Medicaid
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Research Update: Medicaid Pulls Americans Out Of Poverty
This week, I am reading a study on one of my favorite topics: the poverty rate. In 2016, about 13% of the population lived in poverty. When broken out by age, children continue to have the highest poverty rate (18% under age 18, 12% ages 18 to 64, and 9% 65 and over). Children represent…
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New Research: Medicaid Expansions Increase Coverage More in Rural Areas than in Urban Areas
Rural areas and small towns across America have special problems accessing health care. Our colleagues at the University of North Carolina’s Rural Health Program have tracked the increasing numbers of rural hospital closures around the country. The Rural Health Information Hub is also a great resource on the opportunities and challenges for rural health delivery…
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Report: Children in Rural Communities More Likely to Rely on CHIP and Medicaid
The challenges that students face in many rural places are staggering. Limited access to advanced coursework, medical care, food, and employment opportunities continue to daunt students in many rural communities. Poverty rates are also climbing. In 23 states, a majority of rural students live in low-income households; this is a noticeable uptick from 2013 when…
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Trump Administration’s New Medicaid Waiver Policy Will Increase Number of Uninsured: Kentucky Likely to be First Approved
I was in Kentucky last week where I spoke to an audience of health care providers and advocates about the success of the state’s Medicaid expansion and the giant step backwards its pending waiver proposal would be. I was relieved that the state’s pending waiver proposal wasn’t approved while I was there as my trip…
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Research Update: Affordability and Economic Security Thanks to Medicaid
CCF’s last research update focused on families’ increase in economic security after the Medicaid expansion. This week, I would like to build on the research presented last time. Below are two additional studies that examine links between affordable, comprehensive health care and financial security. And of course, the role of Medicaid in it all. Health…
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CMS Administrator’s Proposed Changes to Medicaid: Reprehensible
Earlier this week, the Administrator of the Centers for Medicare & Medicaid Services, Seema Verma, gave a major policy address to the National Association of Medicaid Directors. After invoking Hubert Humphrey on the moral tests of government – her office is in the Humphrey building — she characterized expanding Medicaid coverage to uninsured adults without…
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Maine Voters Voice Strong Support for Medicaid Expansion
Seema Verma, the administrator of the Centers for Medicare and Medicaid Services, recently criticized the Medicaid program’s expansion under the Affordable Care Act in sharp terms: “We’ve put more than 10 million people, 12 million people into this program where the doctors won’t see them, and the policies that are in the Medicaid program are…
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Reporting on FY 2016 Child Core Set Includes Key Developmental Screening Measure
State voluntary reporting for FY 2016 of the Child Core Set of Health Care Quality Measures is now available on Medicaid.gov. As it has done for the past two cycles, CMS provides a helpful downloadable dataset of state reporting. Fifty states reported at least one measure, with 45 reporting at least half of the 26…
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Work Requirements in Medicaid Would Add More Red-Tape and Barriers to Health Coverage
Having failed to cut Medicaid through legislation, the Trump Administration is moving forward with administrative actions that would permit states to impose roadblocks to enrollment. We anticipate that the administration may soon grant waivers that would for the first time allow work requirements in Medicaid, modeled off of similar federal provisions in Temporary Assistance for…
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Research Update: Economic Security After the Medicaid Expansion
Readers of Say Ahhh! know that Medicaid coverage increases economic security for families. This week, I am reading studies specifically on the Medicaid expansion and how it contributes to economic security. The expansion is only a few years old; the data and the research are still in their beginning stages. Still, this new and expanding…
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Kaiser Family Foundation 50-State Budget Survey Provides Insight Into Medicaid Trends
The Kaiser Family Foundation’s annual 50-state budget survey is here! This year, they’ve captured the findings in three reports – Medicaid Enrollment & Spending Growth: FY 2017 & 2018, providing an analysis of national trends in Medicaid enrollment and spending; Medicaid Moving Ahead in Uncertain Times, taking a more detailed look at the policy and…
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Nationwide Rate of Uninsured Children Reaches Historic Low
Nationwide 95.5 percent of children had health insurance in 2016, up from 95.2 percent the previous year—and up from 92.9 percent in 2013, the year before the ACA was fully implemented. While relatively few children rely on the ACA’s Marketplace for insurance, many gained coverage in Medicaid or CHIP when their parents signed up for…
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Research Update: Health Care in Rural and Urban America
CCF is starting a new series on research in health policy. I will regularly highlight some of the new research that I have been reading. This week, I am reading studies comparing health care and poverty in rural and urban parts of the country. AHRQ’s National Healthcare Quality and Disparities Report: Chartbook on Rural Health…
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New York Advocates Explore What Children Need in “First 1,000 Days”
In August, New York State convened a “First 1,000 Days” on Medicaid initiative, to generate recommendations to improve health for young children covered by Medicaid – with explicit interest in outcomes that are long-term and cross-sector, extending beyond health and medical issues. I am helping to lead this effort, which involves dozens of leaders and…
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Section 1115 Medicaid Waiver Comments
Georgetown University’s Center for Children and Families contributes an independent perspective to the public dialogue on the future of Medicaid through the lens of children and their families.
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The Medicaid Expansion is Good for Parents AND Good for Children
Parents and children are more likely to have health coverage now than they were before the Affordable Care Act took effect. The Urban Institute released new research that shows the rate of insurance coverage for parents and children increased significantly between June/September 2013 and March 2017. During the time period, the rate of coverage increased…
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Governor LePage’s Medicaid Proposal Would Harm Low-Income Mainers
Governor Paul LePage’s proposal for harsh changes in the state’s Medicaid program, known as MaineCare, would restrict access to health care for many low-income Mainers. Maine is one of 19 states that haven’t adopted the Affordable Care Act’s (ACA’s) Medicaid expansion, leaving most poor adults without a coverage option. The governor’s proposal would make it…
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Cutting Medicaid Unpopular Among Republicans, Democrats and Independents
I’ve written before about how popular the Medicaid program has become and how firmly opposed the public is to cutting Medicaid. One unanticipated outcome of the last two months of debate on in Congress around bills that would have cut Medicaid substantially in the process of “repealing” the Affordable Care Act has been the willingness…
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Graham-Cassidy: A Triple Whammy for Children and Families
When Senators Graham (R-SC) and Cassidy (R-LA) released their proposal to “repeal and replace” the ACA, we had our doubts about just how helpful it would be for children and families, but wanted to wait for the official word from CBO. Now we know. CBO has issued a “Preliminary Analysis” that leaves no doubt that…
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Medicaid Expansion Enrollees Drive Down the Uninsured Rate, Cost Less to Cover
The Medicaid expansion has been particularly successful at covering uninsured adults. According to new research in Health Affairs that used data from the Health Reform Monitoring Survey, expansion states saw a decrease in their rate of uninsured adults from about 16% during the third quarter of 2013 to 7% in the first quarter of 2017.…
