Resources
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National Children’s Groups Express Concerns About Utah’s Waiver Request
By Joe Touschner We’ve pointed out the flaws in Utah’s request for a Medicaid waiver in a previous blog post But we wanted to call your attention to them once again since today we submitted a letter to federal officials voicing the concerns of many national groups. Thanks to all of you who joined us in…
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Converting to MAGI, What Does It Really Mean for Kids?
One of the more mystical sounding acronyms receiving a lot of attention in the Affordable Care Act (ACA) is MAGI or Modified Adjusted Gross Income. MAGI is a way of defining income rooted in tax law and, along with the size of the tax filing unit (to determine household size), will be used to evaluate…
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GAO Looks At Access to Care for Children Covered by Medicaid & CHIP
By Wesley Prater The GAO recently released a report on access to care for children covered by Medicaid and CHIP. The researchers surveyed specialty care physicians and rural and urban area primary care physicians to examine Medicaid and CHIP enrolled children’s access to both primary and specialty care. The GAO report, required under CHIPRA, also looked…
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Utah’s Waiver Proposal–Join Us in Speaking Up for Kids
By Joe Touschner Like many states, Utah has been working to redesign its Medicaid program in an effort to contain costs–the state submitted a Section 1115 demonstration waiver application to CMS earlier this month. As my colleague Joan Alker has blogged about in the past, waivers are often adopted with little public transparency even though…
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First Focus Calls for Greater Investment in Children at Children’s Budget Summit
(Editor’s Note: This week, more than 300 children’s advocates, White House staff, Members of Congress, and researchers gathered for the third national Children’s Budget Summit hosted by First Focus. The summit drew attention to the overall declining share of the federal budget dedicated to programs that benefit children, at a time when children need support more…
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Some Good News in a Tough Year: Oregon’s Child Un-Insurance Rate Cut in Half
By Robin Christian, Children First for Oregon In this time of economic uncertainty and political division, last week brought us some welcome good news in Oregon. According to the Oregon Health Authority, the number of uninsured children has dropped dramatically in less than two years – from 11.3% to 5.6% – thanks to the affordable,…
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Keeping on Track: California Continues to Move Forward on Health Insurance Exchange
(Editor’s Note: In an effort to keep our readers up to speed on what’s happening on the development of state-based health insurance exchanges, we are checking in periodically with states that are moving forward. This month, we visit our friends in sunny California.) By Nicette Short (Children Now) and Kathleen Hamilton (The Children’s Partnership) on…
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When Can States Impose Copayments for Non-Emergency Use of ERs?
By Wesley Prater We have been hearing that more states are looking to use copayments to deter non-emergency use of the emergency room for low-income families, so it’s probably a good idea to discuss what the federal rules are and how some states have already been dealing with this issue. In an effort to try…
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They Got it Right — Finally
By Martha Heberlein The last time you heard from me on state budgets, I was on my soapbox about how the NASBO numbers are frequently taken out of context. For those of you who have missed my ongoing exasperation, here’s a quick recap. When citing statistics about Medicaid in state budgets, it is often misleadingly…
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Medicaid has Responded Successfully to Economic Downturn
By Tara Mancini As our readers know, Medicaid is a public insurance program financed jointly by states and the federal government to assist low-income individuals and families in obtaining health insurance. Using state specific formulas known as FMAP, the federal government provides at least $1 in matching funds for every $1 spent by states. During…
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Setting the Record Straight: Medicaid Is Cost Effective
(Editor’s Note: This blog originally appeared as an op-ed in the Salt Lake Tribune in response to statements made at the Senate Finance Committee field hearing on Medicaid held in Salt Lake City this week.) By Lincoln Nehring, Voices for Utah Children For nearly 50 years Medicaid has provided cost-effective, high-quality health coverage to Utah’s…
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Medicaid and its Role for Children and Youth with Special Health Care Needs (CYSHCN): A Family Perspective
The nation’s children have a lot at stake in the ongoing federal and state level debates over Medicaid’s role in deficit reduction efforts. Children and youth with special health care needs (CYSHCN) are most vulnerable to Medicaid cuts because so many rely on it. Approximately 14% (10.2 million) of children meet the criteria of having…
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Children in the Dawn and Shadows of Life Should be a Top Priority in Budget Talks
“It was once said that the moral test of government is how that government treats those who are in the dawn of life, the children; those who are in the twilight of life, the elderly; and those who are in the shadows of life, the sick, the needy and the handicapped.” …
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HHS Proposes Initial Exchange Rules
By Joe Touschner Since the passage of the Affordable Care Act, we’ve known that state exchanges are a big part of the vision for reforming and expanding health coverage. Although that vision may have started about a bit hazy, it’s coming into sharper focus. State policymakers have been passing laws and taking other action to…
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Medicaid is Very Good for Your Health
As we all engage in defense of the Medicaid program at the state and federal levels, a new study confirms how vital these efforts are. A star-studded team of economists from MIT and Harvard, including advisors to Presidents Obama and Bush, conducted what is likely to become the gold standard for research with respect to…
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Children’s Health Will Pay the Price If Federal Costs Are Shifted to the States
By Kristen Golden Testa, The Children’s Partnership and 100% Campaign As policy makers in Washington DC work to reduce the federal budget deficit, we should all be watching carefully where the budget ax swings, especially when it nears our children. Luckily, California is raising the red flag when proposed federal cuts result in more state…
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Medicaid Helps People in Times of Need Following Natural Disasters
and Wesley Prater Natural disasters such as the tornado that hit Joplin, Missouri and the flooding that affected residents of several states along the Mississippi river, serve as stark reminders of the important role the federal government plays in helping states respond to such events. Health care is one of the most pressing needs victims of…
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New Resources on Medicaid Managed Care
By Martha Heberlein States may choose to adopt managed care in Medicaid for a number of reasons. For example, they may be interested in improving care management and coordination. Others may wish to gain more predictability in spending or increase accountability for access to providers and quality of care. No matter what the reason (or…
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Appeals Court Rules Affordable Care Act Constitutional
This week, the Sixth Circuit Court of Appeals upheld the Affordable Care Act as constitutional (including the key individual responsibility provision) infusing a large dose of rational thinking into the highly polarized world that surrounds the health reform law. In fact, the majority opinion used the word “rational” several times in rejecting the challenge by…
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Blended Match Rate Proposal Raises Red Flags
By Jocelyn Guyer Last week just as Representative Cantor was making his dramatic exit from deficit reduction talks with Vice President Biden, rumors started to emerge that the idea of adopting a “blended matching rate” for Medicaid and CHIP was gaining currency. The Obama Administration first put forth the idea in a deficit reduction proposal…
