Community Coalitions: Pursuing Better Quality Health Care One Locality at a Time April 15, 2011 Event Stakeholders in dozens of communities around the nation are taking action to improve quality of care locally by engaging in one or more collaborations. What does each program offer? What goals do they have in common? How do they relate to a national quality strategy? This briefing, cosponsored by the…
The Independent Payment Advisory Board: A New Approach to Controlling Medicare Spending April 13, 2011 Issue Brief In 2010, the Patient Protection and Affordable Care Act authorized the creation of the Independent Payment Advisory Board (IPAB) to help control the growth in Medicare costs. Beginning in 2014, IPAB will issue recommendations to lower Medicare costs in the event that spending exceeds targets established in the health care…
Pulling It Together: What Conservatives Won In Health Reform (And Don’t Seem to Know It) April 13, 2011 Perspective Conservatives obviously don’t like what they call “Obamacare” because they think it expands the role of government too much and spends too much money. But ironically, the Affordable Care Act (ACA) actually promotes — though not explicitly — something that has been a fundamental objective of conservatives in health care…
The State of Children’s Health, Care and Coverage April 4, 2011 Event A record 90 percent of children now have health coverage – more than a third of whom are covered by Medicaid and CHIP. Yet about 7.5 million children remain uninsured, including 5 million who are eligible for Medicaid and CHIP but not enrolled. Who are the at-risk kids? How are…
Pulling It Together: A Public Opinion Surprise April 4, 2011 Perspective Medicaid is the nation’s primary health insurance program for low-income people and people with disabilities, covering more than 60 million people this year. And it’s about to get a lot of attention: it’s likely to be a prime target for spending reductions by “deficit hawks” in debate over the budget;…
Medicaid Policy Options for Meeting the Needs of Adults with Mental Illness under the Affordable Care Act April 1, 2011 Issue Brief This paper examines the salient issues raised in a November 2010 roundtable discussion of national and state experts convened by the Kaiser Commission on Medicaid and the Uninsured, in partnership with the Bazelon Center for Mental Health Law, to discuss Medicaid policy options available under health reform to help meet…
What the Actuarial Values in the Affordable Care Act Mean April 1, 2011 Issue Brief The Patient Protection and Affordable Care Act (PPACA) establishes four levels of coverage based on the concept of “actuarial value,” which represents the share of health care expenses the plan covers for a typical group of enrollees. As plans increase in actuarial value – bronze, silver, gold, and platinum –…
Implications Of A Federal Block Grant Program For Medicaid April 1, 2011 Issue Brief This issue brief examines the broad implications of converting Medicaid to block grant financing, one of several ideas that have been put forth to help reduce the federal deficit. The paper, which does not analyze any specific proposal, notes that switching to block grant financing would fundamentally alter the Medicaid…
The Digital Divide And Access To Health Information Online April 1, 2011 Poll Finding The Affordable Care Act (ACA) calls for a number of web-based initiatives, including development of the website healthcare.gov which provides a variety of health information and helps individuals find coverage options. Therefore, understanding the level and quality of Internet access among those groups most likely to benefit from reform, such…
Trends in the Use of Hospital and Provider Quality Ratings April 1, 2011 Poll Finding With a renewed emphasis on health care quality driven by the Affordable Care Act, this polling data note examines historical trends in Americans’ reliance on quality ratings and how their perceptions have changed over time. Data Note (.pdf)