Massachusetts
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Fulfilling the Promise of 2014: Aligning and Simplifying Medicaid and CHIP Enrollment for Children and Parents
Simplification and alignment of policies for children in Medicaid and CHIP have helped states fill the gap in private insurance and achieve record levels of coverage for 90% of our nation’s children. These lessons are carried forward in the Affordable Care Act’s expansion of coverage through Medicaid and the Exchanges. The ACA envision a customer-friendly,…
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CMS Continues to Invest in and Support Innovation and State Flexibility in Medicaid
Regardless of who pays for health care services, the U.S. health care system is in desperate need of dramatic change to make it the best it can be – affordable, sustainable and focused on outcomes – without leaving millions of Americans, mostly low-income or those with existing health conditions, uninsured. The good news is that…
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Utah and MA health exchanges: Not Opposite Sides of Coin
By Joan Alker and Sabrina Corlette, Georgetown University Health Policy Institute A sad reality of working on health care policy at the moment is the incredible politicization of the debate. This climate has the unfortunate byproduct of obstructing compromise and preventing constructive dialogue about different approaches states may take to implementing the Affordable Care Act. Along…
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Medicaid and State Budgets: Looking at the Facts
Medicaid continues to make up a large share of state budgets, but its role is far more nuanced than is frequently portrayed. This series of fact sheets is designed to provide a short overview of the role of Medicaid in state budgets, the sources of spending, and details on how much each state spends. The…
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The Massachusetts and Utah Health Insurance Exchanges: Lessons Learned
The Patient Protection and Affordable Care Act (ACA) requires states to set-up health insurance exchanges. Once up and running, exchanges are expected to connect approximately 29 million people to coverage. Their design should help individuals and small businesses shop for and purchase health insurance, access premium and cost-sharing subsidies, and facilitate health plan competition based…
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Eliminating Medicaid and CHIP Stability Provisions (MoE): What’s at Stake for Children and Families
The stability in Medicaid and CHIP can be directly attributed to the short-term fiscal relief and the federal requirements that states maintain their eligibility rules and enrollment procedures until broader health reform is implemented. If the stability provisions are rescinded, states could eliminate Medicaid for anyone who is covered at state option, as well as…
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Holding Steady, Looking Ahead: Annual Findings of a 50-State Survey of Eligibility Rules, Enrollment and Renewal Procedures, and Cost Sharing Practices in Medicaid and CHIP, 2010-2011
Over the past year, as the nation’s attention was focused on the country’s economic problems and the debate over the passage of broader health care reform, Medicaid and the Children’s Health Insurance Program (CHIP) continued to play their vital role of providing coverage to millions of people who otherwise lack affordable coverage options. In 2010,…
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Massachusetts Isn’t the Only State with Health Reform Experience
While there is much work to be done implementing the many facets of the health reform, creating the exchange marketplace(s) is one of the tasks that receives much of the attention. Not only is it a new concept to most states but, along with the expansion of Medicaid, it is the mechanism for insuring the…
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A Hero is Lost
The nation has lost a true hero this week. I didn’t think I had any heroes until I heard the news last year that Senator Kennedy had brain cancer. I cried and cried. Why? Because he was a rich white guy who could have taken his marbles and gone home a long time ago. But…
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Medicaid is as Essential to Health Reform as a Pair of Blue Jeans is to Your Wardrobe – Exchanges Can’t Work Well Without It
Shopping at the mall is never a favorite pastime of mine but it does provide some comic relief to what I see happening in health reform. As I watch teenagers frantically searching for the latest fashion trend, I am reminded that this tendency to grab onto the latest and greatest new fad is at play…
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Weathering the Storm: States Move Forward on Child and Family Health Coverage Despite Tough Economic Climate
This report provides a first look at state activity after the passage of CHIPRA and the availability of increased Medicaid funding in the economic stimulus package. It finds that despite unprecedented fiscal challenges, all but a few states held steady on children’s health coverage, and twenty-three states took steps to move forward. This progress on…
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Putting Out the Welcome Mat: Implications of Coverage Expansions for Already-Eligible Children
By Jocelyn Guyer This fact sheet reports data from four states, Illinois, Massachusetts, Pennsylvania, and Wisconsin, that have expanded eligibility. The data indicates that “putting out the welcome mat” and offering affordable coverage options through public programs to a broad array of uninsured children in a state can have a powerful effect on the enrollment…
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Out of Touch: A Status Report on CMS’s August 17th Directive
By Jocelyn Guyer On August 17, 2007, CMS sent a letter, known as the August 17th directive, to state health officials sharply restricting the ability of states to cover uninsured children using SCHIP funds. New data and analyses from state officials, research organizations, and policy experts raise significant questions about the basis for and the…
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Children’s Health Coverage: States Moving Forward
This report provides results from a nationwide review of state efforts to provide health care coverage to uninsured children between January 2006 and mid-April 2007. It shows that a large number of states throughout the country have proposed, passed, or implemented initiatives to cover more children through three primary strategies: finding, enrolling, and keeping SCHIP-…
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Closing the Coverage Gap: Trends in Health Insurance Coverage for Children
From 1996-97 to 2003-04, the uninsured rate of low-income children was reduced by a third; however, the national data mask significant variation across the states in how children are faring. To provide a state-specific perspective on the issue, this brief examines health insurance trends for children in all 50 states and the District of Columbia…