Say Ahhh!
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New Online Resource Provides Answers to Common Health Insurance and Marketplace Questions
Over the past year, experts from Georgetown University Center on Health Insurance Reforms and Center for Children and Families have been providing support to Navigators and assisters under a project funded by the Robert Wood Johnson Foundation. Our work includes back-office support to assisters in 6 states – Georgia, Florida, Ohio, Arizona, Arkansas and Michigan…
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Extending Iowa’s Waiver Request Would Set a Bad Precedent for Other States Considering Medicaid Expansion
By Sean Miskell As we near the end of the first year of expanded Medicaid under the Affordable Care Act, it is also time to revisit state proposals to alter their Medicaid programs through Section 1115 Medicaid waivers. Last week, the Center on Budget and Policy Priorities, Georgetown CCF, and 20 other national and state…
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No Tricks Here, CMS Treats States with Permanent Enhanced Funding for Medicaid Eligibility and Enrollment Systems
There could hardly be a sweeter treat for state Medicaid agencies than to learn that CMS is proposing to the make permanent the enhanced federal funding match of 90 percent for Medicaid eligibility and enrollment systems and a 3-year extension on certain cost-allocation requirements. It was a big deal when CMS first proposed the 90/10…
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Raising the Curtain on Open Enrollment, Round Two
The second open enrollment period for the health insurance marketplaces, or OE2, is mere days away. As I wrote in this blog and the related Health Affairs story, OE2 will be part sequel and part new production. Taking a peek behind the curtain, what can the audience expect on open day, November 15th? Outreach and…
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Arkansas Proposes Unwelcome Changes to the Private Option
Last week, the Center on Budget and Policy Priorities, Georgetown CCF and 15 other national and state groups submitted comments to the federal Centers for Medicare and Medicaid Services outlining concerns with proposed changes to the state’s Section 1115 Medicaid waiver which authorizes the state’s Medicaid expansion – known as the “private option.” We expressed…
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Rural Hospital Closures: Tracking Tool Shows Impact in States Reluctant to Expand Medicaid
At the University of North Carolina’s Rural Health Research Program, Director Mark Holmes and colleagues are tracking the increasing numbers of rural hospital closures across the United States with this dynamic map. As part of this work the Rural Health program has also looked at the impact on rural populations nationwide of state decisions not…
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Open Enrollment 2: Experts Answer Tough Questions and Offer Advice to Help Navigators and Consumer Assisters
This week, Georgetown University experts from the Center on Health Insurance Reforms and the Center for Children and Families released a report from their ongoing project to support Navigators and consumer assisters. The project, supported by the Robert Wood Johnson Foundation, provides Navigators and other in-person assisters in six states – Arkansas, Arizona, Florida, Georgia, Michigan,…
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Tracking Medicaid Enrollment and Spending
By Joe Touschner Each year, the Kaiser Commission on Medicaid and the Uninsured reports on the findings from its survey of budgets and enrollment among state Medicaid programs. (The budget survey is not to be confused with the Kaiser-Georgetown CCF survey of Medicaid and CHIP eligibility and enrollment policies coming in January). This year’s edition…
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New Kaiser Survey Finds More States Intend to Extend Primary Care Rate Increase
By Sophia Duong In a previous post, I summarized the initiatives taken by Congress and states to extend the payment rate increase for primary care services, set to expire on December 31, 2014. At the time, six states were reported to finance the primary care bump through 2015 with their own state funds. Now, Kaiser…
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Kaiser Study: Employer Coverage Remains Steady, But Long Term Trends Highlight Need To Strengthen All Forms Of Coverage
By Sean Miskell Despite concerns that the Affordable Care Act’s reforms would undermine employer –sponsored health insurance, a recent study by the Kaiser Family Foundation finds that employer coverage remains steady and premiums have increased only modestly. While this is welcome news, long-term trends that show decreasing employer coverage – and increasing costs for those…
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School-Aged Children Benefit from ACA “Stairstep” Provision
One piece of the ACA that has received less attention than others (outside CCF at least!) is the requirement for states to align eligibility for all children under 19, also referred to as the elimination of “stairstep” eligibility for kids. A recent USA Today article focused new attention on this provision. Under the ACA states…
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How Small Town America is Pushing Reluctant States to Expand Medicaid (Video)
In a report today (video below) from Hyde County, North Carolina reporter Bryan Mims (WRAL) shows the rural impact of North Carolina’s decision to not – so far at least – expand Medicaid under the Affordable Care Act. A small hospital closure, largely due to the failure to take the available federal Medicaid money, has rippled through the area…
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States Putting In Place Delayed Medicaid Expansions Must Make Good Faith Effort to Ensure Nobody is Left Behind
Federal approval last month of Pennsylvania’s new plan to expand Medicaid coverage under the Affordable Care Act (ACA) on January 1, 2015 has brought urgency to this obscure but important issue. States that decide to expand Medicaid where the date of expansion occurs after the original January 1, 2014 ACA Medicaid and health marketplace start…
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Advocates File Civil Rights Complaint with HHS on Coverage Termination Day
Yesterday, on the day that 115,000 people who bought coverage in the federal marketplace lost coverage, the National Immigration Law Center filed two formal administrative complaints with HHS’s Office for Civil Rights alleging that the federally facilitated violated longstanding federal civil rights law and the Affordable Care Act’s anti-discrimination provisions. They request that OCR immediately…
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Taking Stock and Taking Steps to Improve Consumer Assistance
A new report released by the Robert Wood Johnson Foundation and the Kaiser Family Foundation chronicles the challenges, innovations and lessons learned about the needs of consumers for assistance in accessing and using health coverage options under the Affordable Care Act (ACA). The report is compilation of feedback from the field, including a survey of…
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Plan Cancellations Redux: Finally, An End to Pre-Existing Condition Discrimination?
The Navigator was scratching his head. The Affordable Care Act had banned insurance companies from discriminating against people with pre-existing conditions. How was it possible that his new client had a letter from his insurer, refusing to cover care for his HIV? The Navigator reached out to CHIR experts for answers, which we’re able to…
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Medicaid Expansion in North Carolina “Soon”? Interviews with NC’s DHHS Secretary and Medicaid Director (Video)
In two interviews over the last few days, North Carolina’s Secretary of the Department of Health and Human Services Dr. Aldona Wos and NC’s Medicaid Director Dr. Robin Cummings address the question of Medicaid expansion in NC: How soon, the presentation of options for policymakers and whether the state should create its own unique plan…
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Wisconsin Loses Out on At Least $300 Million Due to Governor’s Badgercare Decision
Wisconsin is the only state in the nation to have gone down a very shortsighted and bizarre path with respect to the Medicaid expansion – one that has resulted in serious fiscal challenges for the state. So what did Wisconsin do? Well, in an attempt to “stick it to the man”, Governor Walker said no…
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Uninsured Children More Likely to Face Access and Affordability Barriers, Less Likely to Receive Preventive Care
Did you know that uninsured children are nearly 27 percentage points less likely than insured children to have received a routine checkup in the last year? That was one of the findings in a report CCF released with the Urban Institute earlier this month. Now most Say Ahhh! readers won’t find that statistic all that surprising…
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Children’s Coverage Improves as States Expand CHIP Eligibility
A study published in Health Affairs confirms the vital role that CHIP has played in decreasing the rate of uninsured children as well as the importance of extending federal funding for CHIP. In The Impact Of Recent CHIP Eligibility Expansions On Children’s Insurance Coverage, 2008–12, authors examined fifteen states that expanded their CHIP income eligibility…