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Health Coverage and the Uninsured
Health Coverage in an Economic Downturn: Impact of Tight Budgets for Families and States
The economic downturn has strained family finances and led some Americans to cut back on medical care. The Foundation has a number of resources that shed light on how Americans and states are faring and provide background on the uninsured, employer-sponsored health insurance costs and trends in states’ Medicaid enrollment and spending.
State High-Risk Pools: An Overview
This issue brief provides an overview of the primary components of state high-risk pools, discusses their benefits and challenges, and concludes with a discussion of high-risk pools in national health reform.
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Medicaid and Managed Care: Key Data, Trends, and Issues -- February 2010 KCMU Material
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.
The Message from Massachusetts -- January 2010
In his latest column, the Kaiser Family Foundation's President and CEO examines what the message from the Massachusetts special election is for the health care debate based on the results of the Foundation's recent post-election poll with The Washington Post and the Harvard School of Public Health.
State High-Risk Pools: An Overview -- January 2010 KCMU Material
This issue brief provides an overview of the primary components of state high-risk pools, discusses their benefits and challenges, and concludes with a discussion of high-risk pools in national health reform.
Kaiser Health Tracking Poll -- January 2010 -- January 2010
The January Health Tracking Poll finds the public divided evenly between support and opposition to the health reform bills in Congress, but also that many Americans remain unaware of key provisions in the legislation and often react positively when told about them. 
Building an Express Lane Eligibility Initiative: A Roadmap of Key Decisions for States -- January 2010
The Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) includes new Express Lane Eligibility provisions that provide states new options to reach and enroll eligible but uninsured low-income children into Medicaid and CHIP by relying on eligibility findings from other need-based programs, such as Head Start or the National School Lunch Program. This brief, the third in a series called Putting Children on the Express Lane to Health Insurance, brief provides an overview of key decisions a state will need to address in designing an ELE initiative.
Massachusetts Special Election Poll -- January 2010
As part of the Washington Post/Kaiser Family Foundation/Harvard University partnership series, these toplines are of a poll taken to better understand how health care played into the mix of issues and frustrations that brought voters to the polls in the Massachusetts special election for the U.S. Senate.
Medicaid and Children’s Health Insurance Program Provisions in Health Reform Bills: Affordable Health Care for America Act & The Patient Protection and Affordable Care Act – January 2010 -- January 2010
This brief compares the Medicaid and Children's Health Insurance Program provisions in the House health reform legislation, the Affordable Health Care for America Act, as passed by the full House on Nov. 7, 2009, with the Senate’s reform legislation, the Patient Protection and Affordable Care Act, as passed on Dec. 24, 2009.
Uninsured Young Adults: Who They Are and How They Might Fare Under Health Reform -- January 2010 KCMU Material
This issue brief highlights the current health coverage status of young adults (ages 19-29), current approaches to expand coverage to this population, and how they might be affected by national health reform.
Access to Abortion Coverage and Health Reform -- January 2010
This issue brief discusses the treatment of coverage for abortion services under the major health reform bills and explores the possible impact of the leading House and Senate passed legislation on coverage for abortion services.
Issues for Structuring Interim High-Risk Pools -- January 2010
This brief examines the role of high-risk pools as a coverage safety net today and reviews key issues involved in implementing a national high-risk pool, which would be one of the first provisions to be implemented under pending health reform legislation. 
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Health Coverage & The Uninsured

Lack of health insurance coverage for 46 million Americans is one of the nation's most pressing problems. While most elderly Americans have coverage through Medicare and over 60% of non-elderly Americans receive health coverage through employer-sponsored plans, many workers and their families remain uninsured because their employer does not offer coverage or they cannot afford the cost of coverage. Medicaid and the State Children's Health Insurance Program (SCHIP) help fill in the gaps for low-income children and some of their parents, but the reach of these programs is limited. As a result, millions of Americans without health insurance face adverse health consequences because of delayed or foregone health care and extending coverage to the uninsured has become a national priority.
 
This section provides data and information on the uninsured population, profiling the uninsured and describing the consequences to individuals and society from lack of health insurance. Data from surveys, studies of the impact of lack of insurance, and analysis of proposals for reform are provided. These materials can help to inform the debate on how to achieve coverage for the nation's 46 million uninsured.

The Kaiser Commission on Medicaid and the Uninsured is the main source for the Foundation's work related to the uninsured population. The Commission provides analysis of the uninsured population, and the impact of lack of insurance on access to care and health status with a particular focus on the low-income population. Through its reports and briefings, the Commission provides up-to-date information on the number and characteristics of the uninsured and assesses options for reform. In addition, the Foundation continues to assess both incremental and comprehensive proposals to address the uninsured, including modeling reform proposals ranging from tax credits to expansions of public programs.

 

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