Medicaid/CHIP - Health Policy, Public Opinion & Research

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Brief Looks At Health Care Use and Chronic Conditions Among Childless Adult Medicaid Enrollees in Arizona
Based on 2007 Medicaid claims data in Arizona, this report provides an analysis of health care utilization and health conditions for childless adults and compares them with parents and adults with disabilities. Understanding the health care use and needs of low-income childless adults can help inform other states’ efforts to care for these adults under the Medicaid expansion in 2014.

Fact Sheet Explains New Review and Approval Process Rule for Section 1115 Medicaid and CHIP Demonstration Waivers
A new brief provides an overview of the final rule issued by the Centers for Medicare and Medicaid Services on Feb. 22, 2012 that establishes a state and federal public notice process for Medicaid Section 1115 waiver applications and extensions as well as reporting, compliance, and evaluation requirements for operating waivers.

A Mid-Year State Medicaid Budget Update for FY 2012 & A Look Forward to FY 2013
This update finds that, while most states are on track with their Medicaid budget and enrollment trends for FY 2012, some states are trying to close budget gaps by making mid-year revisions. The report, based on structured discussions with leading Medicaid directors, builds on findings from the most recent comprehensive 50-state Medicaid budget survey.

Survey, Briefing Examine the Latest Data On Medicaid And CHIP Enrollment and Eligibility Policies in the 50 States and D.C.
A 50-state survey finds that despite state fiscal challenges, Medicaid and CHIP eligibility remained stable during 2011, and 29 states made program improvements, often using technology to boost efficiency. Related reports examine successful efforts to cover children in four states and identify potential performance measures for states’ eligibility and enrollment systems under health reform.

Key Resources on Medicaid: How It Works, How It's Financed and Whom It Serves
Several KCMU resources provide a basic overview of the Medicaid program, including the chartpack 5 Key Questions and Answers About Medicaid, and the papers Medicaid Matters: Understanding Medicaid's Role in Our Health Care System and Faces of Medicaid. Medicaid Financing Issues: Provider Taxes reviews the use of provider taxes as a mechanism for financing the state share of Medicaid spending. Finally, a study analyzes the projected state-by-state impact on Medicaid enrollment and spending of converting the program to a block grant financing under the House Budget Plan. An issue brief looks at the balance between federal standards and state options in Medicaid programs. And a brief summarizes some of the Medicaid proposals that officials in Washington and elsewhere have considered as part of continuing efforts to reduce the federal deficit. Another looks at Medicaid Enrollment and Expenditures by Federal Core Requirements and State Options.

Medicaid in Health Reform
The Foundation has prepared a summary of key Medicaid and Children’s Health Insurance Program provisions in the health reform law, as well as a timeline of important implementation dates and an analysis of potential state-by-state impacts on Medicaid enrollment and spending. Other briefs examine the opportunity for optimizing Medicaid’s reach, answer key questions about Medicaid’s role in state/federal budgets and health reform, and analyze the potential costs and savings to states, and examine proposed Medicaid eligibility, enrollment and coordination regulations under health reform. A tutorial summarizes the Medicaid changes in the law. An issue brief examines performance measures for eligibility and enrollment systems, and an analysis looks at the implications of health reform for Medicaid's role in financing diabetes care.

Resources on People Dually Eligible for Medicare and Medicaid
A fact sheet explains Medicaid's role for the nearly 9 million people who qualify for both Medicaid and Medicare, among the sickest and poorest individuals covered by either program. We also have short profiles of four individuals who qualify for both programs. A policy brief describes significant characteristics of CMS's capitated financial alignment model for dual eligibles and summarizes key dates in the state demonstration approval and plan selection processes. Another paper looks at Massachusetts' proposal to CMS to create an integrated service delivery and payment model, while a separate policy brief summarizes several other states' efforts plans to set up demonstrations to better coordinate care for people who are in both the Medicare and Medicaid programs.

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Prescription Drug Procurement and the Federal Budget -- May 2012

Health Care Use and Chronic Conditions Among Childless Adult Medicaid Enrollees in Arizona -- May 2012

Enrollment-Driven Expenditure Growth: Medicaid Spending during the Economic Downturn, FFY2007-2010 -- May 2012

Understanding The Medicaid And CHIP Maintenance of Eligibility Requirements -- May 2012

5 Key Questions and Answers About Medicaid -- May 2012

Five Key Questions About Medicaid And Its Role in State/Federal Budgets and Health Reform - Fact Sheet -- May 2012

Uninsured Quiz -- April 2012

Among Dual Eligibles, Identifying The Highest Cost Individuals Could Help In Crafting More Targeted And Effective Responses -- April 2012

Massachusetts' Proposed Demonstration to Integrate Care for Dual Eligibles -- April 2012

An Update on CMS's Capitated Financial Alignment Demonstration Model For Medicare-Medicaid Enrollees -- April 2012

This report considers areas where Medicare faces limited opportunity for market-based competition and price negotiation to drive down drug spending: drug purchasing for low-income people who face minimal cost-sharing requirements, and purchasing certain unique drugs, such as biologicals, that have no therapeutic alternatives or competitors.

Based on 2007 Medicaid claims data in Arizona, this report provides an analysis of health care utilization and health conditions for childless adults and compares them with parents and adults with disabilities. Understanding the health care use and needs of low-income childless adults can help inform other states’ efforts to care for these adults under the Medicaid expansion in 2014.

This report presents data on changes in Medicaid's enrollment and spending between federal fiscal year 2007 and federal fiscal year 2010, a period which includes the worst economic downturn in the United States since the Great Depression of the 1930s.

This fact sheet examines the provisions in the Patient Protection and Affordable Care Act (ACA) that require states to maintain eligibility and enrollment standards for Medicaid and the Children's Health Insurance Program. These maintenance of eligibility (MOE) provisions were designed to keep Medicaid and CHIP coverage stable until coverage expands under the health reform law.

This chartpack addresses five key questions about Medicaid.

This fact sheet highlights key issues about Medicaid, including the structure, financing and purpose of the program, its role for low-income beneficiaries, its share of the federal budget and state budgets, and the significant implications of the coverage expansion under the Affordable Care Act.

Take the Uninsured Quiz to gauge how much you know about the uninsured population and the consequences of not having health coverage.

This Health Affairs article by researchers at the Urban Institute analyzes linked Medicare and Medicaid data to examine dual eligibles' utilization and spending in both programs in 2007.

This brief examines Massachusetts' proposal to CMS to create an integrated service delivery and payment model in that state. Massachusetts is the first state to submit such a proposal as a part of a nationwide effort guided by CMS.

This policy brief describes significant characteristics of CMS's capitated financial alignment model for dual eligibles and summarizes key dates in the state demonstration approval and plan selection processes.

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