One of the many questions I have asked myself since passage of the Patient Protection and Affordable Care Act is what the role of Section 1115 waivers will be come 2014 when the major provisions of PPACA are implemented. In the past, Section 1115 waivers have sometimes been used to expand coverage to groups previously […]
In August 2008, Rhode Island applied for federal permission to radically transform its Medicaid program. Rhode Island asked for a fixed amount of federal funds each year along with permission to bypass longstanding federal standards protecting Medicaid beneficiaries. However, the terms and conditions of the waiver fail to take into account the impact of the […]
Two years after the launch of Florida’s Medicaid reform pilot it appears that beneficiaries’ access to heath care has worsened and financial benefits for the State of Florida remain unknown. Beneficiaries and providers think the Medicaid program has become more complex with more paperwork as a result of reform, and there are signs that access […]
Author: Joan Alker Joint Session of the Rhode Island House and Senate Finance Committees Testimony Document August 5, 2008
People with disabilities and chronic conditions, including persons with mental illnesses, present challenges for managed care organizations. As the Florida Legislature, other policymakers and the public track the Medicaid reform pilot programs, it is important to assess how this unique managed care model works for some of the diverse populations affected by reform. This policy […]
This issue brief explores the initial reactions and experiences of Medicaid beneficiaries and doctors participating in Florida’s Medicaid reform program that began enrollment in two pilot counties in September 2006. It reports that provider participation is declining and that the reform program has made Medicaid more complex. It also highlights that children are the largest […]
