Research & Reports
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New York is Taking GIANT Steps to Cover Kids
By the Community Service Society of New York, Children’s Defense Fund – New York, Schuyler Center for Analysis and Advocacy and Health Care for All New York As the New York Giants head to the Super Bowl this year, another giant comes to mind, the title character from Roald Dahl’s famous book, The Big Friendly Giant (BFG). Just…
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Is Your State Reviewing Potential EHB Benchmarks?
By Joe Touschner HHS’s essential health benefits bulletin is less than two months old–in fact, the comment period just closed this week, click here for our comment letter–but some states are already planning for what it could mean for their residents. The Bulletin indicates that states will be able to choose the core of their…
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The Pace of Progress in the States
By Martha Heberlein As legislative sessions are kicking off, it will be interesting to see which states take steps towards implementing the Affordable Care Act (ACA) this year. A new report from the Urban Institute and the Robert Wood Johnson Foundation shows that those states that have been moving most slowly on reform are also the…
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Something to Celebrate
By Gretchen Hammer, Colorado Coalition for the Medically Underserved This month, All Kids Covered released Crossing the Finish Line: Achieving Meaningful Health Care Coverage and Access for All Children in Colorado. The report provides an update on the current status of meaningful health care coverage and access for children in Colorado, and describes the significant…
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HHS Shares Info on Small Group Plans
By Joe Touschner It’s a busy month on the essential health benefits front! As we’ve noted, one option for states under the proposed approach for state-defined EHB packages is to use one of the state’s three largest small group plans as a benchmark. It’s been difficult to evaluate this proposal because we didn’t know which…
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CCF Shares Comments on the Essential Health Benefits Bulletin
By Joe Touschner We have been offering our insights on essential health benefits through a series of blog posts. This post is to alert you that Georgetown CCF has drafted a letter in response to the Bulletin issued by HHS in December. We raise a number of concerns with the Bulletin’s approach to essential health…
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Performing Under Pressure: Annual Findings of a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP, 2011-2012
Amid ongoing state budget pressures, a requirement in the Affordable Care Act (ACA) that states maintain eligibility in Medicaid and CHIP was central in preserving coverage during 2011. In addition, more than half of states (29) made improvements in their programs. Most of these improvements involved greater use of technology to boost program efficiency and…
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Secrets to Success: An Analysis of Four States at the Forefront of the Nation’s Gains in Children’s Health Coverage
The uninsured rate for children dropped to 8% in 2010, the lowest point ever achieved since the federal government began tracking this statistic in 1987. The following issue-brief attempts to gain an increased understanding of factors contributing to the success in coverage of children by conducting site visits and interviews with key stakeholders in four…
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Medicaid Constitutional Challenge Based on ‘More Rhetoric Than Fact”
We haven’t heard much about what Politico has dubbed the “sleeper issue” of the Supreme Court case because it is the least likely to be found unconstitutional. This week, Attorney Paul Clement tried to stoke a little life into the sleeper issue by tying it to the more controversial mandate provision. In the brief he filed…
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NASHP and Children’s Dental Health Project Issue Report
By Leigha Basini, National Academy for State Health Policy The new year brings many new things: new discussions about CCIIO’s newly released Essential Health Benefits (EHB) Bulletin and benefit provisions in the seemingly still new Affordable Care Act. But state CHIP directors may also be thinking about a slightly older benefit provision–the CHIPRA dental mandate. NASHP,…
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Maryland Kids Win with CHIPRA Performance Bonus
By Leigh Cobb, Advocates for Children and Youth and Suzanne Schlattman, Maryland Citizen’s Health Initiative Education Fund Maryland has just received its second Children’s Health Insurance Program Reauthorization Act (CHIPRA) performance bonus from CMS. This recognizes its efforts to identify and enroll eligible children in Medicaid and the Children’s Health Insurance Program (CHIP). Maryland enrolled…
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Paying Pharmacies Honest Prices for Prescription Drugs
As policymakers across the country look to balance their budgets, some are turning to Medicaid, recycling the same harmful policies they’ve used year-after-year: eliminating coverage for vulnerable Americans, restricting critical benefits like prescription drug coverage, imposing premiums on those who can’t afford them, and slashing already-low provider reimbursement rates. Community Catalyst and Georgetown University Health…
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First Focus Calls for Greater Investment in Children
By Tara Mancini Over the past 35 years, our nation’s GDP has increased by 168 percent, yet those gains are mostly missing from the picture when viewing from the perspective of the Child and Youth Well-Being Index (CWI). Over that same time period, the quality of life for children has increased by just a little…
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Setting the Record Straight on Medicaid Spending
By Tara Mancini Last week, NASBO released their 2010 Report of State Expenditures and per usual, the top line message picked-up by most of the media was the large share of state expenditures used on Medicaid. However, there are always exceptions to the rule, and Kristen Stewart writing for a Salt Lake City Tribune Blog…
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HHS Suggests States Will Have Choices on Essential Health Benefits
By Joe Touschner For nearly a year now, we’ve been tracking the process of defining the essential health benefits. The EHB package will define the minimum set of benefits to be covered by insurance plans in the individual and small group markets as well as benchmark Medicaid plans and Basic Health Programs. On Friday afternoon,…
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Coming Soon to a State Near You? Wisconsin seeks to preview a slasher triple feature
By Jon Peacock, Wisconsin Council on Children and Families A drama has been slowly unfolding in Wisconsin relating to the shape of the state’s Medicaid program. If it were made into a movie, it would be a slasher film with an unwilling cast of nearly half of the 780,000 people enrolled in Wisconsin’s highly successful…
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Examining Medicaid Managed Long-Term Service and Support Programs: Key Issues To Consider
By Laura Summer, Georgetown University Health Policy Institute (Editor’s Note: Given the increasing interest in Medicaid managed care among states eager to achieve cost-savings, we asked our colleague Laura Summer to blog for us on her latest report on managed care. Her report focused on long-term care services but it provides some helpful insights into broader…
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Proposed Medicaid Premiums Challenge Coverage for Florida’s Children and Parents
Florida’s proposed changes to its Medicaid program include a requirement for nearly all Medicaid beneficiaries, including children, who are enrolled in managed-care plans to pay a $10 monthly premium as a condition for Medicaid eligibility. This could result in 800,000 Florida children and parents – the majority of them children in very-low-income families –leaving Florida…
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Looking Ahead to 2012, What Changes Are In Store for Florida’s Medicaid Program?
Medicaid is a critical part of Florida’s health care system. It covers 3.1 million people in the state, the majority of whom are children. In 2006, a five-year pilot program that replaced traditional Medicaid with an unusual managed-care model and other features that required a Section 1115 waiver from the federal government. In 2012, there…
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UPDATE: Arizona – A KidsCare Band-Aid
By Martha Heberlein We’ve written before about Arizona’s response to the recession–substantial budget cuts and the only enrollment freeze in the nation in its CHIP program, KidsCare. Instituted almost two years ago, there are now 129,000 kids on the waiting list for access to affordable health coverage. A new (but somewhat familiar) proposal has emerged to…