Marketplace
-
Fixing the ‘Family Glitch’ Will Boost Economic Security for Low-Income Families and Increase Marketplace Stability
The ‘Family Glitch’ is back in health policy news with an updated estimate of the cost to fix it from researchers at the Urban Institute. This latest research, published in the July issue of Health Affairs, concludes that fixing the family glitch reduces family health spending but increases government costs. No surprise there; fixing the…
-
Medicaid Expansion Helps Kids by Helping Moms Get Care for Maternal Depression
By Joan Alker and Olivia Golden Today, CLASP and the Georgetown University Center for Children and Families (CCF) are releasing a new report on the important but often-overlooked link between adult health care coverage and children’s healthy development – specifically, the connection between health care coverage and identifying and treating maternal depression, so that children…
-
How the New Medicaid/CHIP Managed Care Regulations Enhance the Beneficiary Experience
Thanks to a grant from the Robert Wood Johnson Foundation, CCF has teamed with NHeLP to launch a series of explainer briefs to unpack the new Medicaid/CHIP managed care regulations. Two briefs in the series have been released: Looking at the New Medicaid/CHIP Managed Care Regulations Through a Children’s Lens and Medicaid/CHIP Managed Care Rules: Improving Consumer…
-
Kentucky’s Proposed Waiver Could Undermine its Successful Medicaid Expansion
By Sean Miskell and Adam Searing Kentucky has released a new Medicaid waiver request for state public comment today. This proposal would allow the state to make significant changes to its existing Medicaid program, affecting not only those newly eligible beneficiaries currently receiving health care through Kentucky’s existing Medicaid expansion, but also others served by…
-
Embracing an Opportunity to Measure Value in Children’s Health Care
By Suzanne Brundage, originally posted on www.uhfnyc.org Most people in the child health community—and almost assuredly all readers of “Say Ahhh!”—are aware of the ways in which children’s health and their use of health care services differ from those of the adult population. Key differences include the prominence of prevention efforts in children’s health, the relatively…
-
Study: Medicaid Offers Stronger Cost Sharing Protections Compared with Marketplace Coverage
By Sean Miskell When we consider the effects of state decisions not to expand Medicaid, we rightfully focus much of our attention on those that are locked out of coverage. However, a new study by researchers at the Commonwealth Fund considers the experience of consumers above the poverty line that are eligible for subsidized Marketplace…
-
A Missed Opportunity to Learn from Wisconsin’s Health Reform Implementation
By Jon Peacock, Wisconsin Council on Children and Families Wisconsin received a federal waiver to make significant changes to BadgerCare in 2014, and one of the conditions of that “demonstration waiver” was that the state would evaluate the effects of the policy changes. A national health policy expert, Sara Rosenbaum, reviewed the planned evaluation and…
-
Fact Sheet: Medicaid’s Role for Children
Medicaid is an essential source of health coverage for the nation’s children. The program provides health coverage to children and parents in low-income families who lack access to affordable private health insurance, as well as to children with special health care needs.
-
California Moves Toward Offering Full Price Coverage to Ineligible Immigrants in its Marketplace
Governor Brown recently signed into law SB 10, a bill that requires Covered California—the state’s health insurance marketplace—to request a waiver from the federal government to allow immigrants who are currently ineligible to purchase marketplace coverage. If the waiver is granted, immigrants who are not lawfully present would be allowed to purchase health coverage at…
-
How Is Florida’s Medicaid Managed Care Working for Children?
How is Florida’s Medicaid managed care working for children? To answer this question, we looked at existing data sources and also conducted a survey of pediatricians in Florida. Our results suggest there is considerable room for improvement in Medicaid managed care for Florida’s children.
-
Beyond the Reduction in Uncompensated Care: Medicaid Expansion Is Having a Positive Impact on Safety Net Hospitals and Clinics
More than two years after the onset of expanded Medicaid coverage, significant differences are emerging between states that opted to expand Medicaid and those that did not. This report contains the findings of telephone interviews with eleven leaders of hospital systems and federally qualified health centers (FQHCs) in seven states. Three of the states where we conducted interviews…
-
Six States Hold the Key to Reaching Nearly Half of the Uninsured Kids Who Are Eligible for Medicaid/CHIP
By Genevieve M. Kenney, Jennifer Haley, Clare Pan, Victoria Lynch, and Matthew Buettgens, Urban Institute, Funded by the Robert Wood Johnson Foundation We recently examined how children’s coverage fared during the first year of implementation of the major coverage provisions of the Affordable Care Act (ACA). We found increases in participation in Medicaid and the Children’s…
-
New CCF Report: Improving Marketplace Coverage for Children
By Sean Miskell and Kelly Whitener The Marketplaces created under the Affordable Care Act (ACA) have played an important role in expanding access to health insurance. Though relatively few children (approximately one million) receive their coverage through the Marketplace compared with Medicaid and CHIP, it is nonetheless an important option for children not eligible for…
-
CCF Releases First in Series of Briefs on the Future of Children’s Health Coverage
Having concrete policy ideas may not be in vogue on the campaign trail, but here at CCF we are grateful to have the opportunity and challenge to think deeply about the future of health coverage for children and families. Today we are launching a new series of reports and briefs on the future of children’s…
-
The Future of Children’s Health Coverage: Children in the Marketplace
Summary This paper addresses changes needed to improve the ability of Marketplace coverage to meet children’s needs. As the paper notes, relatively few children (approximately one million) receive their coverage through the Marketplace; most in public coverage are served through Medicaid and the Children’s Health Insurance Program. As a new source of coverage, and one…
-
Understanding ACA’s Coverage Gains: Welcome Mat Effect & State Marketplaces Keys to Success
By Molly Frean and Benjamin D. Sommers, Harvard T.H. Chan School of Public Health & Jonathan Gruber, Massachusetts Institute of Technology One of the primary goals of the Affordable Care Act (ACA) was to reduce the number of individuals without health insurance in the United States. Prior to the passage of the legislation, this group…
-
Comprehensive Coverage for Children in California—Regardless of Immigration Status—Begins Today
Today is great day for kids in California. All children in California now—regardless of their immigration status—have access to free or low cost, comprehensive, health coverage if their family income is at or below 266 percent of the federal poverty level (about $53,625 for a family of three). According to the Berkeley Labor Center, up to…
-
New Georgetown Report: Understanding the Consumer Enrollment Experience in the Affordable Care Act Marketplaces
Georgetown University’s Center on Health Insurance Reforms released a report this week, funded by the Robert Wood Johnson Foundation, that provides new insights into the many challenges facing consumers and those tasked with assisting them when enrolling into coverage through the Affordable Care Act (ACA) marketplaces. The findings can help policymakers better understand the kinds of systemic…
-
ACA Non-Discrimination Rules: When Does Medical Management Cross the Line?
One key feature of the Affordable Care Act (ACA) that has transformed access to health insurance is the prohibition on discrimination based on health status for those buying coverage on their own or through a small employer. Prior to the ACA, states had varying degrees of protection for individuals with pre-existing conditions, but the patchwork…
-
Texas Put on Notice as Medicaid Waiver Extended by Federal CMS for 15 Months
Earlier this week, the federal Centers for Medicare and Medicaid Services (CMS) sent a letter to the state of Texas extending the state’s Section 1115 Medicaid waiver for 15 months with level funding through the end of 2017. The state of Texas promptly labelled the agreement a “big win” for Texas – but was it? Texas…
