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In this New York Times op-ed, “The Republicans’ Jekyll-and-Hyde Health Care Plan,” Drew Altman examines the Senate health plan.
Medicaid Restructuring Under the American Health Care Act and Children with Special Health Care Needs
This brief includes state-level data on the share of children with special health care needs covered by Medicaid and describes Medicaid’s role for these nearly five million children to help inform the debate about the American Health Care Act’s (AHCA) reduction of federal Medicaid funding under a per capita cap or block grant.
Medicaid, the nation’s health coverage program for poor and low-income people, provided more than 25 million low-income women with health and long-term care coverage in 2014.1,2 Women comprise the majority of adult Medicaid beneficiaries—before the passage of the Affordable Care Act (ACA) and today. The program provides beneficiaries…
Under a per capita cap, per enrollee spending would be capped, but the total amount of federal dollars to states could vary with enrollment changes and states would not be able to impose enrollment caps. Faced with restrictions in federal financing, states would have to make hard choices. This brief outlines the key measures states could use to manage their budgets and the associated challenges under a per capita cap: raise taxes or make other cuts, reduce benefits, limit coverage of high cost enrollees, reduce rates or implement delivery system reforms, and promote personal responsibility. Each option has challenges that are identified in the brief.
The American Health Care Act passed by House Republicans in May would go further than existing law to restrict the availability of abortion coverage through private insurance policies. It would ban abortion coverage in all marketplace plans as well as prohibit the use of federal tax credits to purchase any…
This issue brief reviews current federal and state policies on private insurance coverage of abortion services, and the potential conflict between the AHCA provision and state laws regulating private insurance.
This issue brief considers the feasibility of realizing substantial Medicaid cost savings through strategies aimed at improving delivery system and administrative efficiency. We review the literature about the potential for Medicaid cost savings from four strategies related to acute care services: (1) premiums, cost-sharing, and enrollee wellness incentives, (2) complex care management, (3) patient-centered medical homes, and (4) alternative payment models, and another four strategies related to long-term services and supports: (5) tightening financial eligibility rules for long-term care services, (6) promoting private long-term care insurance, (7) expanding home and community-based services (HCBS), and (8) increasing use of managed long-term services and supports.
In his Axios column, Drew Altman examines how the core views Republicans have about Medicaid differ from those of Democrats and Independents, and how those views drive the policy changes they are proposing for the program.
This infographic highlights Medicaid’s role for nursing home care. It includes information about the nation’s growing long term care need and the role Medicaid plays as the primary payer for nursing home care. It also discusses the potential impact of proposals to limit federal Medicaid financing.