Research & Reports
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Explaining Health Reform: Benefits and Cost-Sharing for Adult Medicaid Beneficiaries
By Jocelyn Guyer Under health reform, Medicaid eligibility will be expanded to reach nearly everyone under age 65 with income below 133 percent of the federal poverty level. As a result, millions of uninsured adults, including many with very low income and significant health needs, will become eligible for the program. This brief provides details…
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Get Covered: Get In the Game Initiative is a Great Idea
By Suzanne Schlattman, Maryland Citizens’ Health Initiative Education Fund, Inc. This week, the U.S. Department of Health and Human Services (HHS) announced the Get Covered. Get in the Game initiative which will be launched in seven pilot states across the country including: Colorado, Florida, Maryland, New York, Oregon, Ohio and Wisconsin. The initiative brings together coaches, schools, and communities to educate families with children…
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Home Visiting Program – Another Early Win for Children in Affordable Care Act
By Tom Birch, National Child Abuse Coalition For the first time, with the passage of health care reform in March, federal funding will be available to states to support a range of voluntary home visitation services to pregnant women, young parents and their children, designed to improve maternal and child health, foster healthy child development,…
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FPL Guidelines Remain Unchanged for 2010
By Martha Heberlein For all those wondering what was going on with the 2010 federal poverty level, your answer arrived today in the Federal Register. But while I have your attention, here’s the back-story. A decline in the average CPI-U during 2009 would have required HHS to issue poverty guidelines in 2010 that were actually…
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Medicaid and Medicare Turn 45 Today
Is this a scene from the latest Mad Men episode? While it’s from the same era, it’s fairly apparent from the attire that the photo was not taken on Madison Avenue. The photo was taken 45 years ago today at the signing ceremony of the Social Security Act of 1965, the law that created…
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$51 Million Available for Designing State Exchanges
By Martha Heberlein HHS announced today that up to $1 million per state will be available in grants to begin establishing health insurance exchanges. This first round of grants is designed to help cash-strapped states conduct the research and planning necessary to build the new marketplaces. Grant applications are available at: http://www.healthcare.gov/center/grants and are due…
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Consumer Assistance: A Guided Tour to Your New Health Care Choices
By Christine Barber, Community Catalyst We’ve all heard the recently-passed Affordable Care Act (ACA) provides a lot of new opportunities for improving health care coverage and access – but we also hear most Americans don’t understand what the law actually means for them. At Community Catalyst, we think a major opportunity created by national health…
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Bumps in the Road for Kids’ Coverage
By Sabrina Corlette, Georgetown Health Policy Institute In the last couple of weeks there have been reports that some insurance companies have decided they will no longer market “kids-only” policies, in response to the new requirement under the Patient Protection and Affordable Care Act (ACA) that they issue coverage to all children, even those with pre-existing…
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Insurance Commissioners Meet on Exchanges: Medicaid and CHIP
Last week, the National Association of Insurance Commissioners held a first of many planned meetings on health care reform. In many ways, state insurance commissioners, have become the front lines of health reform implementation as they are responsible for ensuring that health plans are compliant with the insurance reforms in the Affordable Care Act and they…
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Wisconsin Shows How States Can Mitigate the Downside of New Puerto Rico Law
By Jon Peacock, Wisconsin Council on Children and Families It isn’t often that state policymakers have to make program changes and policy choices because of a law passed in another state or territory of the U.S. Thus, it came as a big surprise to learn that a law enacted in Puerto Rico forces states to…
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Advocates Can Guide and Support Efforts to Advance Children’s Coverage: Reports Show How
By Eugene Lewit and Liane Wong The David and Lucile Packard Foundation The percent of uninsured children has consistently declined, despite deterioration of coverage for adults and the economy. This is one of the significant but frequently overlooked good news stories of recent years. The gains in children’s coverage have been due in large part to…
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CCF Comments to NAIC on Exchange Coordination with Medicaid and CHIP
CCF Comments to NAIC on Exchange Coordination with Medicaid and CHIP
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States will Face Tough Choices Without Extended Medicaid Funding
By Joe Touschner As we’ve noted previously Congress has yet to reach agreement on extending the increased Medicaid funding it originally granted in the 2009 economic recovery legislation. The increased payments are scheduled to end in December 2010, but most state budgets are looking no better than they were a year and a half ago. …
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What will this cost us – continued…
By Martha Heberlein Since the last time we talked about state estimates of the cost of health reform, several more have put them out. A few, in particular, struck me – Maine, Maryland, and Wisconsin. Why, you might ask? Because these three states found that health reform would save them money. John Holahan of the Urban…
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HHS Rule on Preventive Services: Bright Futures For All Children
By Judith S. Palfrey, MD, FAAP President, American Academy of Pediatrics On Wednesday, I was honored to attend an event in DC unveiling the US Department of Health and Human Services’ (HHS) Interim Final Rule on preventive services under health reform. To so many of us in the business of taking care of children, the…
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New Reg Aims to Make Preventive Health Services More Accessible, Affordable
“An ounce of prevention is worth a pound of cure.” It is not often that I find myself quoting Benjamin Franklin, but it seems particularly apropos this week with the release of the latest Affordable Care Act regulation. On Wednesday, the Obama administration issued new rules requiring that health plans provide a series of expert-recommended preventive…
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The Doctor Is In
Doctor Donald M. Berwick, a respected Harvard professor and pediatrician who has built a reputation for improving quality and reducing health care costs, was sworn in this week as administrator of the Centers for Medicare & Medicaid Services. The agency had been without a permanent administrator since 2006. Dr. Berwick was installed in the CMS…
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A Deeper Look at Individual Responsibility Requirement
By Jocelyn Guyer Community Catalyst and Georgetown’s CCF have just finished up a piece that explores in detail the way that the new individual responsibility requirement will work. With all of the controversy and rhetoric surrounding the requirement, it seemed a good time to take an objective, detailed look at how it will actually work. …
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The New Responsibility to Secure Coverage: Frequently Asked Questions
The Patient Protection and Affordable Care Act (PPACA) includes a much-discussed requirement that people secure health insurance coverage for themselves and their children. This “individual responsibility requirement” is an essential element of the new law, which will play a vital role in increasing the number of people with health insurance and make it possible to…
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CHIP Tips: New Federal Funding Available to Cover Immigrant Children and Women
The recently enacted CHIP reauthorization law includes a number of programmatic and financing changes that affect both Medicaid and CHIP. One of these changes is a new option, often referred to as “ICHIA,” that allows states to receive federal funds for providing Medicaid and CHIP coverage to lawfully residing immigrant children and pregnant women regardless…