Medicaid as a Health Insurer: Current Benefits and Flexibility
This issue brief focuses on one subset of “flexibility” issues: the current federal benefits and cost-sharing rules that apply with respect to acute care. Issue Paper (.
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Louisiana’s Proposed Section 1115 Medicaid Demonstration Project: Estimating the Numbers of Uninsured and Projected Medicaid Costs
Issue BriefThis brief analyzes the composition and medical costs of the uninsured in Louisiana after Hurricane Katrina. The estimates in the brief are the first available that are based on a detailed analysis of who the uninsured are in Louisiana, their current medical spending, and what their spending might be under Medicaid.
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State Waivers for Continuous Medicaid Eligibility to End Under CMS Guidance
Quick TakeCMS released guidance for states that would end waivers allowing continuous Medicaid eligibility for children and adults. Ending continuous eligibility will increase disenrollment, but not all who lose coverage are no longer eligible… more
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Serving Low-Income Families Through Premium Assistance: A Look At Recent State Activity
Issue BriefThis issue paper examines the policies in the HIFA waiver initiative that provide incentives for states to use Medicaid/SCHIP funds to assist in the purchase of private insurance options. It also reports on how states have responded to these new policies and what key policy questions are raised about premium assistance programs. Issue Paper (.
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States’ Management of Medicaid Home Care Spending Ahead of H.R. 1 Effects
Issue BriefUsing data from the 23rd KFF survey of officials administering Medicaid home care programs, this issue brief describes the mechanisms states are currently using to limit Medicaid spending on home care and their plans for adopting new mechanisms in state fiscal year (FY) 2026.
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A Look at the Private Option in Arkansas
Issue BriefBased on stakeholder interviews and early data on coverage, reduced uncompensated care costs, and other topics, this issue brief provides an initial look at implementation of Arkansas' Section 1115 Medicaid expansion demonstration waiver to require most adults newly eligible for Medicaid through the Affordable Care Act's Medicaid expansion to enroll in Marketplace plans.
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Medicaid Premium Assistance Programs: What Information is Available About Benefit and Cost-Sharing Wrap-Around Coverage?
Issue BriefThis issue brief examines states’ approaches to administering wrap-around benefits and cost-sharing in long-standing Medicaid premium assistance programs and the information available to beneficiaries about how to access these program features.
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Long-Term Services and Supports in the Financial Alignment Demonstrations for Dual Eligible Beneficiaries
Issue BriefThis issue brief compares the treatment of LTSS in the seven approved capitated financial alignment demonstrations for dual eligible beneficiaries.
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A Look at Section 1115 Medicaid Demonstration Waivers Under the ACA: A Focus on Childless Adults
Issue BriefThis brief provides an overview of Section 1115 waiver authority, describes major provisions of waivers that extend coverage to childless adults, and identifies key issues and implications of these waivers looking forward to the Affordable Care Act and beyond.
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The Texas Health Care Landscape
ReportThis fact sheet summarizes the Texas health care landscape, including data on demographics, population health, the uninsured and the state Medicaid program. Fact Sheet (.