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  • Improving Access to Oral Health Care for Adults in Medicaid: Key Themes from a Policy Roundtable

    Report

    Medicaid and CHIP programs have made significant strides in improving low-income children’s access to and use of dental care, but access to oral health care for low-income adults lags far behind. To probe current opportunities, challenges, and strategies related to expanding access to oral health care for adults in Medicaid, the Kaiser Commission on Medicaid and the Uninsured convened a group of experts and stakeholders in Spring 2016 to discuss the issues. This brief conveys…

  • Findings from the Field: Medicaid Delivery Systems and Access to Care in Four States in Year Three of the ACA

    Issue Brief

    Based on case studies and focus groups, this brief reviews delivery systems and access to care for Medicaid enrollees in Colorado, Connecticut, Kentucky, and Washington as of Spring 2016. The findings provide an on-the-ground view of Medicaid delivery systems and enrollees’ experiences accessing care three years after implementation of the Medicaid expansion. This brief builds on previous reports that examined states’ preparation for implementation prior to the initial ACA open enrollment period and their experiences…

  • Connecting the Justice-Involved Population to Medicaid Coverage and Care: Findings from Three States

    Issue Brief

    This brief provides an overview of initiatives to connect the justice-involved population to Medicaid coverage and care in the community in three states—Arizona, Connecticut, and Massachusetts—based on interviews with key stakeholders. These states are leading efforts in these areas and provide key lessons about how to coordinate across health care and corrections and the potential of such initiatives to better link individuals to the physical and behavioral services they need. Each of the case study…

  • CMS’s Final Rule on Medicaid Managed Care: A Summary of Major Provisions

    Issue Brief

    On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued final regulations that revise and significantly strengthen existing Medicaid managed care rules. In keeping with states’ increasingly heavy reliance on managed care programs to deliver services to Medicaid beneficiaries, including many with complex care needs, the regulatory framework and new requirements established by the final rule reflect increased federal expectations regarding fundamental aspects of states’ Medicaid managed care programs.

  • Summary of HHS’s Final Rule on Nondiscrimination in Health Programs and Activities

    Issue Brief

    On May 18, 2016, the Department of Health and Human Services (HHS) published a final rule to implement Section 1557 of the Affordable Care Act (ACA), which prohibits discrimination in health coverage and care based on race, color, national origin, age or disability, and, for the first time sex. This Issue Brief provides a technical summary of Section 1557 and the final rule and highlights new protections and provisions included in the law and rule.…

  • Threadbare:  Holes in America’s Health Care Safety Net

    Report

    Threadbare: Holes in America’s Health Care Safety Net This report describes the impact of coverage gaps in our safety net through the perspectives of those who provide care to the uninsured and first-hand accounts of the uninsured who are seeking care. Report (.pdf)

  • Health Centers Reauthorization: An Overview of Achievements and Challenges

    Report

    This report reviews the role of community health centers in the nation's health care safety net. Today, over 1,000 federally funded and “look-alike” health centers serve 14.3 million people, three-quarters of whom are uninsured or covered by Medicaid. As health centers look toward legislative reauthorization in 2006, they face several policy challenges reviewed in this report, including an increase in the uninsured populations, potential decreases in Medicaid revenue, and a need to increase health centers'…

  • The Uninsured And The Difference Health Insurance Makes

    Fact Sheet

    This fact sheet describes the characteristics of the uninsured and explains the recent increase in this population. It also examines the difference that health insurance can make and how health reform is expected to cover millions more people.

  • Role of Health Insurance Coverage in Women’s Access to Prescription Medicines

    Report

    This article presents findings from the 2004 Kaiser Women's Health Survey examining how health insurance coverage affects access to prescription medicines for non-elderly women. Results from the nationally representative telephone survey indicate that a lack of health insurance coverage is significantly associated with experiencing cost barriers to prescription medications, regardless of income level. These findings underscore the important role that insurance coverage plays in protecting women from out-of-pocket costs and for accessing prescription medicines. The…

  • How Does Health Coverage and Access to Care for Immigrants Vary by Length of Time in the U.S.?

    Issue Brief

    This analysis, based on data from the 2007 Health Tracking Household Survey, examines how health coverage and access to care for non-elderly adults vary based on immigrants’ length of time in the U.S. and between immigrants, second generation Americans and third generation and higher Americans. It also identifies the primary factors contributing to lower health coverage rates and greater access barriers among immigrants. While, overall, immigrants have a high uninsured rate and face greater access…