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2017

  • Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost Sharing Policies: Findings from a 50-State Survey

    This annual 50-state survey provides data on Medicaid and Children’s Health Insurance Program (CHIP) eligibility, enrollment, renewal and cost sharing policies and identifies changes in these policies that occurred in the past year.  This report documents the role Medicaid and CHIP play for low-income children and families and the evolution of these programs under the…

  • Research Shows Fewer Jobs, Greater Financial Burden on Providers, States, & Local Governments if ACA Repealed

    Taken together, three recent papers provide a sobering look at the extensive economic consequences for providers if the Affordable Care Act (ACA) is repealed. Just last week, the Robert Wood Johnson Foundation published “The Impact on Health Care Providers of Partial ACA Repeal through Reconciliation,” an analysis from the Urban Institute. Their main finding? Repeal…

  • Busting the “Falling under its Own Weight” Myth: New Analysis Shows Better Outlook for the Affordable Care Act Marketplaces

    By Rachel Schwab, originally posted on CHIRblog It’s a new year, and with it comes new hope for the Affordable Care Act’s (ACA) exchanges. Wall Street analysts recently released research that shows improvements in insurers’ finances for 2016, predicting even better margins for future years. But just as the markets are starting to stabilize, the…

  • The Return on Investment of Medicaid Expansion: Supporting Work and Health in Rural Ohio

    By Loren Anthes, MBA, Fellow, Center for Medicaid Policy, originally posted by the Center for Community Solutions When debating the Medicaid expansion in 2013, the Ohio legislature appropriately questioned whether expanding the program to non-disabled adults would be done so efficiently, supporting the health, welfare, and economy of Ohio and its citizens. The subsequent policy process reflected…

  • For Mental Health Services, Would ACA Repeal Turn ‘Warm Handoff’ into Cold Shoulder?

    One of the few points of bipartisan agreement in Congress last year was finding ways to support mental health services. The 21st Century Cures Act passed in Congress and signed by the President just last month took steps to integrate mental health into primary care services, expand the pool of providers and improve the interactions…

  • Three Ways to Ensure EPSDT Works in Managed Care

    We are continuing our look at EPSDT, this time turning to EPSDT and managed care. Nearly 9 out of 10 children in Medicaid and CHIP receive services through some type of managed care arrangement, so understanding how EPSDT works in a managed care context is critical. If you followed our work on managed care over…

  • 50-State Report Examines Economic Repercussions of ACA Repeal

    Leighton Ku and his colleagues at George Washington University’s Milken School of Public Health and the Commonwealth Fund just published a very important new report with state-by-state estimates on how many jobs would be lost if the Affordable Care Act is repealed without a replacement attached. The report found that repealing the tax credits and…

  • Back to the Basics: Medicaid and CHIP 101

    Medicaid and CHIP are successful programs that have delivered quality care to low-income children and their families. With the policy landscape surrounding Medicaid and CHIP in flux, child health advocates have their work cut out for them when it comes to educating the public about the critical roles Medicaid and CHIP play in covering kids…

  • Gov. Roy Cooper Wants To Expand Medicaid; Republicans Vow To Fight

    The News & Observer By: David Ranii and Lynn Bonner North Carolina’s Governor, Roy Cooper, wants to expand Medicaid, regardless of what Congress decides before Donald Trump takes office as President of the United States. Many Republican leaders are criticizing the fact that the governor intends to violate his oath of office. … Joan Alker, executive…

  • The ACA Transformed Medicaid Enrollment Processes. Rolling Them Back Would Wreak Havoc.

    The Affordable Care Act (ACA), or Obamacare, is most widely known for strengthening consumer protections in private insurance and creating new pathways to affordable coverage through the Health Insurance Marketplaces and Medicaid. Less familiar is another aspect of the law—the ACA’s Modified Adjusted Gross Income (MAGI) rules and systems—that sought to align eligibility among the…

  • Loss of Cost-Sharing Reductions in ACA Marketplace: Impact on Consumers and Insurer Participation

    While there has been considerable discussion of the new Congress’s plans to repeal and replace the Affordable Care Act (ACA), there is another, potentially more immediate, threat to millions of Americans that could materialize without legislative action. Under the ACA, insurers must reduce the cost-sharing obligations of low-income enrollees, such as their copayments and deductibles.…