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Prior Authorization for Medicaid Prescription Drugs in Five States: Lessons for Policy Makers
This report is a case study of five states’ (California, Georgia, Oklahoma, Oregon, and Washington) implementation of prior authorization in their Medicaid programs.
Report Read MoreModel Prescription Drug Prior Authorization Process for State Medicaid Programs
This 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
Report Read MoreHow Do M+C Plans Manage Pharmacy Benefits? Implications for Medicare Reform
Understanding how Medicare+Choice (M+C) plans manage their drug benefits may generate important lessons for Medicare. This report, based on interviews with both national and regional managed care firms, provides an in-depth look at how plans have managed their M+C outpatient pharmacy benefits in recent years. Findings show that plans rely…
Report Read MoreSurvey of Americans’ Views on Taxes
A new survey by National Public Radio, Kaiser Family Foundation, and Harvard University’s Kennedy School of Government, examines Americans’ attitudes towards taxes, views on tax policy proposals, and knowledge about the federal tax system. Toplines/Survey (.pdf) Executive Summary (.pdf) View results and listen to stories about the survey on NPR’s website
Poll Finding Read MoreHealth Insurance Premiums and Cost-Sharing: The Impact on Low-Income Populations
This fact sheet summarizes the issues surrounding premiums and cost-sharing in public coverage programs and discusses the impact of these mechanisms on participation and health outcomes, particularly for low-income populations. Fact Sheet (.pdf)
Fact Sheet Read MoreHealth Insurance Premiums and Cost-Sharing: Findings from the Research on Low-Income Populations
Health Insurance Premiums and Cost-Sharing: Findings from the Research on Low-Income PopulationsThis 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
Issue Brief Read MoreState-Specific Section 1115 Waiver Fact Sheets
The Kaiser Commission on Medicaid and the Uninsured is closely following waiver activity to provide information on how these waivers are impacting the uninsured and affecting Medicaid and SCHIP and the coverage provided to low-income beneficiaries. Tennessee Section 1115 Waiver Amendment Proposal Fact SheetCalifornia Section 1115 Waiver Fact SheetColorado Section…
Issue Brief Read More