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Medicaid: What to Watch in 2021

As the Biden Administration takes office, the ongoing effects of the coronavirus pandemic and related economic downturn are the key issues that will substantially shape Medicaid coverage and financing policy in the year ahead.

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State Variation in Medicaid LTSS Policy Choices and Implications for Upcoming Policy Debates

This brief takes a closer look at multiple measures beyond waiver waiting lists to evaluate state choices about optional Medicaid eligibility pathways, spending, and services for seniors and people with disabilities as of 2018. The analysis draws on several KFF resources, including 50-state surveys of Medicaid financial eligibility pathways for seniors and people with disabilities, HCBS waiver programs, and state plan benefits offered, as well as state Medicaid LTSS expenditures reported by Mathematica.

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Medicaid: A Primer – Key Information on the Nation’s Health Coverage Program for Low-Income People

This Medicaid primer provides an overview of the nation’s largest health coverage program, which covers more than 62 million low-income individuals, including children and families, people with disabilities and seniors who are also covered by Medicare. Medicaid also is the dominant source of the country’s long-term care financing. The program will expand significantly under the Affordable Care Act in 2014.

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Health Care and the 2004 Elections: Long Term Care

Long Term CareDownload a printable .pdf of Health Care and the 2004 Elections: Long Term Care.IssueBackgroundOptions for Addressing Long Term Care NeedsAssessing Candidate PositionsIssueMillions of elderly and disabled Americans need long-term care services and supports. The aging of the population in the United States over the next several decades is…

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Nursing Home Quality: State Agency Survey Funding and Performance

This policy brief describes the resources, staffing, and performance of state licensing and certification agencies based on findings from a survey of state survey agency officials.Issue Paper

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The Crunch Continues: Medicaid Spending, Coverage and Policy in the Midst of a Recession

This annual 50-state survey finds that number of people on Medicaid and state spending on the program are climbing sharply as a result of the recession, straining state budgets and pressuring officials to curb costs despite increased financial help from the federal government through the American Recovery and Reinvestment Act…

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Consumer Direction of Personal Assistance Services Programs in Medicaid: Insights from Enrollees in Four States

Consumer Direction of Personal Assistance Services Programs in Medicaid: Insights from Enrollees in Four StatesMedicaid consumer direction of personal assistance services (CD-PAS) is a growing trend. Although overall enrollment in these programs is small, 42 states offered consumer direction in Medicaid in 2006. These programs allow Medicaid beneficiaries control over…

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Health Care Reform and the CLASS Act

This issue brief examines the Community Living Assistance Services and Supports (CLASS) program, a component of the health reform law that establishes a national, voluntary insurance program for purchasing community living services and supports that is designed to expand options for people who become functionally disabled and require long-term help.…

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Key Issues in Understanding the Economic and Health Security of Current and Future Generations of Seniors

As part of broad deficit-reduction plans, policymakers are considering reforms to the nation’s three major entitlement programs – Medicare, Medicaid and Social Security – that could significantly affect the economic security of seniors in their retirement years. This brief examines the role of these programs in ensuring seniors’ financial security…

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Among Dual Eligibles, Identifying The Highest Cost Individuals Could Help In Crafting More Targeted And Effective Responses

This Health Affairs article by researchers at the Urban Institute analyzes linked Medicare and Medicaid data to examine dual eligibles’ utilization and spending in both programs in 2007. It finds that while the population of people dually eligible for Medicare and Medicaid is indeed costly, it is not monolithic. For…

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.