Blog
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ACA Repeal without Replace – Can states continue to cover the Medicaid expansion population?
As the discussion about repealing the ACA continues, more and more questions arise. The latest question in my mind is this: If the Medicaid expansion in the Affordable Care Act is repealed, what options would states have to continue to cover this population if they wanted to do so? Before the Affordable Care Act, in…
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New Report from Texas: Thousands of Young Kids with Disabilities Excluded from Early Intervention Amid State Cuts
By Rebecca Hornbach and Stephanie Rubin, Texans Care for Children As the President-elect and Congress consider significant changes to the way the federal government works with states to support children and families, and our state lawmakers here in Texas prepare for a legislative session with this new administration in Washington, they should consider our recent…
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Q&A with Dr. Benjamin Sommers on Medicaid Coverage Gains
Joan Alker: You and your colleagues, Molly Frean and Dr. Jonathan Gruber, recently published an article in the New England Journal of Medicine titled “Disentangling the ACA’s Coverage Effects — Lessons for Policymakers,” and we understand you are releasing a new working paper that updates this study using newer data through 2015. What are the main findings of…
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Trump Picks For HHS Signal Radical Restructuring of Medicaid Contemplated with Coverage for Millions of Children and Families at Risk
Today we have learned of President-Elect Trump’s choices for the two most important health care policymakers in his Administration. They will have broad authority to shape the future of Medicare and Medicaid. Current House Budget Committee Chair Tom Price (R-GA) has been nominated to serve as the Secretary of Health and Human Services and Seema…
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Top Five Threats to Children and Families Posed by a Medicaid Block Grant
Many questions remain about what the new administration and Congress have in store for vulnerable children and families. Of course, the president-elect and congressional leaders have indicated repeal of the ACA will be a top priority early next year and, among other things, would end the Medicaid expansion and children’s coverage protections. But what other…
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What Does Repeal of the Affordable Care Act Mean for Children and Families?
President-elect Donald Trump and Congressional leaders have been very clear that repealing the Affordable Care Act is a top priority as soon as Congress returns to town in January. While Republican leaders have long talked about “repeal and replace” the replace part of the equation is a lot harder to figure out. As a result,…
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Medicaid on the Chopping Block: Coverage for Millions at Stake
According to the Congressional Budget Office, about 10 million people are newly enrolled in Medicaid because of the Affordable Care Act. In total over 20 million people are now getting their health coverage through Medicaid, private insurance subsidies and other provisions of the Affordable Care Act. With the results of the current election, health insurance…
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What Do Election Results Mean for Child and Family Coverage, Medicaid and CHIP?
Last night’s surprise election results raise many, many questions about what will happen next year to the Affordable Care Act, Medicaid and CHIP. There is a long road ahead but let’s start by taking stock of a few things we know. As readers of SayAhhh! know, the Children’s Health Insurance Program (CHIP) is running out…
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When it Comes to Monitoring the Quality of Children’s Health Care in Medicaid, the Golden State Could Fall Even Further Behind
Over 5 million kids in California rely on Medicaid services to grow up healthy and strong, making it by far the largest child-serving health insurance program in the nation. Yet, based on public reporting, California is far behind the nation when it comes to ensuring the quality of the health care provided to these children.…
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Drafting New Medicaid Policy Wonks at the 2016 Alliance for Early Success Partner Summit
Last month, Elisabeth Wright Burak and I travelled to Arizona to take part in our first Alliance for Early Success partner summit. The Alliance for Early Success is a “catalyst for bringing state, national and funding partners together to improve state policies for children, starting at birth and continuing through age eight, with a priority…
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A Golden Opportunity: California Celebrates Historic Rates of Children’s Health Coverage
by Mayra E. Alvarez, President, The Children’s Partnership There’s a saying in California: As California goes, so goes the nation. When it comes to coverage for children, we sure hope so. In California, almost 97% of children have health coverage – a 55% decline in uninsured children in the last two years. Last week, Georgetown’s…
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A Tale of Two States: Children’s Uninsurance Rates in Texas and California
This week, we released our sixth annual report on children’s health coverage rates across the country. Overall, we found that the country is making incredible progress in reducing rates of uninsurance with the vast majority of states (41 states) experiencing a significant decline in uninsurance rates. The two states with the largest population of uninsured…
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What We’ve Learned: Helping Remaining Uninsured Obtain Health Coverage
By Benjamin Kerman and Annmarie Benedict, The Atlantic Philanthropies It’s been almost three years since the Affordable Care Act (ACA) went into full effect. During that time, 13 million people gained health insurance coverage. With open enrollment starting tomorrow, communities have another opportunity to extend the ACA’s benefits to the estimated 29 million Americans who…
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New England Leads Trends For Growth In Children’s Health Coverage
By Celeste Davis, Community Catalyst Coverage success for children did not happen overnight and is not static. As we enter the next open enrollment period, we are reminded that coverage and maintaining coverage is ongoing and requires year-round support. This is especially true for children whose needs change as they grow and their opportunity for…
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Gains in Children’s Health Coverage at Risk if Bump in Funding Eliminated
Those of you at our annual conference in July are already familiar with the bump dance craze that took the world by storm in the summer of 1975. But ICYMI, there’s a new bump that’s all the rage these days – the increase in federal funding for CHIP. Starting in fiscal year 2016, states received…
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Sharpest Decline in Child Uninsured Rate on Record but Most Think Rate Increasing or Staying Same
For the past six years, my colleagues and I here at Georgetown University’s Center for Children and Families have reported on state-by-state and national trends in children’s health coverage. Thanks to the hard work done by Medicaid and CHIP over the past few decades, we have seen a steady decline in the rate of uninsured…
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Improving Health Equity Through Early Childhood Primary Health Care and Medicaid
It is in the first 1000 days of life that health practitioners actually can have the greatest impact upon a person’s healthy growth and development. The P.A.R.E.N.T.S. Science (Protective factors, Adverse childhood experiences, Resiliency, Epigenetics, Neurobiology, Toxic stress, and Social determinants of health) points to the critical importance of setting a positive health trajectory during…
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New Marketplace Research: Off-Marketplace Consumers and How Marketplace Enrollees Fare in Expansion and Nonexpansion States
Two new reports released this month on the Marketplace sparked our interest at CCF. The first, a brief from the Office of the Assistant Secretary for Planning and Evaluation, examined the population currently purchasing off-marketplace coverage. The authors estimate that about 6.9 million individuals purchase health insurance in the off-Marketplace individual market. About 2.5 million…
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Creating More Direct Pathways to Health Coverage in Colorado
By Stephanie Brooks, Colorado Covering Kids and Families Colorado Covering Kids and Families’ (CKF) new report, Colorado’s Health Insurance Affordability Programs: Goals to Prioritize and Options to Consider to Create a More Direct Pathway to Health Coverage, is the first in Colorado to document and examine the eligibility and enrollment process in health coverage programs…
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Report Suggests Improved Outreach and Enrollment Efforts Directed at Very Poor Parents Needed
As I was flying back from Atlanta the other night, I read a fascinating new paper by researchers at the Urban Institute (a team led by the esteemed Genevieve Kenney), which looks at adult uninsured rates and participation rates in Medicaid. In particular, the researchers examine how the number of uninsured parents and childless adults…
