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  • A Profile of Florida’s Low-Wage Uninsured Workers

    Joan Alker

    The recently enacted American Rescue Plan Act of 2021 (ARP) includes new large financial incentives for states to extend health insurance coverage to low-wage workers and other adults earning less than $17,775 a year.¹ These incentives apply to regular spending in a state’s Medicaid program and offer a five-percentage point across the board increase in the…

  • States Could Have the Opportunity to Bolster and Speed Up Coverage for Former Foster Care Youth

    Margaux Johnson-Green

    Longtime readers of Say Ahh! and fellow health policy wonks will know that one of the most bipartisan provisions of the Affordable Care Act extended Medicaid coverage for youth aging out of the foster care system until age 26 if they were enrolled before their 18th birthday. (If not, Tricia Brooks has chronicled all the…

  • Medicaid Managed Care: Transparency, Procurement, and Children’s Health

    Andy Schneider

    Last month, Children Now released a report on the delivery of preventive health services to children by Medicaid managed care organizations (MCOs) in California.   The report analyzes MCO-specific performance data for 2019 for five different measures: well-child visits in the first 15 months of life; child and adolescent well-child visits; lead screening for children under…

  • A Profile of South Dakota’s Low-Wage Uninsured Workers

    Joan Alker

    The recently enacted American Rescue Plan Act of 2021 (ARP) includes new large financial incentives for states to extend health insurance coverage to low-wage workers and other adults earning less than $17,775 a year.¹ These incentives apply to regular spending in a state’s Medicaid program and offer a five-percentage point across the board increase in the…

  • A Profile of South Carolina’s Low-Wage Uninsured Workers

    Joan Alker

    The recently enacted American Rescue Plan Act of 2021 (ARP) includes new large financial incentives for states to extend health insurance coverage to low-wage workers and other adults earning less than $17,775 a year.¹ These incentives apply to regular spending in a state’s Medicaid program and offer a five-percentage point across the board increase in the…

  • How Do State Policy Decisions Help or Hinder Access to Health Coverage for Latino Children?

    Kelly Whitener

    As the overall child uninsured rate started going in the wrong direction between 2016 and 2019, Latino children were disproportionately affected, widening the long-standing coverage disparity after years of progress. As of 2019, there is an almost 5 percentage point gap between the uninsured rate for non-Latino and Latino children nationwide (4.4 percent versus 9.3…

  • Getting Back on Track: A Detailed Look at Health Coverage Trends for Latino Children

    Kelly Whitener

    Introduction From 2008 to 2016, the Latino child uninsured rate fell steadily, eventually achieving a historic low of 7.7 percent in 2016.1 Although this rate was still higher than that for non-Latino children, the decline signaled steady progress towards narrowing health coverage disparities between Latino children and their peers. However, as the overall child uninsured…

  • Getting Back on Track: A Detailed Look at Health Coverage Trends for Latino Children Appendix

    Kelly Whitener

    Appendix A. How the Census Bureau Collects Questions about Race and Ethnicity on the American Community Survey and Compiles Hispanic/Latino Data The American Community Survey (ACS), fielded by the U.S. Census Bureau, collects questionnaires from approximately 3.5 million households every year and extrapolates estimates from these responses.35 The ACS provides the most reliable annual estimates…

  • Getting Back on Track: A Detailed Look at Health Coverage Trends for Latino Children Methodology

    Kelly Whitener

    Methodology Data Sources Georgetown University Center for Children and Families (CCF) uses the U.S. Census Bureau American Community Survey (ACS), an annual survey of approximately 3.5 million individuals, to analyze national, state, and local trends in health insurance coverage. The data in this report come from three sources: 2016-2019 Public Use Microdata Sample (PUMS), a…

  • Iowa’s New Child Health Dashboard Provides Insight into How Medicaid Managed Care is Working for Kids

    CCFadmin

    In April of 2016, Iowa transitioned its entire Medicaid program from a fee-for-service model to a managed care model. Over the past five years, Iowa’s Medicaid program has dealt with more than its fair share of upheaval—from managed care organizations (MCOs) reporting catastrophic losses to a lawsuit claiming that the transition to managed care deprived…

  • States Move Toward Multi-Year Continuous Eligibility for Children in Medicaid

    CCFadmin

    Children need consistent access to health care, especially in their early years when frequent screenings, vaccinations, and well child checkups are so critical to their development and school readiness. And despite efforts to streamline and simplify eligibility processes and improve retention, many children covered by Medicaid (as well as other sources of health insurance) experience…

  • Medicaid Expansion Debate: Wyoming, Mississippi and Missouri

    Adam Searing

    Even as state legislative sessions wrap up around the country, the Medicaid expansion debate remains very much alive in several states. With significant extra funding available under the federal American Rescue Plan for states that do expand, the financial benefits for states have never been greater. A new report on the economic effects of Medicaid…

  • A Profile of Texas’s Low-Wage Uninsured Workers

    Joan Alker

    The recently enacted American Rescue Plan Act of 2021 (ARP) includes new large financial incentives for states to extend health insurance coverage to low-wage workers and otheradults earning less than $17,775 a year.¹ These incentives apply to regular spending in a state’s Medicaid program and offer a five-percentage point across the board increase in the…

  • A Profile of Kansas’s Low-Wage Uninsured Workers

    Joan Alker

    The recently enacted American Rescue Plan Act of 2021 (ARP) includes new large financial incentives for states to extend health insurance coverage to low-wage workers and other adults earning less than $17,775 a year.¹ These incentives apply to regular spending in a state’s Medicaid program and offer a five-percentage point across the board increase in the…

  • What Is Happening With Medicaid Enrollment In Q1 Of 2021?

    Joan Alker

    As regular readers of SayAhhh! know, we have been tracking state administrative data for some early indicators of what is happening with Medicaid enrollment during the pandemic and associated recession.  Federal data that tracks all states is available through November 2020 but at this point in time it lags behind what some states report so…

  • More States Moving to Extend Medicaid Postpartum Coverage Option Under ARP, Why Are Georgia and Missouri Limiting Its Reach?

    Maggie Clark

    Extending postpartum coverage continues to be a hot topic in state legislatures, in Congress, and in the Biden Administration. As my colleagues shared in a blog last week, CMS recently approved Section 1115 demonstration waivers in Georgia and Missouri that extend postpartum benefits to at least some pregnant people. While a step forward, the approvals…

  • Joan Alker Discusses Children’s Health Insurance

    CCFadmin

    The number of uninsured children in the U.S. has risen significantly in the past few years. In this episode for the Catholic Health USA podcast, Joan Alker from Georgetown University Center for Children and Families and Dr. Heidi Sallee from SSM Health Cardinal Glennon Children’s Hospital discuss the reasons for this trend, the policy implications,…

  • Low-Wage Uninsured Workers: State Profiles

    CCFadmin

    The recently enacted American Rescue Plan Act of 2021 (ARP) includes new large financial incentives for states to extend health insurance coverage to low-wage workers and other adults earning less than $17,775 a year. These incentives apply to regular spending in a state’s Medicaid program and offer a five-percentage point across the board increase in…

  • A Profile of Tennessee’s Low-Wage Uninsured Workers

    Joan Alker

    The recently enacted American Rescue Plan Act of 2021 (ARP) includes new large financial incentives for states to extend health insurance coverage to low-wage workers and other adults earning less than $17,775 a year.¹ These incentives apply to regular spending in a state’s Medicaid program and offer a five-percentage point across the board increase in the…

  • A Profile of Wyoming’s Low-Wage Uninsured Workers

    Joan Alker

    The recently enacted American Rescue Plan Act of 2021 (ARP) includes new large financial incentives for states to extend health insurance coverage to low-wage workers and other adults earning less than $17,775 a year.¹ These incentives apply to regular spending in a state’s Medicaid program and offer a five-percentage point across the board increase in the…