Utah
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Taking Stock of Important Milestones as ACA Turns Two
By Kevin Lucia, Georgetown University Health Policy Institute’s Center on Health Insurance Studies When a child turns two, it’s natural to take stock of all the milestones they have achieved such as first steps, first words and first solid foods. Some parents are even organized enough to document all these achievements in a baby book. …
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ACA Protects and Improves Access to Preventive Care for Children
Medicaid and CHIP have helped millions of children access preventive care at no cost to families. The Affordable Care Act (ACA) takes this commitment further by removing cost and coverage barriers that could deter families from taking full advantage of preventive care services in private insurance plans. Since becoming law, the ACA has helped maintain…
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Good News for Utah’s Children: CMS Upholds Key Affordability and Benefit Protections
By Lincoln Nehring, Voices for Utah Children In 2011 Utah passed SB 180, Medicaid Reform. As with many Medicaid reform efforts happening across the country, SB 180’s broad theme was good: control costs through improved care management and quality. However, also like many Medicaid reform efforts happening around the country, Utah’s “improved quality” theme came…
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Performing Under Pressure: Annual Findings of a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP, 2011-2012
Amid ongoing state budget pressures, a requirement in the Affordable Care Act (ACA) that states maintain eligibility in Medicaid and CHIP was central in preserving coverage during 2011. In addition, more than half of states (29) made improvements in their programs. Most of these improvements involved greater use of technology to boost program efficiency and…
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Essential Health Benefits: What Does the CHIP Experience Show Us?
So my previous blog on this topic talked about how the CHIP/Essential Health Benefits analogy has its limits – still it is interesting to look at the choices that states have made for their benefits packages in separate state CHIP programs. According to data collected and released by NASHP from mid-2008, the most popular choice…
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Despite Economic Challenges, Progress Continues: Children’s Health Insurance Coverage in the United States from 2008-2010
In this paper, health insurance data from the Census Bureau’s annual “American Community Survey” was analyzed in order to get a more accurate depiction of children’s coverage. Even though the number of children living in poverty has increased almost 19 percent over a three-year period, the number of children without health insurance declined 14 percent–…
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Hard Work Pays Off for “Waiver Watchers”
By Wesley Prater A number of states looking to save money in their Medicaid programs are asking the federal government for Section 1115 Research and Demonstration waivers — in some cases asking for federal protection that preserve their coverage for children and families to be loosened. However, recently three states – New Jersey, Texas, and…
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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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National Children’s Groups Express Concerns About Utah’s Waiver Request
By Joe Touschner We’ve pointed out the flaws in Utah’s request for a Medicaid waiver in a previous blog post But we wanted to call your attention to them once again since today we submitted a letter to federal officials voicing the concerns of many national groups. Thanks to all of you who joined us in…
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Utah’s Waiver Proposal–Join Us in Speaking Up for Kids
By Joe Touschner Like many states, Utah has been working to redesign its Medicaid program in an effort to contain costs–the state submitted a Section 1115 demonstration waiver application to CMS earlier this month. As my colleague Joan Alker has blogged about in the past, waivers are often adopted with little public transparency even though…
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Setting the Record Straight: Medicaid Is Cost Effective
(Editor’s Note: This blog originally appeared as an op-ed in the Salt Lake Tribune in response to statements made at the Senate Finance Committee field hearing on Medicaid held in Salt Lake City this week.) By Lincoln Nehring, Voices for Utah Children For nearly 50 years Medicaid has provided cost-effective, high-quality health coverage to Utah’s…
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Medicaid and its Role for Children and Youth with Special Health Care Needs (CYSHCN): A Family Perspective
The nation’s children have a lot at stake in the ongoing federal and state level debates over Medicaid’s role in deficit reduction efforts. Children and youth with special health care needs (CYSHCN) are most vulnerable to Medicaid cuts because so many rely on it. Approximately 14% (10.2 million) of children meet the criteria of having…
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Utah Improves Timeliness and Reduces Cost with E-Communications
In these days of tight budgets, states are looking for every single penny they can save. Our friends in Utah are saving more than a few – 52¢ to be exact – every time they send an electronic notice to someone enrolled in Medicaid. This is one of those win-win strategies where saving money also…
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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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House Energy and Commerce Hearing Light on Substance
By Jocelyn Guyer The new Chairman of the Energy and Commerce Committee invited three of the nation’s governors to testify at a hearing entitled “The Consequences of Obamacare: Impact on Medicaid and State Health Care Reform.” As the title of the hearing suggests, the event was heavy on posturing and politics and light on illuminating…
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Which States Are So Eager for “Flexibility”?
By Martha Heberlein Back in January, a group of current and former Republican Governors sent a letter to Congress asking for “flexibility” to ignore the stability protections in the Affordable Care Act. Today, the Energy and Commerce Committee is holding a hearing that will focus, in part, on this request. Let’s look a little more closely…
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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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Getting To the Finish Line: Investments in State-Based Advocacy Show Real Returns in Covering Uninsured Children
By Liane Wong and Eugene Lewit, The David and Lucile Packard Foundation Even though last week seemed like it was all about the run-up to the Super Bowl, many of us in the nation had another cause to celebrate. February 4, 2011 was the second anniversary of the reauthorization of the Children’s Health Insurance Program…