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  • No QHPs Comparable to CHIP, Says (Delayed) HHS Certification

    Like many others that watch child health policy closely, we have been anxiously awaiting release of the months-overdue Congressionally-mandated study comparing CHIP with coverage children receive through qualified health plans (QHPs) in the marketplaces. Released just before Thanksgiving, the HHS certification summary reinforces what growing evidence has indicated: No QHPs were found comparable to CHIP. Not…

  • Children’s Health Coverage: On the road to 100 percent?

    by Ben Kerman, Atlantic Philanthropies The 2015 open enrollment period offers an opportunity to build on tremendous progress in bringing health coverage to more children and their families. An analysis of recent census data by Georgetown Center on Children and Families confirms that many states are making headway. Twenty five states achieved statistically significant decreases…

  • A Tune-Up on Eligibility Rules and Application Process for Families with Immigrants

    With the third open enrollment period firmly underway, assisters are racing to get eligible people covered, including many families with one or more immigrant member whom are often among the most complicated cases assisters see. Since nearly half of all uninsured children in America live in families with at least one immigrant member, enrolling families with…

  • Comments Submitted On Texas Medicaid Waiver

    Georgetown CCF, the Center on Budget and Policy Priorities and seven other national organizations submitted a letter to CMS for public comment on Texas’ proposal to extend its Section 1115 Medicaid demonstration project, the Texas Healthcare Transformation and Quality Improvement Program. The full comments that were submitted November 16, 2015 can be found here –…

  • CMS Proposes Expanded Role for Navigators

    The federal agency responsible for administering the Affordable Care Act’s health insurance marketplaces, the Centers for Medicare and Medicaid Services (CMS), has released new proposed rules to govern health insurance companies and the marketplaces beginning in 2017. The rules cover a wide range of subjects, from the regulation of premium rates, to benefit design and…

  • States Enact Policies to Help Protect Consumers from High Prescription Drug Costs

    High prices for prescription drugs have been in the news lately. There is the eye-popping price of the life-saving hepatitis C drug Sovaldi ($1,000 a pill) and the announcement that Turing Pharmaceuticals would increase the price of Daraprim, a drug to treat a rare but serious infection, by 5,000 percent. At the same time, insurance companies are shifting…

  • Shop to Renew Health Coverage During Open Enrollment

    By Sandy Ahn, Center on Health Insurance Reforms Similar to last year’s open enrollment, the federally facilitated marketplace (FFM) will automatically renew consumers into coverage if they do not go back to the marketplace to update their information and select a plan. This means that eligible consumers will be automatically re-enrolled into coverage and receive…

  • $32 Million Now Available to Help Reach Eligible but Unenrolled Kids

    Most uninsured children are eligible for Medicaid or CHIP but are not yet enrolled so finding them and helping them enroll is critical to successfully reducing the uninsured rate for children. As my colleague Tricia Brooks has pointed out many times, it is no secret that sustained outreach and enrollment support is the key to…

  • Medicaid Expansion Would Help More Latino Families Succeed

    By Steven Lopez, National Council of La Raza Latinos are the most uninsured population in the country. As the largest civil rights and advocacy organization in the nation, the National Council of La Raza (NCLR) works to improve the lives of Hispanic Americans, no matter who they are, where they live, or how much they…

  • Unpacking the Uninsured Kids Report: Breaking Down Data by Race

    Since 2008, the number of uninsured kids has declined by 2.5 million children nationwide. Following the implementation of the Affordable Care Act, 94 percent of all children have health insurance coverage. Still, there are 4.4 million children living in the United States without health coverage. Our report released last week, Children’s Health Insurance Rates in 2014:…

  • More Evidence that Medicaid Expansion Helps State Budgets

    Recently, Kaiser Family Foundation released a report on Medicaid Enrollment & Spending Growth for FY 2015 and 2016. There is a lot of interesting data in the report, but the stand out finding confirms what we already know: Medicaid expansion is good for state budgets and leads to increases in coverage. Medicaid Enrollment is up…

  • While NC’s Governor Reverses Course on Medicaid Expansion, Some Conservative State Executives Move Ahead

    In this excerpt of an interview late last week with WRAL-TV anchor David Crabtree, NC Governor Pat McCrory, when asked about Medicaid, said that expansion would now have to wait at least three years for health reforms to take place in the state. McCrory also highlighted an Oval Office meeting he and several other Governors had…

  • Estimating 2016 Federal CHIP Allotments (and the bump!)

    If you’re like us at CCF, you’ve been really curious about 2016 CHIP allotments under the recent CHIP extension in MACRA. We worked with our friends at the Center on Budget and Policy Priorities to estimate federal allotments for the 2016 federal fiscal year (1st column), which began October 1, using state-reported May estimates of…

  • Obama Administration Should Release Long Awaited CHIP/QHP Study

    Some of you may remember that the Affordable Care Act included a provision that required the Secretary of Health and Human Services (HHS) to review and certify the comparability of pediatric coverage of qualified health plans to the benefits and cost-sharing of CHIP plans in each state. In fact this analysis was supposed to be…

  • Targeted Medicaid Enrollment Reaches More Kids

    By Suzanne Wikle,  CLASP The rate of children without health insurance has hit an all-time low of 6 percent, according to a new report from the Center for Children and Families. The drop is largely attributable to the Affordable Care Act (ACA) and to states’ efforts to increase enrollment. States that have opted to expand Medicaid…

  • Medicaid Expansion: Important Factor in Declining Uninsurance Rates for Children

    Our report released last week (Children’s Health Insurance Rates in 2014: ACA Results in Significant Improvements) contained good news for people who share the belief that no child should ever be uninsured in our country – the national child uninsurance rate is now at a historic low of 6 percent. Kids haven’t quite caught up…

  • Healthcare.Gov Promises a Snazzier Production for OE3

    Yesterday marked the debut of the third open enrollment period for the Health Insurance Marketplaces, including Healthcare.gov, which is the storefront to the Marketplace in 37 states. Has the performance improved? What new bells and whistles will delight the audience? Faster lines at the box office. Although it looks the same to consumers, new account…

  • Nondiscrimination and the Affordable Care Act

    The Office for Civil Rights at the Department of Health and Human Services released a proposed rule on Section 1557 of the Affordable Care Act on September 8, 2015. Section 1557 prohibits discrimination on the basis of race, color, national origin (including immigration status and English language proficiency), sex, age, or disability in any program…

  • CMS Issues Long-Awaited Medicaid Access Regulation

    Today CMS issued the long-awaited final rule on access to covered Medicaid services. The rule describes the requirements under section 1902(a)(30)(A) of the Social Security Act, known as the “access requirement.” The access requirement provides that states must have methods and procedures to assure that payments to providers are “sufficient to enlist enough providers so…

  • Child Uninsured Rate Hits Historic Low – Thanks Goes Mainly to ACA, Medicaid & CHIP

    Like many of you I was super excited to see the first round of data from the Census Bureau looking at health insurance rates in 2014 when it came out in late September. Needless to say, 2014 was a big year for health policy changes! Today we are releasing our annual report focused specifically on…