The health reform law creates a national plan for near-universal health coverage that relies on a large expansion of Medicaid eligibility as its foundation. This brief draws on recent interviews with Medicaid program directors and other experts about the opportunities that health reform presents to optimize Medicaid by strengthening its enrollment and renewal operations and recasting it as an affordable health coverage program for working people and families.

Executive Summary (.pdf)

Issue Brief (.pdf)

This updated fact sheet provides trend information about prescription drug expenditures and coverage, key factors that contribute to rising prescription spending, and efforts to contain rising drug costs.

May 2010 Fact Sheet (.pdf)

This brief presents current monthly data on Medicare Advantage plan participation, enrollment and penetration. It also summarizes recent activities by the Centers for Medicare and Medicaid Services (CMS), participating health plans, and the research community pertaining to the Medicare Advantage program and prescription drug plans that began serving the Medicare population in January 2006. The report was prepared by researchers at Mathematica Policy Research Inc.

May 2010 Report (.pdf)

Previous Tracking Reports

This analysis, performed by the Urban Institute for the Kaiser Commission on Medicaid and the Uninsured, shows that the expansion of Medicaid under the health reform law will significantly increase the number of people covered by the program and reduce the uninsured in states across the country, with the federal government picking up the vast majority of the cost.

The analysis is among the first to show for all 50 states and the District of Columbia the distribution of new Medicaid enrollees and costs, as well as the impact on the uninsured. Health reform will offer Medicaid coverage to millions of low-income adults for the first time and help establish a national floor for Medicaid eligibility that contrasts sharply with the wide variation in eligibility across state Medicaid programs today.

The Foundation released the analysis in conjunction with a public briefing in the Barbara Jordan Conference Center.

This 2010 analysis is not the Foundation’s most recent work on this subject. For the latest figures, released Nov. 26, 2012, please go here.

Executive Summary (.pdf)

Full Report: Medicaid Coverage and Spending in Health Reform: National and State-By-State Results for Adults at or Below 133% FPL (.pdf)Materials From May 26, 2010 Public Briefing

Agenda (.pdf)

Presentation Slides (.pdf)

Participant Bios (.pdf)

Transcript (.pdf)

Full Video

Podcast

Confusion over the new health reform law declined but remains widespread, with 44 percent of the public saying they were confused in May, compared to 55 percent in April. Moreover, more than a third of Americans (35%) say they do not understand what the impact of the law will be on themselves and their families, while 61 percent report feeling they do understand what that impact will be.

Americans continue to report getting information about health reform from a wide variety of sources, including the news media, friends and medical professionals. More than half report having gotten information from friends and family (68%), or from cable (63%) or broadcast news programs (55%). Further breaking down those getting health reform information from cable news, 25 percent of Americans indicated their main cable source on this topic was FOX News, 22 percent named CNN and 6 percent MSNBC. In fact, cable news still tops the list of the public’s “most important” sources of news about the new law, with 30 percent saying they rely on that source more than any other.

Americans remain divided on health reform, with 41 percent holding favorable views of the law, 44 percent holding unfavorable views and 14 percent undecided or unsure. Most Democrats still approve of it and most Republicans still oppose it. Political independents are more likely to tilt against, as are people who describe themselves as likely voters in the midterm elections.

Those with favorable views of health reform tend to cite the law’s potential for increasing Americans’ access to health insurance and health care (47%) and making both more affordable (12%) as the main reasons for their support. Those with unfavorable views had a wider range of reasons for their opposition, but topping the list were concerns about the cost of reform to the country and individuals (27%) and opposition to the government’s perceived role in the changes (17%).

Findings (.pdf)

Chartpack (.pdf)

Toplines (.pdf)

This report examines the U.S. role in improving global maternal, newborn, and child health, including the heightened focus placed on these issues by the Administration’s Global Health Initiative. It provides an overview of international efforts and a detailed look at the U.S. government’s response to date, reviews U.S. funding trends for maternal and child health, U.S. agencies’ related activities, the contribution of key U.S. global health efforts, and U.S. participation in international multilateral efforts. It also identifies key policy issues surrounding the future of the U.S. involvement.

Report (.pdf)

This brief provides a detailed look at the improvements in Medicare benefits, changes to payments for providers and Medicare Advantage plans, various demonstration projects and other Medicare provisions in the law. It includes a timeline of key dates for implementing the Medicare-related provisions in the law.

Issue Brief (.pdf)

Earlier Versions:

Summary of White House Proposal and House and Senate Reform Bills – March 2010 (.pdf)

Detailed Summary of H.R. 3962 – November 2009 (.pdf)

Summary of H.R. 3200 and S. 1796 – October 2009 (.pdf)

Side-by-Side Comparison of H.R. 3200 and S. 1796 – October 2009 (.pdf)

This brief describes how the new board created under the 2010 health reform law is expected to limit the growth in Medicare spending over time. Starting in 2014, if projected per capita Medicare spending exceeds targets set in the law, the board must recommend ways to reduce Medicare spending, while maintaining quality and access to care for beneficiaries. The board’s recommendations automatically take effect the next year unless Congress adopts an alternative plan to achieve an equivalent level of savings.

The brief examines the structure and processes of the board and outlines the key dates in the board’s operations through 2019.

Issue Brief (.pdf)

An April 2011 report provides an in-depth analysis of the Independent Payment Advisory Board, how it will control Medicare costs, and its implications for Medicare

Previous Version:

Setting Medicare Payment Policy: Is There a Role for an Independent Entity? – October 2009 (.pdf)

This brief examines the changes in the 2010 health reform law affecting the Medicare Advantage program, which gives beneficiaries the option of enrolling in private insurance plans for their Medicare benefits, instead of the traditional fee-for-service program. The reform law will gradually reduce Medicare payments to these plans to bring the average payment closer to the costs of traditional fee-for-service Medicare, while rewarding plans with high-quality ratings. The brief also describes new benefit requirements for enrollees in Medicare Advantage plans, and a shift in the annual open enrollment period.

Issue Brief (.pdf)

MTV, Kaiser Family Foundation, CDC, Planned Parenthood and Others Urge young People to GYT: Get Yourself Talking and Tested

Keri Hilson, Perez Hilton, Debi Nova, Emily VanCamp, Iyaz & More Help Carry the GYT Message

New York, NY — In response to the staggering rate of sexually transmitted infections (STDs) among youth in the U.S., MTV and the Kaiser Family Foundation, as part of a longstanding public information partnership, are working with the U.S. Centers for Disease Control and Prevention (CDC), Planned Parenthood Federation of America (PPFA) and its network of health centers, and other partners nationwide, to kick-off National STD Awareness month with the return of the award-winning campaign, GYT: Get Yourself Tested.

As many as one in two sexually active young people will contract an STD by age 25 — and most won’t know it .  GYT encourages Americans under age 25 to talk with health care providers and partners about getting tested for sexually transmitted diseases (STDs). According to the CDC, this age group represents half of the estimated 19 million STDs occurring in the United States each year.  When left untreated, STDs can lead to an increased risk of HIV infection, infertility and cancer.

“The burden of STDs on young people in the United States is far too high, and it is urgent that we reach them with testing and treatment information to protect themselves from the long-term health effects of these infections,” said Kevin Fenton, M.D., PhD., director of the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. “A lack of information, misconceptions and social stigma keep many people from getting tested. Others mistakenly think they have been tested as part of routine health care. Since many STDs have no symptoms, most of those who are infected do not know it.  The only way to know for sure is to be tested.”

Playing off mobile and Web slang in young people’s everyday vernacular, such as “OMG” and “LOL,” GYT is an easy way for young people to talk about sexual health and getting tested for STDs. This year, GYT is rolling out a series of new initiatives on-air, online, on the ground at college campuses and in more than 4,000 health centers and clinics across the nation, including:

• Celebs Talk GYT — In a series of on-air and online promotions, celebrities including Keri Hilson, Perez Hilton, Debi Nova, Emily VanCamp of Brothers and Sisters, Iyaz, and more join the campaign’s cast of all-star pop culture personalities spreading the GYT message far and wide.

• GYT NOW Campus Challenge — To spur a social movement for students to start talking and to get tested on college campuses around the country, the “GYT NOW Campus Challenge” calls on young people to commit to getting tested by becoming a fan of GYT, and encouraging their peers to do the same.  The campus with the largest percentage of their student network to join the GYT Campus Challenge will be featured by MTV News special and highlighted on mtvU.  Additionally, MTV will award each of the top ten recruiters on the winning campus with an expense-paid trip for two and backstage passes to the Too Fast for Love Tour.

• GYT Nation:  An extensive on-the-ground outreach effort is taking GYT to communities cross the country.  GYT promotional materials, including t-shirts, posters, buttons, and stickers are being distributed to more than 4,000 health centers nationwide, including Planned Parenthood’s network of 840 health centers.  The CDC is also working with state and local health departments, the American Social Health Association and the National Coalition of STD Directors to get out information about the campaign.  And, the American College Health Association (ACHA) has joined the GYT campaign to spread the word and distribute GYT materials through college health centers.

The campaign’s website, GYTNOW.org, provides a community toolkit with promotional materials that can be customized and localized for easy distribution. In this online gallery, the audience can flex their creativity and make “GYT” their own by uploading personalized GYT designs.

“We’re committed to partnering with our audience to reverse the course of the rising national youth STD trend,” said Stephen Friedman, General Manager of MTV.  “GYT connects with young people everywhere they are, and prompts them to take control of their sexual health — arming them with tools that make it easier to talk openly about testing and take action to know their status.”

Once again, GYT will be woven throughout MTV programming, making appearances in popular shows, music videos and more.  CDC provided assistance to ensure scientific accuracy of GYT health information.  Comprehensive informational resources — designed for web and mobile applications — provide facts and referrals to local health centers.   Additional campaign elements include:

Online & Mobile:

• www.GYTNOW.org — The central hub of the campaign, GYTNOW.org is a comprehensive information resource that includes facts about STDs; talking tips on how to discuss STD testing with partners, parents, and health care providers; and a testing location finder that connects users to local testing resources by simply entering a zip code.  A wide range of GYT-based content, including all of the participating artists and celebrities, are also showcased on the site.  Additionally, fans can connect to GYT via Facebook or Twitter.

• GYTNOW short code and MTV Movie Awards Sweepstakes — A mobile companion to GYTNOW.org, the GYT short code (498669) provides details about local testing locations to mobile phones by simply texting a zip code.  Users of the service during the month of April will become eligible to win a trip for two to the 2010 MTV Movie Awards in LA. Users can also enter the sweepstakes online by using the testing location finder at http://GYTNOW.org.

On-Air:

• MTV News — MTV News Correspondent Sway Calloway goes inside a New York City college to talk to students about STD testing. The segment explores who is getting tested, who is not, and the reasons why young people don’t get tested. Dr. Michelle Cespedes, a doctor of infectious diseases at NYU, and Dr. Michelle Callahan, a relationship expert and on-air personality, will weigh in on the importance of knowing your status and offer young people tips on talking about STD testing with partners and doctors.

• mtvU Dean’s List — A freshman at the University of Hartford takes over as host for a new episode of mtvU’s “Dean’s List.”  During this hour long countdown of the music that’s making an impact on her campus, the audience will also follow as Kayla gets tested, dispels myths about STDs and testing, and talks to young people about why it’s important to GYT in college today.

• MTV’s “How To” Show — Iyaz and Debi Nova explore “how to talk to your partner about testing,” and “how to ask your doctor to be tested” in this short-form segment to live on GYTNOW.org.

“We have found that entertainment media partnerships can be a powerful force for change,” said Tina Hoff, Vice President and Director of Entertainment Media Partnerships, Kaiser Family Foundation. “By working with this coalition of partners with common goal and on a targeted message, we hope to reduce the spread of STDs among young people by normalizing communication and testing.”

In 2009, GYT helped fuel an increase in STD testing among of young people under the age of 25 at Planned Parenthood health centers nationwide, including a 36 percent increase in the number of male STD testing patients and an 18 percent increase in the number of female STD testing patients from the previous year in ten nationally representative Planned Parenthood health centers. These increases were particularly noteworthy in communities of color, with a 30 percent increase over 2008 in the number of African-American female STD testing patients and a 20 percent increase in the number of Latina STD testing patients.

“Planned Parenthood doctors and nurses understand that if a young person is going to decide to get tested, barriers to communication need to be overcome and common myths must be dispelled. The good news is that testing for many STDs is fast and painless, and, contrary to the fears of some young people, does not involve needles,” said Planned Parenthood Federation of America President Cecile Richards. “We know that the GYT campaign works. In the first year of the campaign, Planned Parenthood health centers saw an increase in testing, and we are committed to increasing the number of young people who get tested again this year.”

GYT is supported by a broad range of organizations including the National Coalition of STD Directors (NCSD), American College Health Association (ACHA), ASHA (American Social Health Association), the National Chlamydia Coalition (NCC), and various state and local health departments, colleges and universities, and other community groups and non-profits.

An ongoing extension of MTV and Kaiser’s Emmy and Peabody-winning “It’s Your (Sex) Life” partnership, GYT encourages young people to make responsible decisions about their sexual health.  Since 1997, the Kaiser Family Foundation and MTV have worked together on this extensive public information partnership to address HIV/AIDs, other sexually transmitted diseases (STDs) and related sexual health issues. The partnership includes targeted public service advertisements (PSAs), entertainment and other special programming, news segments, and free resources, including an informational guide developed especially for the campaign, and an extensive website www.itsyoursexlife.com. For more information visit http://www.GYTNOW.org.

MTV is the dynamic, vibrant experiment at the intersection of music, creativity and youth culture. For over 28 years, MTV has evolved, challenged the norm, and detonated boundaries — giving each new generation a creative outlet and voice that entertains, informs and unites on every platform and screen. On-air, MTV is the number one rated full-day ad-supported cable network for P12-24. Online, MTV.com averaged 24.6 million monthly unique visitors during the first quarter of 2010 — up +9% from Q4/2009 and up +13% year-over-year. Average video streams for the first quarter of 2010 increased +19% from the Q4/2009 and is up +18% over the same time period last year. And MTV’s successful sibling networks MTV2 and mtvU each deliver unprecedented customized content, super-serving young males, music fans, and college students like no one else. MTV is part of MTV Networks, a unit of Viacom (NYSE: VIA, VIA.B), one of the world’s leading creators of programming and content across all media platforms. Wanna know more? Come on in: http://www.mtvpress.com

The Kaiser Family Foundation is a non-profit private operating foundation, based in Menlo Park, California, dedicated to producing and communicating the best possible information, research and analysis on health issues.

Planned Parenthood Federation of America is the nation’s leading sexual and reproductive health care provider and advocate. We believe that everyone has the right to choose when or whether to have a child, and that every child should be wanted and loved. Planned Parenthood affiliates operate more than 840 health centers nationwide, providing medical services and sexuality education for millions of women, men, and teenagers each year. We also work with allies worldwide to ensure that all women and men have the right and the means to meet their sexual and reproductive health care needs.

The Centers for Disease Control and Prevention (CDC), part of the U.S. Department of Health and Human Services, protects people’s health and safety by preventing and controlling diseases and injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through strong partnerships with local, national, and international organizations. For more information about CDC and its programs, visit http://www.cdc.gov.