View the Latest: Program on Medicaid and the Uninsured
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The Future of Medi-Cal: Challenges at the Federal, State, and County Level
Issue BriefThis issue brief explores how California and other states are attempting to preserve a meaningful set of benefits under Medicaid during the current budget crisis, when services are most needed and state resources are most scarce. This brief is being distributed in Sacramento at the latest California Health Policy Roundtable on Tuesday, May 13, 2003. Invitation to the California Health Policy Roundtable Issue Brief: Presentation by Victoria Wachino, Kaiser Commission on Medicaid and the Uninsured…
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Health Centers as Safety Net Providers: An Overview and Assessment of Medicaid’s Role
ReportHealth Centers as Safety Net Providers: An Overview and Assessment of Medicaid's Role This policy brief looks at health centers in detail in order to illuminate the role they play as providers of care and to document the important nexus between health centers and Medicaid. Issue Paper
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Pharmacy Plus Waivers: Trade Offs Between Expanding Rx Coverage and Global Caps in Medicaid
Issue BriefThe Kaiser Commission on Medicaid and the Uninsured has been monitoring the development of the Pharmacy Plus waiver initiated by the Bush Administration in 2002 and tracking the states that have pending or approved plans. The Commission has developed some materials describing the initiative, examining the financing mechanism, and discussing the implications for the Medicaid program and participating states. The Pharmacy Plus initiative allows states to secure federal Medicaid matching funds for prescription programs for…
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The Financing of Pharmacy Plus Waivers: Implications for Seniors on Medicaid of Global Funding Caps
Issue BriefThis policy brief describes Pharmacy Plus waivers being considered by some states for their Medicaid program and their implications for Medicaid financing. These waivers offer an opportunity for prescription drug coverage for low-income seniors, but they also include a major change in the financing of care for all seniors on Medicaid -- a cap on federal Medicaid funding for all services provided to seniors on Medicaid. Policy Brief
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Prior Authorization for Medicaid Prescription Drugs in Five States: Lessons for Policy Makers
ReportThis report is a case study of five states' (California, Georgia, Oklahoma, Oregon, and Washington) implementation of prior authorization in their Medicaid programs. REPORT Download
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Model Prescription Drug Prior Authorization Process for State Medicaid Programs
ReportThis report details the rules governing prior authorization programs and the major steps in a model process based on key issues raised by beneficiary advocates, provider groups and states. Report
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Health Insurance Premiums and Cost-Sharing: Findings from the Research on Low-Income Populations
Issue BriefHealth Insurance Premiums and Cost-Sharing: Findings from the Research on Low-Income Populations This policy brief reviews studies on the impact of premiums and cost-sharing, particularly on low-income populations, and finds that premiums generally depressed participation in public programs and cost-sharing affected health utilization, access and outcomes. Policy Brief