Medicaid/CHIP - Health Policy, Public Opinion & Research

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Medicaid in Health Reform
The Foundation has prepared a summary of key Medicaid and Children’s Health Insurance Program provisions in the final health reform law, as well as a timeline detailing important dates for the implementation of those provisions. Other briefs examine the opportunity for optimizing Medicaid's reach how the federal government and the states are expected to finance the expansion of Medicaid key lessons from state experiences for expanding Medicaid to low-income childless adults under health reform.

Medicaid Expansion in Health Reform: National and State Estimates of Coverage and Costs
This analysis and public briefing examine the potential national and state-by-state impacts on Medicaid enrollment and spending of the expansion of coverage for low-income adults under the health reform law.

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Optimizing Medicaid Enrollment: Spotlight on Technology -- August 2010

This series examines how selected states are using technology in innovative ways to streamline and simplify Medicaid enrollment.

State Medicaid Agencies Prepare for Health Care Reform While Continuing to Face Challenges from the Recession -- August 2010

This report, based on discussions with leading state Medicaid directors in May 2010, examines how Medicaid agencies are preparing for a lead role in implementing health reform while continuing to deal with the impact of the recession.

Expanding Medicaid to Low-Income Childless Adults Under Health Reform: Key Lessons From State Experiences -- July 2010

The health reform law will expand Medicaid to millions of low-income adults, including many childless adults who have historically been ineligible for the program, necessitating one of the largest enrollment efforts in the program's history. This report examines lessons learned to help inform the expansion effort based on past state experience covering childless adults through waiver and state-funded programs.

Health Coverage of Children: The Role of Medicaid and CHIP -- July 2010

This fact sheet summarizes the latest coverage data on the nation's children and examines the key role played by two public health coverage programs, Medicaid and CHIP.

Chronic Disease and Co-Morbidity Among Dual Eligibles: Implications for Patterns of Medicaid and Medicare Service Use and Spending -- July 2010

This analysis highlights the significant co-morbidity among dual eligibles which creates substantial needs for comprehensive medical and supportive services and makes care coordination across Medicaid and Medicare a challenge.

Uninsured and Untreated: A Look at Uninsured Adults Who Received No Medical Care for Two Years -- July 2010

This brief profiles uninsured adults with incomes at or below 133 percent of the poverty level who, because of health reform, will be eligible for Medicaid in 2014 based on income. It focuses on those who received no medical care over a two-year period to help assess unmet need.

Medicaid: A Primer 2010 -- June 2010
This primer provides an overview of the basic components of Medicaid, the nation's largest health coverage program, which covers nearly 60 million low-income individuals, including children and families, people with disabilities and seniors who are also covered by Medicare. Medicaid also is the dominant source of the country’s long-term care financing.

The Medicaid Program at a Glance - UPDATE -- June 2010

This fact sheet provides an overview of the Medicaid program, the populations that it serves and the services that it covers.

Summary of New Health Reform Law -- June 2010
This summary reflects provisions of the comprehensive health reform legislation, the Patient Protection and Affordable Care Act, signed into law in March 2010, as changed by subsequent legislation.

Wisconsin's BadgerCare Plus Program: Moving Forward on Health Reform Amid a Recession -- June 2010

This fact sheet provides an overview of Wisconsin's BadgerCare Plus Program, which merged the state's three distinct Medicaid programs for children, parents and pregnant women into a single comprehensive health coverage program.

This series examines how selected states are using technology in innovative ways to streamline and simplify Medicaid enrollment.

This report, based on discussions with leading state Medicaid directors in May 2010, examines how Medicaid agencies are preparing for a lead role in implementing health reform while continuing to deal with the impact of the recession.

The health reform law will expand Medicaid to millions of low-income adults, including many childless adults who have historically been ineligible for the program, necessitating one of the largest enrollment efforts in the program's history. This report examines lessons learned to help inform the expansion effort based on past state experience covering childless adults through waiver and state-funded programs.

This fact sheet summarizes the latest coverage data on the nation's children and examines the key role played by two public health coverage programs, Medicaid and CHIP.

This analysis highlights the significant co-morbidity among dual eligibles which creates substantial needs for comprehensive medical and supportive services and makes care coordination across Medicaid and Medicare a challenge.

This brief profiles uninsured adults with incomes at or below 133 percent of the poverty level who, because of health reform, will be eligible for Medicaid in 2014 based on income. It focuses on those who received no medical care over a two-year period to help assess unmet need.

This primer provides an overview of the basic components of Medicaid, the nation's largest health coverage program, which covers nearly 60 million low-income individuals, including children and families, people with disabilities and seniors who are also covered by Medicare. Medicaid also is the dominant source of the country’s long-term care financing.

This fact sheet provides an overview of the Medicaid program, the populations that it serves and the services that it covers.

This summary reflects provisions of the comprehensive health reform legislation, the Patient Protection and Affordable Care Act, signed into law in March 2010, as changed by subsequent legislation.

This fact sheet provides an overview of Wisconsin's BadgerCare Plus Program, which merged the state's three distinct Medicaid programs for children, parents and pregnant women into a single comprehensive health coverage program.

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Medicaid/CHIP

Medicaid is the nation's public health insurance program for low-income Americans, financing health and long term care services for more than 55 million individuals. The program provides access to affordable and comprehensive health care for children and adults in low-income working families and for the elderly and disabled who often rely on the program to fill in critical gaps in their Medicare coverage. Although three quarters of Medicaid's enrollees are adults or children, the elderly and disabled account for 70% of the program's expenditures. Financed and operated jointly by the states and federal government, Medicaid accounts for roughly one sixth of the nation’s health care spending and almost half of all spending on long term care. As the largest source of federal support to the states, Medicaid is also a major engine in state economies, supporting millions of jobs across the country. Its guarantee of open-ended federal financing that matches state spending enables states to respond to losses of private health insurance attributable to unemployment and rising health insurance premiums, increases in health care costs, emergencies and disasters, and an aging society.

The State Children's Health Insurance Program (CHIP) was enacted in 1997 to provide a capped amount of federal matching funds to states for coverage of children and some parents with incomes too high to qualify for Medicaid, but for whom private health insurance was either unavailable or unaffordable. Covering roughly four million children, CHIP has played an important role in reducing the number of uninsured children in America.

This section provides data and information on the Medicaid and CHIP programs with a focus on the populations they serve. Analyses of proposals to restructure these programs, data from surveys, studies of the impact of recent programmatic changes on beneficiaries, and basic information on how the programs operate and are administered can all be found here. These materials can help to inform discussions of reform proposals and efforts to improve and maintain health coverage and financing for the low-income disabled and elderly populations, families, and children who are left out of our country’s fragmented, employer-based health care system.

The Kaiser Commission on Medicaid and the Uninsured is the main source for the Foundation's work related to the Medicaid and CHIP programs. Begun in 1991, the Commission is the largest operating program of Henry J. Kaiser Family Foundation and has brought increased analysis and attention to health coverage issues facing the low-income population for over a decade. Through its reports and briefings, the Commission continues to provide up-to-date information on Medicaid and CHIP and assesses options for reform.