Medicaid/CHIP - Health Policy, Public Opinion & Research

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Resources Examine Record Medicaid Enrollment Growth And State Budget Pressures
This package of resources examines the record 3.3 million-person increase in Medicaid enrollment between June 2008 and June 2009 and provides a mid fiscal-year 2010 update on key state Medicaid issues, including the impacts of the economic downturn.

A Foundation for Health Reform: Findings of An Annual 50-State Survey of Eligibility Rules, Enrollment and Renewal Procedures and Cost-Sharing Practices in Medicaid and CHIP for Children and Parents During 2009
This package of resources presents findings of an annual 50-state survey of Medicaid and CHIP eligibility and enrollment policies, as well as other papers on states' efforts to cover children and low-income adults.

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CHIP TIPS: Children's Oral Health Benefits -- March 2010
This brief, the sixth in a series, examines a new requirement that state CHIP programs cover comprehensive dental benefits, and other requirements and options enacted under the Children's Health Insurance Program Reauthorization Act of 2009 that are aimed at improving the oral health of children.

Medicaid Financial Eligibility: Primary Pathways for the Elderly and People with Disabilities -- February 2010

This issue brief details the various eligibility pathways by which individuals with disabilities and the elderly can qualify for Medicaid coverage. The program provides health coverage to nearly 60 million Americans, including 8.5 million with disabilities and 8.8 million low-income frail, elderly and disabled Medicare beneficiaries.

Expanding Medicaid: Coverage for Low-Income Adults Under Health Reform -- February 2010

This issue brief examines the key characteristics of the 17.1 million low-income uninsured adults who might gain health coverage through Medicaid under health reform. Such adults without dependent children have historically been excluded from Medicaid.

State Fiscal Conditions & Medicaid -- February 2010

This fact sheet summarizes the relationship of Medicaid with state budgets and discusses the current fiscal situation in the states and how it is affecting Medicaid programs.

Medicaid Enrollment in the 50 States: December 2008 Data Update -- February 2010

Medicaid Enrollment in the 50 States: December 2008 Data Update

Resources Examine Medicaid Enrollment Growth And State Budget Pressures -- February 2010

This package of resources examines the record increase in Medicaid enrollment between June 2008 and June 2009 and provides a mid fiscal-year 2010 update on key state Medicaid issues, including the impacts of the economic downturn.

Medicaid Enrollment: June 2009 Data Snapshot -- February 2010

This analysis finds that there were nearly 3.3 million more people enrolled in Medicaid in June 2009 than there were the previous June, the largest ever one-year increase in absolute numbers. The increase came as economic conditions deteriorated and unemployment rose, resulting in many more people turning to Medicaid as their only source of health coverage.

Medicaid's Continuing Crunch In a Recession: A Mid-Year Update for State FY 2010 and Preview for FY 2011 -- February 2010

This report finds that 44 states are experiencing higher than expected Medicaid enrollment and spending, prompting many to consider program cuts. Enhanced federal matching money for Medicaid provided through the federal stimulus law is set to expire on Dec. 31, 2010, further complicating state budgets.

Pulling it Together: An Actuarial Rorschach Test -- February 2010
In his latest column, the Kaiser Family Foundation's President and CEO and Foundation colleagues Larry Levitt and Gary Claxton examine what the latest health spending projections from the Centers for Medicare and Medicaid Services tell us about trends in the nation's health care system and debunk the idea that they are further evidence of a government takeover of the health care system.

Medicaid and Managed Care: Key Data, Trends, and Issues -- February 2010

This policy brief provides an overview of the Medicaid program’s increasing reliance on managed care to deliver services. The goal of this approach is to improve access to care and coordination of care by assuring that enrollees have a "medical home" with a primary care provider, and to rely more heavily on preventive and primary care.

This brief, the sixth in a series, examines a new requirement that state CHIP programs cover comprehensive dental benefits, and other requirements and options enacted under the Children's Health Insurance Program Reauthorization Act of 2009 that are aimed at improving the oral health of children.

This fact sheet summarizes the relationship of Medicaid with state budgets and discusses the current fiscal situation in the states and how it is affecting Medicaid programs.

Medicaid Enrollment in the 50 States: December 2008 Data Update

In his latest column, the Kaiser Family Foundation's President and CEO and Foundation colleagues Larry Levitt and Gary Claxton examine what the latest health spending projections from the Centers for Medicare and Medicaid Services tell us about trends in the nation's health care system and debunk the idea that they are further evidence of a government takeover of the health care system.

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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.