Research & Reports
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Premium Assistance Programs: How are They Financed and Do States Save Money
Premium assistance programs use federal and state Medicaid and/or SCHIP funds to subsidize the purchase of private health insurance. This issue brief examines premium assistance programs implemented in five states to determine how they are financed, their eligibility, benefit, and cost-sharing requirements, their methods for determining cost-effectiveness, and cost savings.
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Differences That Make A Difference: Comparing Medicaid and the State Children’s Health Insurance Program Federal Benefit Standards
This issue brief analyzes the differences between Medicaid and SCHIP’s benefit standards. It reviews the health care guarantees that children would lose if the Medicaid standard were replaced by SCHIP-like rules.
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Why Medicaid Matters: The Frontline Perspectives of People with Chronic Conditions
This report begins with a review of how Medicaid supports people with chronic conditions, focusing on the strong benefit and cost-sharing standards that apply nationwide to assure that the coverage provided is both comprehensive and affordable. It also presents some of the consequences to people and their health that could result from changes under policy…
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Understanding Florida’s Medicaid Waiver Application
This issue brief provides an overview of Florida’s Section 1115 Medicaid waiver request to the federal government. It highlights those affected by the proposed changes and describes benefits, potential cost-sharing, and an “opt-out” provision included in the waiver. This issue brief and presentation are part of the Florida’s Health at Risk project, a series of…
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NGA’s Short-Run Proposal for Cost-Sharing In Medicaid: Key Implications for Children
In August 2005, the National Governors Association released a Medicaid reform proposal that, among other things, calls for significantly increasing the amount that states can charge low-income Medicaid beneficiaries. This issue brief outlines the provisions of the proposal, detailing the implications for low-income children and their families.
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New Data Show Decline in the Percent of Children without Health Insurance
This issue brief analyzes data released by the Agency for Healthcare Research and Quality. It shows that from 1996 to 2004 the uninsured rate among children declined, largely due to public coverage programs available for children.
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Understanding Florida’s Medicaid Reform Legislation
Florida Senate Bill 838, signed into law in June 2005, permits Florida Governor Bush to seek a Section 1115 Medicaid waiver from the federal government to substantially restructure the state’s Medicaid program. This brief examines the legislation. This issue brief and presentation are part of the Florida’s Health at Risk project, a series of educational…
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Federal Medicaid Benefit Standards: Questions and Issues Raised By the NGA’s Preliminary Recommendations
Author: Cindy Mann In June 2005, the National Governor’s Association released a preliminary Medicaid reform proposal that, among other things, recommends that states be permitted to provide different groups of children and adults with different benefit plans. This issue brief summarizes the proposal’s benefit recommendations and identifies some of the key questions and issues they…
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A Success Story: Closing the Insurance Gap for America’s Children through Medicaid and SCHIP
After providing a brief background on Medicaid and SCHIP, this issue brief summarizes the available evidence to determine what the effect of the programs has been on the uninsured rate of low-income children. In addition, it examines the extent to which Medicaid and SCHIP provide children with access to needed care and whether the coverage…
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Cost Sharing In Medicaid: Issues Raised By the NGA’s Preliminary Recommendations
By Jocelyn Guyer In June 2005, the National Governor’s Association released a preliminary Medicaid reform proposal that, among other things, recommends changing Medicaid cost-sharing policies, largely to mirror those applied to children under SCHIP. This issue brief reviews the existing cost-sharing provisions in SCHIP and identifies key issues that arise from the proposal to apply…
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More Children Covered Thanks to Medicaid/CHIP
The number of uninsured children continued to decline in 2012. Although children are covered at much higher rates than most adults, they still lag behind seniors. Read CCF’s 50-state analysis “Children’s Health Coverage on the Eve of the Affordable Care Act” by clicking above.
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The New TennCare Waiver Proposal: What Is The Impact On Children?
This issue brief discusses the TennCare program and proposed amendments, submitted to the federal government in September 2004 and February 2005, to the state’s Section 1115 Medicaid waiver. It shows that although many of the proposed restrictions in benefits and cuts in eligibility explicitly apply to adults and not to children, the state also seeks…
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Issues to Consider in Governor Bush’s “Florida Medicaid Modernization Proposal”
This issue brief discusses Florida Governor’s Medicaid Modernization Proposal (released in January 2005), describing how the plan envisions that Medicaid costs will be reduced, how the new system will work, and what it will mean for beneficiaries and providers.
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New Developments in Medicaid Coverage: Who Bears Financial Risk and Responsibility?
This issue brief provides an overview of federal Medicaid waiver activity and reviews the implications for coverage and access to care. It explores how waivers give states federal approval to alter the way they provide coverage and/or deliver services to low-income populations.
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Financing Health Coverage: The State Children’s Health Insurance Program Experience
Despite SCHIP’s success in covering children, the program’s financing structure has been fraught with problems necessitating frequent revisions in the law and ongoing debate about how to address these problems. Financing issues have caused inequities and uncertainties across states, as well as projections that, in some states, children could lose coverage over the next few…
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The President’s Proposals For Medicaid and SCHIP: How Would They Affect Children’s Health Care Coverage?
On February 7, 2005, President Bush released his budget proposal for fiscal year 2006. The proposal reduces overall federal funding for Medicaid by at least $45 billion over ten years. It also anticipates, but does not spell out, policy changes that could have a major impact on children’s coverage. This issue brief analyzes the President’s…
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Families at Risk: Impact Of Lower Eligibility Limits for Parents of Husky A Children
In April 2003, Connecticut lowered the income eligibility level for working parents from 150 percent to 100 percent of the federal poverty level. This issue brief discusses the policy’s impact throughout the state. This issue brief is part of Families at Risk, a series of policy briefs exploring the consequences of changes to the Connecticut’s…
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Financing Under Federal Medicaid Section 1115 Waivers: Federal Policy and Implications for New Hampshire
This issue brief examines New Hampshire’s consideration of submitting a federal Section 1115 Medicaid waiver to restructure its Medicaid program. It reviews New Hampshire’s Medicaid program and the issues a waiver request raises, including whether it will change the way in which the federal government shares Medicaid costs with the state.
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Florida’s Medicaid Budget: Why Are Costs Going Up?
This issue brief examines Medicaid costs in Florida, exploring why costs have risen over the period of 2000-01 to 2004-05, how increases in Medicaid costs compare to increases in health care costs generally, and how Medicaid restructuring might impact these dynamics.
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Federal Medicaid Waiver Financing: Issues for California
Governor Schwarzenegger, in his fiscal year 2004-2005 budget, proposed to restructure California’s Medi-Cal program by obtaining a Section 1115 Medicaid waiver from the federal government. This issue brief focuses on the potential fiscal implications of Section 1115 waivers and some of the issues it could raise for California.
