Program Integrity in Medicaid: A Primer
Medicaid covers more than 60 million Americans and accounts for about one in six dollars spent on health care in the United States.
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A Focus Group with Medicaid Directors: As FY 2012 Ends, Looking Toward FY 2013
ReportThis report is based on a focus group discussion in May 2012 with the Executive Board of the National Association of Medicaid Directors (NAMD) and other leading Medicaid directors. The group of nine directors reflected perspectives from various regions of the country.
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An Update on CMS’s Capitated Financial Alignment Demonstration Model For Medicare-Medicaid Enrollees
Issue BriefBeginning in January, 2013, the Centers for Medicare and Medicaid Services (CMS) will implement a three year multi-state demonstration to test new service delivery and payment models for people dually eligible for Medicare and Medicaid.
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Explaining Health Care Reform: How Might a Reform Plan Be Financed?
Issue BriefOne of the key challenges in enacting a health care reform plan is how to finance it among government, employers, and individuals. Of particular concern to policymakers is what effect a health reform plan would have on government spending and the federal budget.
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Health Coverage and Expenses: Impact on Older Women’s Economic Well-Being
Issue BriefIn this article in the Journal of Women, Politics & Policy, researchers from the Kaiser Family Foundation examine how health issues that women face over the course of their lives, as well as policies that shape Medicare, Medicaid and other supplemental coverage, can affect retired women's economic well-being.
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Federal Funding Under the Affordable Care Act
Fact SheetThis fact sheet provides highlights from an analysis tracking the flow of federal Affordable Care Act funds to states as reporter in the Department of Health and Human Services grant database as well as periodic reports from HHS and the Internal Revenue Service.
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Estimates of Medicare Beneficiaries’ Out-of-Pocket Drug Spending in 2006
ReportThis report projects the impact of the new Medicare drug benefit on out-of-pocket spending for people who enroll in 2006. This analysis from November 2004 estimates that 6.9 million beneficiaries are projected to be affected by the coverage gap (the so-called "doughnut hole") in the standard Part D drug benefit.
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The President’s FY 2005 Budget Proposal: Overview and Briefing Charts
ReportThe President's FY 2005 Budget Proposal: Overview and Briefing Charts The overview and briefing charts present information on the President's FY 2005 budget proposal to Congress beginning with federal surplus/deficit spending historical data and a summary of the overall composition of the Administration's budget request.
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State Demonstrations to Integrate Care and Align Financing for Dual Eligible Beneficiaries: A Review of the 26 Proposals Submitted to CMS
ReportThe Centers for Medicare and Medicaid Services (CMS) has proposed two models to align Medicare and Medicaid benefits and financing for dual eligible beneficiaries, one capitated model and one managed fee-for-service model. In the spring of 2012, 26 states submitted proposals to CMS seeking to test one or both of these models.
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State Budgets Under Federal Health Reform: The Extent and Causes of Variations in Estimated Impacts
Issue BriefThis analysis examines the potential costs and savings that the health reform law may generate for state budgets, a topic of great interest at a time when states continue to struggle with tight budgets in the wake of the recession.