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Research & Reports

  • CMS August 17 Directive: Decline in Private Coverage Requirement

    What the Directive Requires Under the August 17, 2007 directive, the Centers for Medicare and Medicaid Services (CMS) imposed new conditions that states must meet in order to cover children with gross family incomes above 250 percent of the federal poverty level (FPL) with SCHIP funding. One of these conditions required that there is “assurance…

  • CMS 95% Coverage Rate Requirement

    What the Directive Required Under the directive, the Centers for Medicare and Medicaid Services (CMS) imposed new conditions that states must meet in order to cover children with gross family incomes above 250 percent of the federal poverty level (FPL) with SCHIP funds. One of these conditions required that at least 95 percent of children…

  • Children’s Coverage: Moving Forward in Uncertain Times

    Author: Cindy Mann National Association for Children’s Behavioral Health – Presentation Document March 2008

  • SCHIP Funding in the Year Ahead: Implications of the Medicare, Medicaid and SCHIP Extension Act

    By Jocelyn Guyer Although Congress twice passed SCHIP reauthorization bills with strong, bi-partisan support in 2007, President Bush’s decision to veto these bills ultimately led Congress to simply extend the existing SCHIP program with new funding through March 2009. This issue brief provides details on the financing provisions of the extension and state-specific data on…

  • Advancing Efficient Management and Purchasing of Prescription Drugs in Medicaid

    Prescription drugs are both central to effective health care and a major driver of spending in the Medicaid program, accounting for more than $19 billion in Medicaid spending in 2006. This paper puts forward state and federal approaches to help manage prescription drugs efficiently and ensure that Medicaid gets the best possible price on prescription…

  • Cover All Kids: Pennsylvania’s State-Wide Campaign to Expand Eligibility

    In 2004, in an effort to more accurately identify remaining gaps in health care coverage, the Pennsylvania Insurance Department commissioned a survey on the insurance status of citizens in the state. The Department found that while 96 percent of Pennsylvania’s children had coverage, more than 133,500 were uninsured. Of these, approximately 108,000 were eligible for…

  • Pennsylvania: Streamlined Enrollment & Renewal through Technology

    Summary Pennsylvania has had important success in providing health insurance coverage: according to a 2005 state report only 8 percent of Pennsylvanians, and only 4 percent of the state’s children, are uninsured. A core component of this success has been strong public programs. About one in three children are covered by Medicaid or CHIP (its…

  • SCHIP Provisions in the Administration’s FY2009 Budget

    This memo provides an analysis of SCHIP provisions in President Bush’s proposed fiscal year 2009 budget. It shows that provisions in the budget proposal would effectively eliminate state flexibility to provide SCHIP coverage for children with family incomes above 250 percent of the federal poverty level, and make it very difficult for states to cover…

  • Covering Uninsured Kids: Missed Opportunities for Moving Forward

    Author: Cindy Mann U.S. House of Representatives Energy and Commerce Committee, Subcommittee on Health – Testimony Document January 29, 2008

  • Eligibility Options for Children and Families

    Cindy Mann State Health Advocates — Presentation Document January 2008

  • Health Information Technology: Innovative Applications for Medicaid

    Health information technology (HIT) is a key tool that both public and commercial insurers are employing to improve patient care and increase efficiency in the health care system. HIT can help measure quality, facilitate coordination of care, and help to bridge fragmented delivery systems and gaps in coverage. HIT can also help meet the needs…

  • Medicaid Pilots at One Year: How Is the New Medicaid Marketplace Faring?

    This issue brief provides an update on Florida’s Medicaid reform program that began enrollment in two pilot counties, Broward and Duval, in September 2006. In September 2007, changes were made to the program allowing health plans operating in the two counties to submit new benefit offerings. This issue brief reports on these changes, among other…

  • Moving Backward: Status Report of August 17, 2007 Directive

    On August 17, 2007, the Centers for Medicare and Medicaid Services issued a directive, imposing new conditions on states that want to use federal funds to offer affordable coverage to children over 250 percent of the federal poverty level. This issue brief reviews the impact of the new rules on children’s coverage to date, finding…

  • Stabilizing Medicaid Financing During Economic Downturns

    Maintaining Medicaid coverage during downturns in the economic cycle is a significant policy challenge for states. In recessions, states struggle to finance the cost of Medicaid coverage, which increases as people lose jobs and the health coverage that comes with them, becoming eligible for Medicaid. At the same time, state revenues, mirror¬ing the weak economy,…

  • Moving Forward? Reauthorization of SCHIP

    Author: Cindy Mann 2007 Kids Count Conference — Presentation Document October 2007

  • CHIPRA: Just the Facts, PLEASE

    Author: Cindy Mann National Academy for State Health Policy — Presentation Document October 2007

  • Coverage of Uninsured Children in Moderate-Income Families Under SCHIP

    By Jocelyn Guyer To help inform the debate over the 2007 reauthorization of SCHIP, this issue brief provides new data on the extent to which low- to moderate-income children are currently enrolled in SCHIP. It shows that children with family income below 300 percent of the federal poverty level presently comprise 99.5 percent of those…

  • American Families Face Harsh Reality: 2,000 Children Join the Ranks of Uninsured Each Day

    This issue brief provides a portrait of uninsured children in America. It explains that after years of success in providing coverage to more of America’s uninsured children, Census Bureau data show that in 2006 the number of uninsured children increased for the second year in a row. If those trends continue, it is estimated that…

  • The Growing Health Insurance Affordability Gap for Children and Families

    This issue brief presents data showing the role that flexibility in the SCHIP program has played in allowing states to address the growing gap in health insurance affordability among the nation’s children. It focuses on the increasing costs to families of securing health coverage, both in terms of the absolute costs and as a proportion…