Research & Reports
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State-Specific Supplemental Navigator and Assister Training
The following outline focuses on Medicaid and CHIP policy information and training topics for which content differs from state to state, and may not be covered in-depth in federal training for navigators and other assisters.
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Navigator Assister Training Outline
This comprehensive outline for navigators and other types of assisters was developed to inform the scope of training that is being developed at both the federal and state level to prepare navigators and other assisters to connect consumers to existing and expanded coverage options un the Affordable Care Act.
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Foster Care Provision State Partner Webinar
The May 2013 State Partner call/ webinar focused on the foster care provision of the ACA. Download the video here.
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Premium Assistance in Medicaid and CHIP: An Overview of Current Options and Implications of the Affordable Care Act
Premium assistance is the use of public funds through Medicaid or the Children’s Health Insurance Program (CHIP) to purchase private coverage. States have pursued premium assistance with varied objectives, including covering parents not otherwise eligible for public coverage and promoting the use of private coverage. Implementation of the Affordable Care Act (ACA) coverage expansions is likely to spark renewed…
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Florida’s Medicaid Choice Under the ACA
These slides were used in Joan Alker’s testimony to the Senate Select Committee on PPACA in Tallahassee, FL.
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Getting Into Gear for 2014: Findings from a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP, 2012-2013
As 2013 begins, implementation of the major provisions of the ACA, including its coverage expansions, is less than a year away. Following the Supreme Court ruling to uphold the ACA and the 2012 elections, efforts to prepare for 2014 are moving into high gear in many states. The majority of states are capitalizing on web-based…
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Participation Among Children and Parents -Urban Institute Presentation
Participation Among Children and Parents -Urban Institute Presentation
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Florida’s Medicaid Choice: Understanding Implications of Supreme Court Ruling on Affordable Health Care Act
Georgetown University Health Policy Institute researchers estimate that 800,000 to 1.3 million uninsured Floridians would gain health coverage with no net cost to the state if Florida chose to exercise the option to extend Medicaid coverage to residents with incomes at or below 133% FPL as provided under the Affordable Care Act. Moreover, the researchers estimate…
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Eligibility and Enrollment Systems: An Advocate’s IT Toolkit
Efforts to improve public coverage programs have long been stymied by the prevalence of outdated IT systems that are the source of numerous consumer issues from confusing and conflicting notices to lost eligibility records to inadequate data to measure program performance. Meanwhile the state of technology and web-based services has advanced significantly, leaving many Medicaid…
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Speaking of Medicaid …
By Joe Touschner Say Ahhh! readers talk about Medicaid and CHIP all the time and it’s long been a key topic during state budget hearings. But lately, Medicaid seems to be under discussion everywhere, including the last presidential debate. And talk of Medicaid is only going to intensify in the coming months as we enter…
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Uninsured Children 2009-2011: Charting the Nation’s Progress
Georgetown University Center for Children and Families researchers analyzed health insurance data from the Census Bureau’s annual American Community Survey to get a closer look at children’s coverage trends. The authors found that the nation continues to make steady progress covering children, despite no reduction in the number of children living in poverty. A strong commitment to…
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Summaries of Insurance Benefits and Coverage will Help Consumers Comparison Shop
By Sabrina Corlette, Georgetown University Center on Health Insurance Reforms As of September 23, the “wild west” of shopping for health insurance coverage has been at least partially tamed, thanks to the Affordable Care Act (ACA). Consumers can now get standardized, simplified summaries of benefits and coverage (SBC) that will help them understand what’s covered by an…
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Designing Navigator Programs to Meet the Needs of Consumers: Duties and Competencies
Exchanges are required to set up navigator programs and federal regulations specify a minimum set of duties and competencies required of navigators. However, states have to flexibility to expand the role of navigators to maximize the effectiveness and reach of their programs. By identifying and focusing on the needs of consumers upfront, Exchanges are better…
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Pediatric Dental Benefits Under the ACA: Issues for State Advocates to Consider
By Joe Touschner The Georgetown University Center for Children and Families and the Children’s Dental Health Project collaborated to produce this issue brief. It presents an overview of some of the key changes the Affordable Care Act makes to children’s dental benefits and the choices states face in defining pediatric dental benefits. It concludes with recommendations for those who wish to support…
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Study Finds Medicaid Beneficiaries’ Use of Hospital Emergency Departments Comparable to Privately Insured Patients
By Tara Mancini Medicaid seems to be a lightening rod for inaccurate assumptions such as it’s too expensive for states (it’s a good deal for states), overall cost (more cost-effective than private insurance) and beneficiaries using hospital Emergency Departments for routine care. Until recently, there had not been much research to refute the perception of…
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Child Health Advocates’ Guide to Essential Health Benefits
By Joe Touschner This guide highlights considerations for the selection of the essential health benefits with a focus on services for children. The Department of Health and Human Services has determined that each state will select an essential health benefits package based on an existing employer-based health plan. The guide outlines the process for choosing and supplementing…
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Consumer Assistance in the Digital Age
This brief provides recommendations on how states can connect consumers with health coverage programs like Medicaid and health insurance exchanges. It also explores how ways to connect consumers with health coverage options will evolve as new technological tools are deployed to facilitate the enrollment process. Where states’ use of new technology tools is limited, the authors…
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Countdown to 2014: Designing Navigator Programs to Meet the Needs of Consumers
Exchanges are required to establish a navigator program that provides grants to community or consumer-focused nonprofits and other organizations to conduct outreach and help consumers and small employers connect to health coverage. States have broad flexibility in designing their programs as long as minimum federal guidelines are met. While similar to existing models of consumer assistance in Medicaid and Medicare, navigator…
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Expanding Coverage for Parents Helps Children: Children’s Groups Have a Key Role in Urging States to Move Forward and Expand Medicaid
The Affordable Care Act (ACA) expanded Medicaid coverage to include parents and low-income adults with incomes up to 133 percent of the poverty line. The Supreme Court’s decision means states can now decide whether or not to implement this expansion. Covering low-income parents is important for children: covering parents means that more eligible children will…
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Comments on CCIIO’s Verification of Access to Employer-‐Sponsored Coverage Bulletin
CCF Comments on CCIIO’s Verification of Access to Employer-‐Sponsored Coverage Bulletin