in recent years.

Medicaid Enrollment and Expenditures by Federal Core Requirements and State Options

Tue, 17 Jan 2012 00:00:00 EST

This analysis uses 2007 data to examine the proportion of Medicaid enrollment and spending attributable to state expansion enrollees versus federal core enrollees and presents estimates of spending on mandatory versus optional health benefits across all enrollee types.

Performance Measurement Under Health Reform: Proposed Measures For Eligibility and Enrollment Systems and Key Issues and Trade-offs to Consider

Fri, 23 Dec 2011 00:00:00 EST

This brief seeks to inform the development of performance measures for states' eligibility and enrollment systems under health reform by presenting a list of potential performance measures and identifying key issues and tradeoffs to consider in selecting and developing measures.

The Texas Health Care Landscape

Thu, 22 Dec 2011 00:00:00 EST

This fact sheet summarizes the Texas health care landscape, including data on demographics, population health, the uninsured and the state Medicaid program.

The California Health Care Landscape

Thu, 22 Dec 2011 00:00:00 EST

This fact sheet summarizes the California health care landscape, including data on demographics, population health, the uninsured and Medicaid.

CHIP Enrollment: December 2010 Data Snapshot

Tue, 20 Dec 2011 00:00:00 EST

This report provides the latest data on Children's Health Insurance Program enrollment and policy trends nationally and across the states.

Medicaid Enrollment: December 2010 Data Snapshot

Tue, 20 Dec 2011 00:00:00 EST

This snapshot examines the increase in Medicaid enrollment between June 2009 and June 2010 that brought the total number of enrollees above 50 million for the first time in the program's history.

Changes in Health Insurance Coverage in the Great Recession, 2007-2010

Thu, 15 Dec 2011 00:00:00 EST

This issue brief examines changes in health insurance coverage over the last decade, with a focus on how changes in the economy, particularly during the "Great Recession" of 2007 to 2009, have affected coverage and the number of uninsured.

California and Texas: Section 1115 Medicaid Demonstration Waivers Compared

Thu, 15 Dec 2011 00:00:00 EST

This fact sheet compares and contrasts key provisions of the California and Texas Section 1115 Medicaid demonstration waivers, approved by the Centers for Medicare and Medicaid Services in 2010 and 2011, respectively.

Resources on Immigrants and Health Care Coverage

Wed, 14 Dec 2011 00:00:00 EST

The Foundation's Kaiser Commission on Medicaid and the Uninsured has collected some recent resources on the health coverage of America's immigrants.

Money Follows the Person: A 2011 Survey of Transitions, Services and Costs

Thu, 08 Dec 2011 00:00:00 EST

This report provides an update on the Money Follows the Person demonstration grant program, which provides states with enhanced federal matching funds for 12 months for each Medicaid beneficiary transitioned from an institutional setting into a community-based setting.

Case Study: Georgia's Money Follows the Person Demonstration

Thu, 08 Dec 2011 00:00:00 EST

This brief reports on a case study of Georgia's Money Follows the Person demonstration program, describing key features of the program and highlighting recent program experiences.

Georgia's Money Follows the Person Program: Helping People Move Back Home

Thu, 08 Dec 2011 00:00:00 EST

This brief profiles several Georgia residents who have participated in the state's Money Follows the Person demonstration program, which helps transition people from institutional long-term care back into their homes or the community.

Medicaid Home and Community-Based Service Programs - Data Update

Wed, 07 Dec 2011 00:00:00 EST

This report presents a summary of the main trends to emerge from the latest (2006) expenditures and participant data for the three main Medicaid Home and Community-Based Service programs: optional 1915 (the letter "c") HCBS waivers; the mandatory home health benefit; and the optional state plan personal care services benefit. 

Financial Alignment Models for Dual Eligibles: An Update

Tue, 29 Nov 2011 00:00:00 EST

This policy brief provides an update on financial alignment models for dual eligibles based on information in the Centers for Medicare and Medicaid Services' July 2011 State Medicaid Director letter and the responding states' letters of intent. It describes CMS's two proposed models and the planning and design process and presents key points from the states' initial expressions of potential interest in testing these models.

Faces of Medicaid

Thu, 10 Nov 2011 00:00:00 EST

This online project of the Kaiser Commission on Medicaid and the Uninsured profiles individuals and families from across the country who rely on the Medicaid program and describes the diverse ways in which Medicaid helps them. The nation’s public health    insurance program for low-income people covers millions of children and parents in working families, pregnant women, seniors, and individuals with disabilities. It will expand significantly under health reform in 2014.

Medicaid Eligibility, Enrollment Simplification, and Coordination under the Affordable Care Act: A Summary of CMS’s August 17, 2011 Proposed Rule and Key Issues to Consider

Fri, 28 Oct 2011 00:00:00 EST

This brief summarizes and examines the provisions of proposed regulations issued in August 2011 on Medicaid eligibility, enrollment and coordination under health reform.

States Focus on Cost Containment as a Loss of Federal Stimulus Funds Means State Costs for Medicaid Will Jump in FY 2012

Thu, 27 Oct 2011 00:00:00 EST

States Focus on Cost Containment as a Loss of Federal Stimulus Funds Means State Costs for Medicaid Will Jump in FY 2012