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  • Implications of the Medicaid Fiscal Cliff for the U.S. Territories

    Issue Brief

    The U.S territories – American Samoa, the Commonwealth of the Northern Mariana Islands (CNMI), Guam, Puerto Rico, and the U.S. Virgin Islands (USVI) – have faced an array of longstanding fiscal and health challenges that were exacerbated by recent natural disasters and most recently by the COVID-19 pandemic. Differences in Medicaid financing, including a statutory cap and match rate, have contributed to broader fiscal and health systems challenges for the territories. Congress is currently debating legislation to address the looming Medicaid funding cliff. This brief builds on data in an earlier brief released in May 2021 examining the effects of the pandemic and the implications of the fiscal cliff and incorporates findings from a questionnaire sent to Medicaid Directors in territories in the summer of 2021.

  • Medicaid: What to Watch in 2020

    Issue Brief

    Medicaid, the provider of health insurance coverage for about one in five Americans and the largest payer for long-term care services in the community and nursing homes, continues to be a key part of health policy debates at the federal and state level. Key Medicaid issues to watch in 2020 include: Medicaid expansion developments; Section 1115 waiver activity; enrollment and spending trends; benefits, payment and delivery system reforms, and the implications of the 2020 elections.

  • Voces de Puerto Rico: Reflexiones Dos Meses Después de María (Video)

    Video

    En este video, los residentes de Puerto Rico hablan sobre su vida cotidiana y puntos de vista de los esfuerzos de recuperación dos meses después del huracán María. Describen un clima de frustración, la pérdida de empleo y problemas económicas, la falta de servicios básicos como la electricidad y el efecto en la salud mental y física de la población

  • Voces de Puerto Rico: Reflexiones Dos Meses Después de María (Informe)

    Issue Brief

    Dos meses después que el huracán María tocara tierra, la Kaiser Family Foundation viajó a Puerto Rico. Este informe presenta los resultados de grupos focales y entrevistas individuales con 40 personas de 10 diferentes regiones de la isla afectadas por la tormenta.

  • Navigating Recovery: Health Care Financing and Delivery Systems in Puerto Rico and US Virgin Islands

    Issue Brief

    This brief identifies key issues and short and long-term options for recovery around the health care financing and delivery systems in Puerto Rico and the U.S. Virgin Islands following Hurricanes Irma and Maria, which caused significant physical damage to the territories. It draws on insights from a Nov. 30 roundtable discussion with leaders and experts representing a variety of perspectives on Medicaid policy, health insurance and care delivery systems, and disaster recovery.

  • U.S. Virgin Islands: Fast Facts

    Fact Sheet

    This fact sheet presents demographic, economic, and health indicators of the U.S. Virgin Islands and briefly discusses some of the territory's short and long-term challenges facing the territory after Hurricanes Irma and Maria struck the island in September 2017.

  • Voices from Puerto Rico: Reflections Two Months After Maria (Video)

    Video

    Residents of Puerto Rico discuss their daily lives and their views on recovery efforts two months after Hurricane Maria. In this video, they describe job loss and continuing economic disruption, a lack of basic services such as electricity and a rising toll on the population's mental and physical health.