Marketplace
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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.
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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…
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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.
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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Recent Changes to the Free Care Rule Put Federal Funds Back on the Table
The so-called “Free Care Rule” prevented states from receiving federal Medicaid funds to provide any service that is ordinarily provided for free to the community at large, even if Medicaid would cover these services for its beneficiaries. For instance, if a public school nurse were to examine a student, federal funds could not be used…
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HAPPY MOTHER’S DAY: Health Milestones that All Parents and Our Nation Should Celebrate
By Liane Wong, The David and Lucile Packard Foundation Just over a week ago, data released from the Urban Institute gave all parents a milestone to celebrate. Since 1997, the share of uninsured children declined by 75% and for the first time in history, 95 percent of the nation’s children have health insurance. For our…
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The ACA is Helping Moms this Mother’s Day
In the U.S., 15.7% of mothers are uninsured. That’s 5.9 million mothers or one out of every six , according to new study from the Urban Institute. We care about all parents but with Mother’s Day right around the corner, we are focusing on moms for now. In How Are Moms Faring under the Affordable…
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New Study Shows Medicaid Expansion Reduces Household Debt
Medicaid expansion has led to declines in the rate of uninsurance, improved access to care for enrollees, and financial savings for states. A new study points to an additional benefit to newly eligible Medicaid enrollees: lowering debt. Prior studies indicate that Medicaid reduces medical debt, but a new study examined the impact of Medicaid expansion…
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CHIR Expert Testifies Before U.S. House Education & Workforce Committee about Innovations in Health Care
By Georgetown University Center on Health Insurance Reforms Sabrina Corlette of the Georgetown University Center on Health Insurance Reforms joined a panel of witnesses before the Subcommittee on Health, Education, Labor and Pensions of the Education & Workforce Committee to discuss “Innovations in Health Care: Exploring Free-Market Solutions for a Healthy Workforce.” Other panelists at…
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Video Highlights of Hearing on “Flint Water Crisis: Impacts and Lessons Learned”
On Wednesday, April 13, Georgetown CCF’s Executive Director Joan Alker testified before the House Energy and Commerce Health Subcommittee on lessons emerging from the Flint water crisis. Here are the highlights of the hearing. Joan Alker explains the vital role of Medicaid in ameliorating harm in times of crisis… and how Medicaid can help meet…
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HHS Study Shows Benefits of Shopping and Subsidies, but Costs Still a Concern
By Sean Miskell As insurers selling on the Affordable Care Act’s (ACA) Marketplaces begin to file their 2017 rates with the Department of Health and Human Services (HHS), concerns over proposed increases will once again emerge. But a report released by the HHS Assistant Secretary for Planning and Evaluation (ASPE) demonstrates that behind the headlines…
