Research & Reports
-
Making CHIPRA Work: Enrolling Eligible Children in Health Coverage
Authors: Tricia Brooks and Donna Cohen Ross New England Alliance for Children’s Health — Presentation Document April 2009
-
CMS Ready for Questions on CHIPRA
By Joe Touschner While some are already celebrating the success of CHIP reauthorization in covering millions more kids, if you’re reading this blog, you probably realize that the number of questions raised by the new law rivals the number of children that need coverage. The law provides states with enough information to move forward on…
-
Obama Health Team Takes Road Show to North Carolina
Adam Searing, North Carolina Justice Center’s Health Access Coalition The Obama Administration is holding a series of Regional White House Forums to continue discussions about bringing down health care costs and expanding coverage for all Americans. We asked Adam Searing of North Carolina Justice Center’s Health Access Coalition to post a guest blog from the event in Greensboro.…
-
Health Reform: Children and Medicaid
Author: Cindy Mann American Academy of Pediatrics — Presentation Document April 2009
-
11 Million Kids Now Covered!!! (Not Even Close)
By Jocelyn Guyer When I got home from work a few weeks ago my husband handed me a flyer we got in the mail. It praised one of our Senators for her vote for the Children’s Health Insurance Program Reauthorization Act, and exclaimed joyfully that 11 million parents just got the great news that their…
-
Why Blog? Why Now?
Why start a blog? At the Georgetown University Center for Children and Families we debated that question for some time before deciding to jump into the blogosphere. With everything going on with the economy and a rapidly shifting dynamic in the health policy world, we thought a blog would provide a good place to meet…
-
CHIP Tips: Medicaid Performance Bonus
The CHIP law enacted in 2009 includes a number of important program and financing changes that affect both Medicaid and CHIP. One of these is the Medicaid Performance Bonus, which provides extra financial support to states that succeed in enrolling Medicaid-eligible children above target levels. This brief describes how the Medicaid Performance Bonus works, key…
-
CHIP Tips: Medicaid Performance Bonus “5 of 8” Requirements
The CHIP law enacted in 2009 includes a number of important program and financing changes that affect both Medicaid and CHIP. One of these is the Performance Bonus, which provides extra financial support to states that succeed in enrolling Medicaid-eligible children above target levels. To qualify for the Performance Bonus, states much have implemented at…
-
Addressing Crowd-Out
In health policy, “crowd out” or “substitution” occurs when public funds substitute private dollars that otherwise would have been spent on health care. It is an inevitable consequence of any effort to subsidize coverage for people in America’s voluntary health care system where individuals and their employers can drop private coverage when better, more affordable…
-
Federal Medicaid Policy (through 2009)
Threats to Medicaid Health Care Reform CHIP Reauthorization (2009) CMS August 17 Directive Medicaid Regulations (2008) CHIP Reauthorization (2007) Medicaid and CHIP Waivers
-
Postcards from CCF – Oregon
As we approach the 1-year anniversary of the Children’s Health Insurance Program Reauthorization Act (CHIPRA), CCF thought we would pay a visit to a state that has successfully translated the promise of that new law into a reality for many Oregonians. Oregon has overcome many obstacles, including gaining legislative approval for increased revenue through an…
-
Implementation Dates of Key CHIPRA Provisions
This chart contains the implementation Dates of Key CHIPRA Provisions.
-
CHIPRA 2009 Overview and Summary
On February 4, 2009, President Obama signed into law the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA). The new law (Public Law No. 111-3) is designed to provide coverage to significant numbers of uninsured children and to improve the quality of care that all of America’s children receive. Most notably, it strengthens and extends…
-
Program Design Snapshot: 12-Month Continuous Eligibility
Continuous eligibility is a state option that allows children, ages 0-18, to maintain Medicaid or SCHIP coverage for up to one full year, even if families experience a change in income or family status. By implementing this program element, a state ensures that for 365 days a year children get, and keep, the coverage for…
-
Increasing the Medicaid Program’s Efficiency and Effectiveness: The Role of Medicaid Program Management
Effective and efficient management of the Medicaid program is essential. Managing the Medicaid program well ensures that beneficiaries get the health and long-term care services they need, providers offer high quality care in a system that operates efficiently, and public resources are spent effectively. This paper proposes four discrete strategies to improve and streamline management…
-
Family Coverage: Covering Parents Along with Their Children
While much progress has been made over the last decade in lowering the rate of uninsured children, the uninsured rate for parents remains significantly higher than for their children—and it has been growing rather than declining. States, however, can take steps similar to those that have been taken on behalf of children to expand coverage…
-
Cost Sharing for Children and Families in Medicaid and CHIP
Cost sharing is an established part of health insurance in this country, but it is imperative to use it judiciously in Medicaid and CHIP to avoid deterring low-income children and families from using needed health care services. While some families served by these programs are able to pay premiums or make copayments, others, especially those…
-
Coordinating Medicaid and SCHIP
SCHIP, launched in 1997, allowed states to expand coverage through their existing Medicaid program, to establish a separate state program, or to adopt a combination approach. The option to establish a separate program has been important to many states, but it also can make it more difficult for families to secure and retain coverage for…
-
Maintaining Coverage for Children: Retention Strategies
Efforts to decrease the number of uninsured children in America often focus on increasing enrollment in Medicaid and SCHIP. With over six million uninsured children eligible for these programs, outreach and enrollment activities can indeed be one of the most effective strategies for covering uninsured children. This issue brief provides specific strategies that can be…
-
Reaching Eligible but Uninsured Children in Medicaid and SCHIP
One of the most important steps a state can take to provide health coverage to its children is to reach uninsured children who already qualify for Medicaid or the SCHIP. Some six million children who are uninsured qualify for the two programs, representing close to seven in ten of all uninsured children. The vast majority…