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  • Premiums and Cost-Sharing in Medicaid

    Issue Brief

    Medicaid, the nation’s public health insurance program for low-income people, now covers nearly 60 million Americans, including many working families, low-income elderly, and individuals with disabilities. Medicaid beneficiaries tend to be poorer and sicker than those enrolled in private insurance. Given these characteristics, federal law limits the extent to which states can charge premiums and cost-sharing, particularly for pregnant women, children and adults but allows flexibility for individuals with incomes above 100% of the federal…

  • David Rousseau

    Person

    David Rousseau is publisher and executive director of KFF Health News, the largest health newsroom in the United States. Since joining KFF in 1999, Rousseau has led several significant initiatives, including the expansion of KFF Health News across multiple regional bureaus and specialized reporting desks, the development of a new program on misinformation, and projects related to health reform, access and spending. Rousseau previously directed all online and digital operations for the organization, and served…

  • Many States Are Making Wide-Ranging Improvements To Medicaid Eligibility and Enrollment Systems to Prepare for the Affordable Care Act in 2014

    News Release

    New Survey Finds States Investing in Technology, Simplifying Enrollment Processes Washington, D.C. - Nearly all states are pressing forward with information technology and process improvements to develop faster, streamlined Medicaid enrollment systems as required under the Affordable Care Act (ACA) whether or not the state elects to expand Medicaid coverage under the law, according to a report released today by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured. The 12th annual 50-state survey of…

  • Why Premiums Will Change for People Who Now Have Nongroup Insurance

    Perspective

    The federal government recently released draft regulations that address the benefits, market rules, and rating practices for nongroup coverage. Before reform, the nongroup market was widely acknowledged to be broken, with restricted access, limited benefits, high administrative costs, and frequent and large premium increases subject to inadequate oversight. Recent requests for large premium hikes for nongroup coverage in some states, at a time when the group market is experiencing very low increases, have revived concerns about current pricing…

  • Quick Take: Medicaid: 3 Key Issues to Watch in 2013

    Fact Sheet

    2013 will be a historic year for Medicaid with the implementation of major provisions to expand coverage and streamline enrollment in the Affordable Care Act (ACA) less than a year away, a surge in activity around care delivery reforms that seek to improve care and potentially reduce costs, and the unfolding of fiscal developments at the state and federal level. Today, Medicaid provides health and long-term care coverage to more than 60 million low-income children,…

  • The Single Streamlined Application Under the Affordable Care Act: Key Elements of the Proposed Application and Current Medicaid and CHIP Applications

    Report

    The Affordable Care Act (ACA) makes a number of changes to simplify the Medicaid enrollment process. As part of these changes, beginning in 2014 all states will be required to use a single, streamlined application provided by the U.S. Secretary of Health and Human Services unless they receive approval to use an alternative application. A draft version of the streamlined application was released for public comment on January 28, 2013. This analysis provides an overview…