Medicaid
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Testimony for Hearing on “The Flint Water Crisis: Impacts and Lessons Learned”
The following prepared remarks were delivered by Joan Alker on April 13, 2016 before the Subcommittee on Health and Subcommittee on the Environment of the House Committee on Energy and Commerce for the hearing “Flint Water Crisis: Impacts and Lessons Learned.” Her views do not represent those of Georgetown University. My name is Joan Alker, and…
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New Brief Highlights States’ Experiences in Implementing Ex Parte Renewals in Medicaid and CHIP
Eligible children and families losing Medicaid or CHIP coverage at renewal for procedural or paperwork reasons has been a persistent problem. As Harvard researcher Dr. Benjamin Sommers has aptly noted, poor retention rather than poor take-up is the main reason why millions of children eligible for Medicaid and CHIP are uninsured. Dr. Sommers’ research has…
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Making Medicaid Work Better: Lessons from States on Implementing Ex Parte Renewals
This brief focuses on states’ experiences in implementing data-driven renewals in Medicaid through a process called ‘ex parte’ – using third party data sources to confirm ongoing eligibility. We interviewed officials in eight diverse states to identify the challenges states face in automating the renewal process and summarize their experiences in overcoming these barriers to…
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How Cuts to Safety Net Hospitals Impact the Uninsured in a State that Rejected Medicaid Expansion Funding
by Miriam Harmatz, Florida Legal Services Much has been written—from blogs to briefs—documenting the tremendous positive impacts of Medicaid expansion. Less well-documented are the negative impacts that flow from rejecting expansion. Obviously, non-expansion states fail to reap the profound benefits of expansion. But they are not just failing to move forward with the expansion’s huge…
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It’s Time to Shed More Light on State Medicaid Quality
by Jon Peacock and Sashi Gregory, Wisconsin Council on Children and Families Last week was Sunshine Week, the annual nationwide celebration of access to public information. Now that the celebrating is over, perhaps it’s a good time to bring up an area where Wisconsin needs to let in considerably more sunshine – health care quality measures…
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Florida Children’s Health Expert Shares Insights on Major Turning Point for Immigrant Kids
By Diana Ragbeer, The Children’s Trust On Thursday, March 17, Governor Rick Scott signed HB 5101 into law, thereby lifting the five-year waiting period for lawfully residing immigrant children to receive subsidized CHIP and Medicaid through Florida KidCare. This makes Florida the 31st state to take advantage of the provision known as the Legal Immigrant Children’s…
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Improving Early Developmental Screenings for Ohio’s Kids: A Lesson in Collaboration
By Brandi Slaughter, Interim CEO, Voices for Ohio’s Children We all want what’s best for our children – whether they are our patients, our students, our neighbors or our own kids. This shared commitment to the health and well-being of Ohio’s future leaders drove our recent work in Ohio to establish Early Periodic Screening Diagnosis and…
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A Primer on Health Care Quality Measurement and Improvement for Children in Medicaid and CHIP
When I was the CHIP Director in New Hampshire, we thought that achieving a 95% rate of coverage for kids was the high bar. As a country, we are not only closing in on that goal, but leading states have raised the bar to 98% and beyond. And while we must continue to eliminate disparities…
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Measuring and Improving Health Care Quality for Children in Medicaid and CHIP: A Primer for Child Health Stakeholders
A large body of evidence shows that, compared to low-income uninsured children, Medicaid has been highly successful in providing children with a usual source of care and regular well-child care while significantly reducing unmet or delayed needs for medical care, dental care, and prescription drugs due to costs. Nonetheless, quality improvement centers on the notion…
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Improving Health Care Access for American Indians and Alaska Natives
by Jesse Cross-Call, originally posted on cbpp.org An updated policy for how the federal government helps finance the costs of Medicaid services for American Indians and Alaska Natives will improve the delivery of care and save states money. Medicaid plays a critical role in providing health care to American Indians and Alaska Natives; a quarter…
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Research Shows that Utah and Florida’s “ICHIA Option” Will Improve Access to Health Coverage and Services For Lawfully Residing Immigrant Children
Last week, both the Utah and Florida legislatures passed laws that extend Medicaid and CHIP coverage to lawfully residing children who would otherwise have had to wait five years before becoming eligible to enroll. This is a big victory in two states with some of the highest child uninsurance rates in the country. Related Content…
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Oklahoma’s Proposed Medicaid Cut Won’t Pass Federal Muster
by Jesse Cross-Call, originally posted on cbpp.org Oklahoma’s Senate is considering legislation, which its House passed last week, to end Medicaid coverage for 110,000 very low-income parents. But even if Oklahoma enacts the legislation, federal officials almost certainly won’t grant the needed federal approval to move forward. By federal law, states must provide Medicaid coverage…
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IRS Issues Guidance on Overlapping Medicaid and Marketplace Coverage
At last, we have IRS guidance informing consumers and tax preparers about issues with overlapping coverage through Medicaid and the Marketplace. I described this problem in a recent blog, highlighting the confusion that could result from 1095 forms showing dual coverage in Medicaid and the Marketplace. We have been concerned that during the tax reconciliation…
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EPSDT: A Primer on Medicaid’s Pediatric Benefit
Children enrolled in Medicaid are entitled to a comprehensive array of preventive and ameliorative care through the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit. Beyond the indecipherable acronym, EPSDT is a critically important benefit that is broadly recognized as the definitive standard for children. We’ve broken down the acronym in this fact sheet,…
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Michigan’s Governor Turns to Medicaid in Flint Crisis
We have often said that one of the very important features of Medicaid’s financing structure is the program’s ability to address emerging short and long-term public health crises. And previous national emergencies such as Hurricane Katrina and 9-11 also resulted in state leaders of all political persuasions looking to Medicaid to help them address critical…
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CMS Releases 2015 Report on the Quality of Health Care for Children in Medicaid and CHIP
Now that CMS has released the fifth annual Quality of Health Care for Children in Medicaid and CHIP, let’s take a look at the highlights of the children’s report. First, some background: the 2009 CHIP Reauthorization Act launched a wide-ranging set of initiatives to advance pediatric health care quality measurement and improvement. At the top…
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GAO Report Raises Concerns About Waiving Medicaid Transportation Benefits
By Sean Miskell As states debating whether to expand Medicaid (and some that already have) consider changes to their Medicaid programs via 1115 waivers, one proposal that keeps popping up is the elimination of non-emergency medical transportation benefits (NEMT). This week, the Government Accountability Office (GAO) released a report on state efforts to waive NEMT…
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SHADAC Report Echoes Good News on Uninsured Rate for Children
The State Health Access Data Assistance Center (SHADAC) published its annual report “State Level Trends in Children’s Health Insurance Coverage” and it is an excellent state resource on children’s health coverage rates. Similar to Georgetown’s annual report on children’s health insurance, SHADAC reports on state-by-state coverage rates for children and provides additional data on children’s…
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Commonwealth Fund Tool Demonstrates Effects of State Efforts to Expand Coverage and Improve Enrollment
By Sean Miskell Comparing outcomes across states provides an opportunity to consider how state-specific approaches to administering their health programs provide coverage to their residents and help them stay enrolled. Say Ahhh! readers certainly know that we like our 50-state tables here at CCF. The Commonwealth Fund has updated its interactive tool that allows users…
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More Evidence that Medicaid Expansion Improves the Lives of Low-Income Parents
As we have talked about in a number of papers, Medicaid expansion is good for parents and children. Thanks to the “welcome mat” effect, states choosing to expand Medicaid coverage to parents also help reduce the number of uninsured children. A new study in Health Services Research, Medicaid Expansions from 1997 to 2009 Increased Coverage…
