Iowa
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Nation’s Progress on Children’s Health Coverage Reverses Course
Introduction For the first time since comparable data was first collected in 2008, the nation’s steady progress in reducing the number of children without health insurance reversed course. The number of uninsured children under age 19 nationwide increased by an estimated 276,000 to about 3.9 million (3,925,000) in 2017, according to newly-available data from the…
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Medicaid At Center Of Iowa Governor’s Race
Iowa Public Radio By: Katarina Sostaric Ads are flooding screens and mailboxes in Iowa calling the state’s move to privately-managed Medicaid a failure and a health care crisis. … The program start was delayed by federal regulators. Then complaints started mounting from patients who were denied services, and care providers who were taking financial hits…
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Iowa’s Medicaid Expansion Benefits Small Town, Rural Residents
Public News Service By: Roz Brown Since Iowa expanded its Medicaid program in 2013, more low-income rural residents are covered by health insurance. A new report from Georgetown University shows that coverage gaps in states where Medicaid was expanded are much smaller than in states that did not expand. Anne Discher, executive director of the…
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Dismissal of Co-Chair of Iowa Medicaid Advisory Panel is Setback for Much Needed Oversight
Medicaid is evolving. Its consumer advisory committees should too. State Medicaid programs are bureaucracies, and it’s understandable that agency leaders may not always have a pulse on what’s happening with members and providers and plans at any given moment. That’s why federal law has long required states to set up medical care advisory committees (MCACs),…
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State Medicaid and CHIP Snapshots, 2018
The Georgetown University Center for Children and Families (CCF) and the American Academy of Pediatrics (AAP) created factsheets underscoring the importance of Medicaid in providing coverage for children in all 51 states (including the District of Columbia). Sources are available here. Previous snapshots can be found here.
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Medicaid Proves to be a Winning Topic in this Year’s Pulitzer Prize Contest
Stories about Medicaid earned top honors in this year’s Pulitzer Prize contest: editorial writer Andie Dominick from the Des Moines Register earned a top prize for her columns on the consequences of Iowa’s transition to Medicaid managed care, and health journalist Andy Marso won a finalist mention for his coverage of the lack of transparency in…
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Nationwide Rate of Uninsured Children Reaches Historic Low
Nationwide 95.5 percent of children had health insurance in 2016, up from 95.2 percent the previous year—and up from 92.9 percent in 2013, the year before the ACA was fully implemented. While relatively few children rely on the ACA’s Marketplace for insurance, many gained coverage in Medicaid or CHIP when their parents signed up for…
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Section 1115 Medicaid Waiver Comments
Georgetown University’s Center for Children and Families contributes an independent perspective to the public dialogue on the future of Medicaid through the lens of children and their families.
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State CHIP Snapshots
The Role of CHIP in Children’s Coverage In 2016 the children’s health insurance coverage rate in the United States dropped to just above 95 percent, an impressive achievement. Key to this success is the Children’s Health Insurance Program, which provides coverage to children who do not qualify for Medicaid but whose families cannot otherwise afford…
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INTERACTIVE MAPS: Children Covered by Medicaid and CHIP by county, state or congressional district.
These maps show how many children are covered by Medicaid in each county and congressional district. Visit these links to view the maps, and to download handouts on your state’s coverage data: Percent of Children Covered by Medicaid/CHIP (congressional district) Percent of Children Covered by Medicaid/CHIP (county) Visit CCF’s State Resource Center for state-level data on health…
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Improving Health Equity Through Early Childhood Primary Health Care and Medicaid
It is in the first 1000 days of life that health practitioners actually can have the greatest impact upon a person’s healthy growth and development. The P.A.R.E.N.T.S. Science (Protective factors, Adverse childhood experiences, Resiliency, Epigenetics, Neurobiology, Toxic stress, and Social determinants of health) points to the critical importance of setting a positive health trajectory during…
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Early Returns From Iowa’s Health and Wellness Plan: Are Healthy Behavior Programs Working?
Being healthier is a good thing, so it’s appealing for policymakers to insert the issue into their Medicaid expansion debates but so far healthy behavior programs set up by states for their Medicaid beneficiaries are producing more talking points and red-tape than results. It’s still early though, so we will keep watching, but count me…
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Last Call for State-Based Health Insurance Marketplaces
Arkansas Governor Beebe recently noted that some Republican Governors are warming to the idea of running their own health insurance marketplace. I hope that they know that their time is running out! Setting up a state-based health insurance marketplace is no small task, and unlike the Medicaid expansion decision, states that want to do it…
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Where Does EPSDT Stand in Post-ACA Medicaid Expansion 1115 Waivers?
In the last few months, CMS has approved Medicaid expansion 1115 waiver demonstrations in Arkansas, Iowa and Michigan. Pennsylvania has a draft 1115 waiver proposal to expand Medicaid out as well. One important question that has emerged is: How will states continue to provide EPSDT and other benefits to 19 and 20 year olds who…
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Iowa Medicaid Expansion Waiver Approved!
Just in time for Christmas, and more importantly in time to get the program up and running by January 1st, federal CMS has granted Iowa’s request for two Section 1115 waivers to allow the state to pursue its own version of Medicaid expansion. This is good news for the more than 100,000 Iowans who stand…
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Children’s Health Coverage on the Eve of the Affordable Care Act
Georgetown University Center for Children and Families researchers analyzed health insurance data from the Census Bureau’s annual American Community Survey to get a closer look at children’s coverage trends. On the eve of the implementation of the Affordable Care Act coverage expansions, the authors found important lessons from the success the U.S. has had in covering children. The number of uninsured…
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Under Pressure: An Update on Restrictive State Insurance Marketplace Consumer Assistance Laws
By Justin Giovanelli, Georgetown University’s Center on Health Insurance Reforms To help consumers enroll in the recently opened health insurance marketplaces, the Affordable Care Act created outreach and consumer assistance positions such as “navigators,” in-person assisters, and certified application counselors. Though they are subject to uniform federal standards, in practice, these programs range widely from…
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Iowa’s Medicaid Expansion Proposal: A Step Forward, But Read the Fine Print
CCF and 22 other national groups submitted comments to HHS about Iowa’s two complimentary Section 1115 waivers: Iowa Marketplace Choice Plan and Iowa Wellness Plan. Like my colleague Joan Alker wrote last week, Iowa’s proposal is not a simple Medicaid expansion like we saw earlier in the year, but a more complicated “round 2” approach…
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Medicaid Expansion Round 2: From Simplicity to Complexity
As a practical matter, I think accepting 100% federal funding to extend Medicaid coverage to adults and getting that coverage up and running is easier than setting up a state-based marketplace, implementing the new insurance reforms and tax credits etc etc. States obviously already have Medicaid programs up and running – in many cases with…
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Breast Cancer Patient Had to Become a Fundraiser to Make Up for Insurance Plan Shortcomings
By JoAnn Volk, Georgetown University Center on Health Insurance Reform More than three years after Congress enacted the Affordable Care Act, both the House and Senate are still holding hearings on the law, covering everything from how the Administration is working to implement the law to what it will mean for our health insurance…
