A Medicaid Perspective on Medical Support Cooperation: A Study of Procedures in Five States April 1, 2005 Report This report examines how medical support requirements impact parents applying for Medicaid coverage for themselves and their children. The report draws from case studies of medical support procedures obtained in five states: Arizona, Connecticut, Minnesota, South Carolina and Wisconsin.Report (.pdf)
National ADAP Monitoring Project 2005 Annual Report April 1, 2005 Report The National ADAP Monitoring Report, 2005 provides the latest data on state AIDS Drug Assistance Programs (ADAPs). ADAPs, authorized under Title II of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, provide HIV/AIDS-related prescription drugs to uninsured and underinsured individuals living with HIV/AIDS. ADAPs operate in 57 U.S. states,…
Low-Income Subsidies for the Medicare Prescription Drug Benefit: The Impact of the Asset Test March 31, 2005 Report This study assesses the impact of the requirement that low-income people with Medicare meet an asset test in order to receive additional help paying premiums and cost-sharing under the new Medicare drug benefit.Report (.pdf)American Journal of Managed Care Article: Who Will Be Denied Medicare Prescription Drug Subsidies Because of the…
Current Issues in Medicaid Financing March 31, 2005 Report In recent years there has been much discussion about states’ use of creative financing to draw down additional federal funds for Medicaid financing. Some suggest a curb on these practices and the President’s FY2006 budget includes provisions targeting intergovernmental transfers (IGTs). The Commission has produced a fact sheet and briefs…
New Directions for Medicaid Section 1115 Waivers: Policy Implications of Recent Waiver Activity March 2, 2005 Issue Brief New Directions for Medicaid Section 1115 Waivers: Policy Implications of Recent Waiver ActivitySeventeen states have had comprehensive Section 1115 waivers approved since January 2001. This brief provides an overview of this recent waiver activity and reviews the implications for coverage and access to care.Policy Brief (.pdf)
MaineCare and Its Role in Maine’s Healthcare System March 2, 2005 Report This paper explores the role of MaineCare, Maine’s Medicaid program, in the state’s health care system and the relationship between MaineCare and the Dirigo Health plan that the state approved in 2003.Report (.pdf)
Policy Challenges and Opportunities in Closing the Racial/Ethnic Divide in Health Care March 1, 2005 Issue Brief This brief reviews the issues and the evidence underpinning five broad areas of policy initiatives that flow from recommendations made in the Institute of Medicine's 2002 report, Unequal Treatment: Confronting Racial and Ethnic Disparities in Care.Issue Brief (.pdf)
A Comparison of Proposed and Final Regulations Governing Medicare Part D Plan Enrollment and Part D Benefit Appeal and Grievance Procedures February 28, 2005 Issue Brief This table highlights changes in the appeal and grievance procedures included in the proposed and final regulations implementing the drug benefit. It was prepared for the Foundation by Sara Rosenbaum, J.D., of the George Washington University School of Public Health.Issue Brief (.pdf)
Profile and Analysis of the 26 Medicare Advantage Regions February 28, 2005 Issue Brief This issue brief examines the 26 new Medicare Advantage PPO regions and their implications for beneficiaries. The paper describes the characteristics of the new Medicare Advantage regions and the extent to which Medicare Advantage plans are already available in each region. It highlights the substantial gap between the current availability…
One State’s Medicaid Managed Care Formulary Operations: A Look at Pennsylvania, 2001-2002 February 28, 2005 Report One State’s Medicaid Managed Care Formulary Operations: A Look at Pennsylvania, 2001-2002 This report examines formulary implementation under mandatory Medicaid managed care in Pennsylvania between 2001 and 2002. It looks at one state during a yearlong period; formulary operations are likely to vary across states and programs and over time.…
