Health Insurance Coverage in America, 2011
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State Health Facts is a KFF project that provides free, up-to-date, and easy-to-use health data for all 50 states, the District of Columbia, and the United States. It offers data on specific types of health insurance coverage, including employer-sponsored, Medicaid, Medicare, as well as people who are uninsured by demographic characteristics, including age, race/ethnicity, work status, gender, and income. There are also data on health insurance status for a state's population overall and broken down by age, gender, and income.
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Since its enactment in 1965, the Medicaid program has used the Federal Medical Assistance Percentage (FMAP) to determine the federal government's share of the cost of covered services in state Medicaid programs. On average, the federal share has been 57 percent. Beginning in 2014, the Affordable Care Act (ACA) establishes highly enhanced FMAPs for the cost of services to low-income adults with incomes up to 138% of the Federal Poverty Level (FPL) who are not…
This brief explores key provisions of the Affordable Care Act (ACA) for people with HIV, and the opportunities and challenges for using the law to improve HIV care, particularly in light of the Supreme Court's 2012 ruling on the law.
Estimates are that there are approximately 630,000 people who are homeless on any given night in the U.S. -- about two-thirds in shelters and one-third on the street or without real shelter. Several million people are estimated to experience homelessness over the course of a year. About two-thirds are individuals and the balance are in families. These numbers are virtually identical to national estimates we used when I worked intensively on the issue of homelessness in the…
The Alliance for Health Reform and the Kaiser Family Foundation’s Commission and Medicaid and the Uninsured discuss the Census uninsured numbers. The Census Bureau announced that the number of people without health insurance dropped from 50 million to 48.6 million in 2011, marking the first decrease since 2007. That information came from the Current Population Survey, but it isn't the only data that Census is releasing on the uninsured. The Bureau is preparing a second…
Half of all Medicaid enrollees receive care through comprehensive risk-based managed care organizations (MCOs). Most Medicaid MCO enrollees today are low-income children and parents, but states are increasingly moving beneficiaries with more complex needs into MCOs. Managed care enrollment may grow more rapidly as states work with the Centers for Medicare & Medicare Services (CMS) to implement initiatives to better integrate Medicare and Medicaid benefits and care for dual eligibles. The Foundation’s Kaiser Commission on…
This brief highlights data from a survey of coverage of 42 recommended preventive services for adults in Medicaid fee-for-service programs as of October 2010. Medicaid programs must cover preventive services for children as part of the Early Periodic Screening, Diagnosis and Treatment (EPSDT) benefit, but generally are not required to cover such services for adults. The Affordable Care Act (ACA) provides states the opportunity to earn a one percentage point increase in their federal matching…
This fact sheet provides a brief overview of racial disparities in health status among men of different races in the United States. It draws findings from the report, Putting Men’s Health Care Disparities On the Map, which uses national data sources from multiple years to generate state-level estimates on a range of indicators of health status, access, and well-being for men of different racial and ethnic backgrounds. Women and men of different races and ethnicities…
The Foundation has created a package of resources, including a comprehensive report, fact sheets and other materials, that document the persistence of disparities on 22 indicators between white men and men of color, including rates of diseases such as diabetes, heart disease, AIDS and cancer, and access to health insurance and health screenings. The resources provide a rare look at state-level variations, quantifying where disparities are greatest. Also available are state-level data for men of…
Beginning in 2014, the Affordable Care Act ACA provides for a significant Medicaid expansion uninsured, low-income adults. Given their low incomes and high uninsured rate, individuals experiencing homelessness could significantly benefit from this expansion. However, it will be important to address the barriers they face to enrolling in coverage and accessing needed care. This report, based on eight focus group discussions with administrators and frontline workers serving the homeless population in four cities, identifies enrollment…
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