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Analysis: Most Short-Term Health Plans Don’t Cover Drug Treatment or Prescription Drugs, and None Cover Maternity Care
News ReleaseA new Kaiser Family Foundation analysis of short-term, limited duration health plans for sale through two major national online brokers finds big gaps in the benefits they offer.
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Understanding Short-Term Limited Duration Health Insurance
Issue BriefIn late 2017, President Trump issued an executive order directing the Secretary of Health and Human Services to take steps to expand the availability of short-term health insurance policies. This brief provides background information on short-term policies and how they differ from ACA-compliant health plans. It also analyzes the short-term plans available through two major online brokers to assess how often they include coverage for mental health, substance abuse, prescription drugs and maternity care.
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New KFF Resource Tracks Developments in States’ Section 1115 Medicaid Waivers
News ReleaseA new resource from the Kaiser Family Foundation enables users to keep abreast of Section 1115 Medicaid waivers that are pending or have been approved by the Centers for Medicare and Medicaid Services.
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Key Themes in Medicaid Section 1115 Behavioral Health Waivers
Issue BriefState interest in Medicaid Section 1115 behavioral health waivers, including mental health and substance use disorders, remains high. As of November, 2017, there are 15 approved and 11 pending behavioral health waivers in 22 states. This issue brief describes recent waiver activity in four areas: using Medicaid funds to pay for substance use and/or mental health services in “institutions for mental disease” (IMDs), expanding community-based behavioral health benefits, expanding Medicaid eligibility to cover additional people with behavioral health needs, and financing delivery system reforms.
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Medicaid Moving Ahead in Uncertain Times: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2017 and 2018
ReportThis report provides an in-depth examination of the changes taking place in Medicaid programs across the country. Report findings are drawn from the annual budget survey of Medicaid officials in all 50 states and the District of Columbia conducted by the Kaiser Family Foundation (KFF) and Health Management Associates (HMA), in collaboration with the National Association of Medicaid Directors (NAMD). This report examines the reforms, policy changes, and initiatives that occurred in FY 2017 and those adopted for implementation for FY 2018 (which began for most states on July 1, 2017). Key areas covered include changes in eligibility and enrollment, managed care and delivery system reforms, long-term services and supports, provider payment rates and taxes, covered benefits (including prescription drug policies), and opioid harm reduction strategies.
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Medicare Part D: A First Look at Prescription Drug Plans in 2018
Issue BriefThis issue brief provides an overview of the 2018 Medicare Part D stand-alone prescription drug plan landscape, the largest segment of the Part D marketplace, It includes national and state-level data on plan availability, premiums, benefit design, cost sharing, information about premium-free plans for low-income beneficiaries, and information about the top ten Part D plans in 2018.
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The Role of Medicaid and Impact of the Medicaid Expansion for Veterans Experiencing Homelessness
Issue BriefThis brief describes Medicaid’s role for veterans experiencing homelessness and provides insight into how the Affordable Care Act (ACA) Medicaid expansion has affected their coverage and access to care.
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2017 Employer Health Benefits Chart Pack
Feature9060_2017 Employer Health Benefits Survey Chart Pack Download…
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How the Cruz Amendment Might Affect the Marketplace: Applying Different Rules to Competing Health Plans
Issue BriefThis analysis examines a draft amendment to the Senate bill to repeal and replace the Affordable Care Act that would exempt some health plans from market rules, leaving 1.5 million people with pre-existing conditions at risk for higher premiums.