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The Uninsured and Their Access to Health Care
Drawing on data from the updated Uninsured in America: A Chart Book (May 2000), this fact sheet outlines the problem of the uninsured in America, providing data on the growing number of uninsured Americans and a profile of the uninsured population. It also explores causes of uninsurance and synthesizes studies on the effects of going without health coverage.
The National Survey on the Uninsured from The NewsHour with Jim Lehrer and the Kaiser Family Foundation is this year’s first nationwide survey on Americans’ attitudes about the growing uninsured population and the difficulties uninsured people face getting medical care. The survey also assesses public attitudes on options to address the problem.
This report provides in-depth descriptions of the case studies in these states. The case studies are based on interviews conducted in the fall of 1998 with state officials, provider and plan representatives, and advocates. This report provides an overview of each state’s Medicaid program, followed by an analysis of the structure and impact of various program features, such as whether capitated and/or PCCM programs are offered; whether the programs are mandatory or voluntary for people with disabilities; whether disabled people are covered by mainstream managed care or by a separate specialized program; and whether behavioral health is offered under a managed arrangement or an alternative approach. (Publication #2163) A companion paper, A Closer Look (Publication #2179), presents an overview of the findings and summarizes the results of the case studies.
Recent reports on patient protection legislation were prepared for the Kaiser Family Foundation by Phyllis Borzi and Sara Rosenbaum of the Center for Health Services Research and Policy, The George Washington University Medical Center. These reports provide a side-by-side comparison of the patient protection provisions in the differing versions of H.R. 2990 passed by the Senate and the House of Representatives in 1999, which are being considered in Conference Committee in 2000. The comparative analysis report includes a discussion of the similarities and differences between the bills; a detailed side-by-side comparison of the bills including their scope, patient protections, benefit claims and appeals procedures, and ERISA preemption and plan liability provisions; and definitions of terms. The brief overview highlights the key similarities and differences between the two bills.
: A Comparative Analysis of Key Provisions of the House and Senate Versions of H.R. 2990
A Brief Overview of Major Features of : House and Senate Versions of H.R. 2990
Note: This publication is no longer in circulation. However, a few copies may still exist in the Foundation’s internal library that could be xeroxed. Please email order@kff.org if you would like to pursue this option.
During the 1999 legislative year, both the U.S. House of Representatives and the U.S. Senate passed legislation addressing patient protections under health care plans. The purpose of this brief overview is to highlight in broad terms the key similarities and differences between the bills in four general areas: scope of coverage; patient protections; benefit claims and appeals procedures; and ERISA preemption of state laws and health plan liability (including expanded patients’ rights to sue and remedies). This brief comparison does not address certain other provisions contained in the bills (including those relating to HealthMarts and Association Health Plans found only in the House bill) or their various revenue-related proposals.
This report, Medicaid Managed Care for Persons with Disabilities: A Closer Look, presents an overview of the findings and summarizes the results of the case studies of Medicaid managed care programs that enroll persons with disabilities in four states: Florida, Kentucky, Michigan, and New Mexico. This report also draws from the findings of the 1998 national survey of state practices (Publication #2114) and focus groups of low-income disabled individuals (Publication #2152). This report addresses the issue of how persons with disabilities fare under managed care. It describes ways that managed care is affecting overall health care delivery for some of our nation’s most vulnerable citizens and describes the lessons learned for policymakers who enroll – or plan to enroll – persons with disabilities in their managed care programs. A companion paper, Descriptions of Programs in Florida, Kentucky, Michigan, and New Mexico, provides in-depth descriptions of the four case studies.
This report updates a 1994 case study of California’s Medicaid managed care initiative. California uses three predominant managed care models in its Medi-Cal program: county organized health (COHS), geographic managed care (GMC), and the two-plan model. This case study focuses specifically on Los Angeles County’s two-plan model and Orange County’s COHS model. It is one of a series of reports from the Kaiser/Commonwealth Low-Income Coverage and Access Project.
This project examines how changes in the Medicaid program have affected health insurance health insurance coverage and access to care for the low-income population in eight states: California, Florida, Maryland, Minnesota, New York, Oregon, Tennessee, and Texas.
The Washington Post/Henry J. Kaiser Family Foundation/Harvard University , conducted in July and August of 1999, undertakes one of the most comprehensive looks at Latinos in America today. It examines Latino attitudes regarding values, politics, race relations and social policies and compares those attitudes to non-Latino whites and blacks. In addition it provides a closer look at Latino immigrant perceptions of the U.S. The large scope of the study allows for comparisons to be made between Latinos born in the U.S. to those born outside and among Latinos with different national backgrounds. Results from this survey were released by The Washington Post in a series of articles beginning on January 16, 2000.
Briefing Resource List
The Gender of Politics:How (and How Much) Will Women Influence Election 2000?Tuesday, April 18, 2000Briefing ParticipantsOther ResourcesAnalysts and ResearchersPollstersWomen’s Political OrganizationsVoter Education/InformationAdditional Voter Education WebsitesNational Political PartiesPolitical Analysts/StrategistsEmerging Issues in Reproductive Health, Program Contacts
Kellyanne Fitzpatrick, JDCEO and President The Polling Company1220 Connecticut Avenue, NWWashington, DC 20036 Press contact: Maria RauchTel. 202.667.6557Fax. 202.467.6551E-mail: info@pollingcompany.com
Anna Greenberg, PhDAssistant Professor of Public PolicyJohn F. Kennedy School of GovernmentHarvard University79 JFK StreetCambridge, MA 02138Tel. 617.495.8343Fax. 617.495.8696E-mail: anna_greenberg@harvard.edu
Timothy F. MooneyVice President, Political AffairsVoter.com400 N. Capitol Street, NW, Suite G-100Washington, DC 20001Press contact: Keith AppellTel. 703.683.5004, ext.112Fax. 703.683.1703E-mail: keith@crc4pr.comWebsite: www.voter.com
Sheila O’ConnellPolitical DirectorEMILY’s List805 15th Street, NW, Suite 400Washington, DC 20005Press contact: Elizabeth PineTel. 202.326.1400Fax. 202.326.1415E-mail: epine@emilyslist.org Website: www.emilyslist.org
Karlyn Bowman, PhDResident FellowAmerican Enterprise Institute1150 17th Street, NWWashington, DC 20036Press contact: Danielle MaxwellTel. 202.862.5873Fax. 202.862.7177E-mail: dmaxwell@aei.org
Susan Carroll, PhDSenior Research AssociateCenter for American Women and PoliticsEagleton Institute of PoliticsRutgers University191 Ryders LaneNew Brunswick, NJ 08901Press contact: Gilda MoralesTel. 732.932.9384, ext.264Fax. 732.932.6778E-mail: cawp@rci.rutgers.edu
Andrew KohutDirectorThe Pew Research Center for the People and the Press1150 18th Street, NW, Suite 975Washington, DC 20036Tel. 202.293.3126Fax. 202.293.2569E-mail: mailprc@aol.comWebsite:
www.people-press.orgAlina Salganicoff, PhD Director for Women’s Health Policy & Associate Director, Kaiser Commission on Medicaid & the UninsuredZoe Beckerman, MPH Policy Analyst, Women’s Health PolicyKaiser Family Foundation1450 G Street, NW, Suite 250Washington, DC 20005Tel. 202.347.5270Fax. 202.347.5274E-mail: asalganicoff@kff.org
Linda DiVall (Republican)American Viewpoint300 N. Lee Street, Suite 400Alexandria, VA 22314Press contact: Marsha DouglasTel. 703.684.3325Fax. 703.684.9295
Ed Goeas (Republican)President and CEOThe Tarrance Group201 North Union Street, Suite 410Alexandria, VA 22314Tel. 703.684.6688Fax. 703.836.8256
Celinda Lake (Democrat)Lake Snell Perry Research1726 M Street, NW, Suite 500Washington, DC 20036Press contact: Joann BladuellTel. 202.776.9066Fax. 202.776.9074E-mail: jbladuell@lspa.com
Women’s Political Organizations
Roselyn O’ConnellPresidentNational Women’s Political Caucus1630 Connecticut Avenue, NW, Suite 201Washington, DC 20009Press contact: Beth KanterTel. 202.785.1100Fax. 202.785.3605E-mail: polnwpc@aol.com
Terese Coling and Ruth Powers, Co-ChairsThe Women’s Campaign Fund734 15th Street, NW, Suite 500Washington, DC 20005Press contact: Erica HenriTel. 202.393.8164Fax. 202.393.0649E-mail: erica@wcfonline.org
Karen RayeExecutive DirectorThe WISH List3205 N Street, NWWashington, DC 20007Press contact: Debbie SlineTel. 202.342.9111Fax. 202.342.9190E-mail: wishpac@aol.com
Dr. Carolyn Jefferson-Jenkins, PhDPresidentLeague of Women Voters1730 M Street, NW, Suite 1000Washington, DC 20036-4508Press contact: Paul BoertleinTel. 202.429.1965Fax. 202.429.0854E-mail: pboertlein@lwv.orgWebsite: www.leagueofwomenvoters.org
Richard KimballExecutive DirectorProject Vote SmartOne Common GroundPhilipsburg, MT 59858Press contact: Adelaide ElmTel. 406.859.8683Fax. 406.859.8680E-mail: aelm@vote-smart.orgWebsite: www.vote-smart.orgReporters’ Resource CenterTel. 406.859.8690
Deborah Wadsworth, MAExecutive DirectorPublic Agenda6 E. 39th StreetNew York, NY 10016Press contact: Matthew SchuermanTel. 212.686.6610, ext.40Fax. 212.889.3461E-mail: mschuerman@publicagenda.orgWebsite: www.publicagenda.orgMarie Wilson, MAPresidentThe White House Project110 Wall Street, 2nd FloorPress contact: James DevittTel. 212.785.6001, ext.13Fax. 212.785.6007E-mail: jdevitt@thewhitehouseproject.orgWebsite: www.thewhitehouseproject.org
Additional Voter Education Websites
The Democracy Networkwww.dnet.orgA non-profit, non-partisan project of the League of Women Voters Education Fund and the Center for Governmental Studies, this site enables users to compare candidates by issue and e-mail questions to candidates.
iVillagewww.iVillage.comThis site organized by and for women offers on-line voter registration as well as polling results and information on a range of issues.
Jenny BackusPress SecretaryDemocratic National Committee430 S. Capitol Street, SEWashington, DC 20003Tel. 202.863.8033Fax. 202.863.7194Website: www.democrats.org
Mike CollinsPress SecretaryRepublican National Committee310 First Street, SEWashington, DC 20003Tel. 202.863.8550Fax. 202.863.8773Website: www.rnc.org
Political Analysts/Strategists
Ann Lewis (Democrat)Counselor to the PresidentThe White House1600 Pennsylvania AvenueWashington, DC 20500-0004Tel. 202.456.2644
Tanya Melich (Republican)Political Issues Management136 East 57th Street, Suite 1305New York, NY 10022Tel. 212.759.9155
Emerging Issues in Reproductive Health, Program Contacts:
Tina Hoff, Director, Public Health Information and CommunicationsKristin Leo, Program CoordinatorAmy Weitz, Communications OfficerKaiser Family Foundation2400 Sand Hill RoadMenlo Park, CA 94025Tel. 650.854.9400Fax. 650.854.7465
Susan Lamontagne, Managing PartnerAndrea Miller, Managing PartnerMedia Strategies, Inc.611 Broadway, Suite 206New York, NY 10012Tel. 212.260.1520Fax. 212.260.9058
This report, Medicaid Enrollment in 21 States: June 1997 -June 1999, prepared by Health Management Associates, includes enrollment data obtained directly from state Medicaid and CHIP programs. Findings show that across the 21 states, which represent 73% of total Medicaid enrollment, enrollment fell from 23.2 million in June 1997 to 22.6 million in June 1998, but turned upward in June 1999 to 22.9 million. State-by-state data is included for: Arkansas, California, Florida, Georgia, Ilinois, Indiana, Iowa, Kansas, Massachusetts, Michigan, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Utah, and Wisconsin.