Medicaid/CHIP - Health Policy, Public Opinion & Research

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Resources Analyze Medicaid Spending Growth And Explain Medicaid’s Role in State and Federal Budgets and Health Reform
The new report Enrollment-Driven Expenditure Growth: Medicaid Spending During the Economic Downturn, FFY2007-2010 finds that overall Medicaid spending growth from 2007 to 2010 was driven largely by enrollment growth from many people losing jobs and income during the recession. Five Key Questions About Medicaid and Its Role in State/Federal Budgets and Health Reform, and a related chartpack, highlight key issues such as Medicaid’s role for low-income beneficiaries, its share of the federal budget and state budgets, and the implications of the health reform law for the program.

Decoding Medicaid Care Delivery and Financing Models: A Glossary of Widely Used Terms
As care delivery and financing models in Medicaid have multiplied, so has the terminology used to refer to them. This glossary seeks to clarify and define the terms that are widely used to describe the diverse approaches that states are taking to reform the way they organize and pay for care for Medicaid beneficiaries

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. A policy brief examines how the ACA is changing Medicaid today as states take up key opportunities to prepare for the Medicaid expansion in 2014.

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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KaiserEDU.org Tutorial on Medicare/Medicaid Dual Eligibles -- May 2012

The Massachusetts Health Care Landscape -- May 2012

Massachusetts Health Care Reform: Six Years Later -- May 2012

How is the Affordable Care Act Leading to Changes in Medicaid Today? State Responses to Five New Options -- May 2012

Decoding Medicaid Care Delivery and Financing Models: A Glossary of Widely Used Terms -- May 2012

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

This new tutorial focuses on the 9 million dual eligibles -- low income seniors and people with disabilities who receive coverage through both Medicare and Medicaid. This tutorial provides a closer look at the characteristics of dual eligibles, the types of services and coverage they receive from each program, and how program spending for this population is allocated.

This fact sheet summarizes the Massachusetts health care landscape, including data on demographics, population health, the uninsured and the state Medicaid program.

This brief examines Massachusetts' experience with coverage and access to care since enacting comprehensive state health reform in 2006. It also compares the state's reform with the national reforms in the Affordable Care Act.

This policy brief examines how states in every region have responded to five key opportunities available under the health reform law to help them prepare for the significant expansion of Medicaid in 2014.

This glossary seeks to clarify and define the terms that are widely used to describe the diverse approaches that states are taking to reform the way they organize and pay for care for Medicaid beneficiaries.

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.

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