Despite continued tight state budgets, a requirement in the Affordable Care Act (ACA) that states maintain eligibility in Medicaid and Children’s Health Insurance Programs was central in preserving coverage during 2011. In addition, more than half of states (29) made improvements in their programs, often using technology to increase program efficiency and streamline enrollment.

These and other findings appear in the Kaiser Commission on Medicaid and the Uninsured report, “Performing Under Pressure: Annual Findings of a 50-State Survey of Eligibility, Enrollment, Renewal, And Cost-Sharing Policies in Medicaid and CHIP, 2011-2012,” the product of a comprehensive annual survey conducted with the Georgetown University Center for Children and Families. Related reports examine successful efforts to cover children in Alabama, Iowa, Massachusetts and Oregon, and potential performance measures for states’ eligibility and enrollment systems under health reform.

The Foundation released the reports and convened an expert panel discussion at a public briefing
Jan. 18, 2012, at its Washington, D.C., office.

Performing Under Pressure: Annual Findings of a 50-State Survey of Eligibility, Enrollment,
Renewal, And Cost-Sharing Policies in Medicaid and CHIP, 2011-2012

Materials from the January 18, 2012, briefing:

Full Video

Agenda (.pdf)

Speaker Bios (.pdf)

Transcript (.pdf)

Related Resources Released Jan. 18:

Secrets to Success: An Analysis of Four States at the Forefront of the Nation’s Gains in Children’s Health Coverage

Performance Measurement Under Health Reform: Proposed Measures For Eligibility and Enrollment Systems and Key Issues and Trade-offs to Consider