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The Henry J. Kaiser Family Foundation

Struggling With Financing: The Recession and National Health Reform Dominate State Medicaid Concerns

The recession has squeezed state Medicaid programs between the twin pressures of rising enrollment and shrinking budgets as the economic downturn triggers both increased demand for safety-net services and a decrease in the tax revenues that state governments rely on to fund them. The report, draws on interviews with state…

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The Henry J. Kaiser Family Foundation

Shifting the Cost of Dual Eligibles: Implications for States and the Federal Government

This issue paper provides state-level estimates on spending on dual eligibles and illustrates the fiscal effects of scenarios where the federal government assumes the cost of prescription drugs, Medicare premiums, acute care, and long-term care for this population.Issue Paper (.pdf)

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The Henry J. Kaiser Family Foundation

Chartpack: Giving Voice to the People of New Orleans: The Kaiser Post-Katrina Baseline Survey

This chartpack provides key findings from a May 2007 Kaiser Family Foundation report on a major house-to-house survey on the experiences and challenges facing residents of the New Orleans area. Chartpack (.pdf)

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The Henry J. Kaiser Family Foundation

Oregon’s Medicaid PDL: Will an Evidence-Based Formulary with Voluntary Compliance Set a Precedent for Medicaid?

This report is a case study of Oregon’s experience with its new prescription drug policy in its Medicaid fee-for-service pharmacy program. The report describes Oregon’s clinical review process, and assesses the results relative to other state preferred drug lists.Report (.pdf)

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The Henry J. Kaiser Family Foundation

Medicaid’s Federal-State Partnership: Alternatives for Improving Financial Integrity

– ReportAs the federal government increases its scrutiny of state financing of the Medicaid program, this paper, authored by a former CMS official, evaluates the existing financial management of the Medicaid program. Using existing models from the private sector and the government, the paper identifies alternatives to improve Medicaid's financial…

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The Henry J. Kaiser Family Foundation

Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA)

This fact sheet provides an overview of provisions of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA), which was signed into law in February 2009. The Act extends and expands the State Children’s Health Insurance Program (now referred to as CHIP, not SCHIP) that was enacted with bipartisan…

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The Henry J. Kaiser Family Foundation

The Impact of Medicaid Reductions in Oregon:  Focus Group Insights

The Impact of Medicaid Reductions in Oregon: Focus Group InsightsOregon is one state that has significantly restructured its Medicaid program, known as the Oregon Health Plan (OHP), in response to budget pressures. As part of these changes, it has implemented significant benefit reductions and increased premiums and cost sharing in…

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The Henry J. Kaiser Family Foundation

Optimizing Medicaid Enrollment: Spotlight on Technology – Using Schools and Data Matching to Enroll Kids in Medicaid and CHIP

This brief examines efforts by the Chicago Public School system to use multiple strategies including data matching with the school lunch program, marketing and local organizing to target children for outreach and enrollment in public health insurance and other benefits. It is the third brief in a Spotlight on Technology…

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The Henry J. Kaiser Family Foundation

The Use of Oregon’s Evidence-Based Reviews for Medicaid Pharmacy Policies: Experiences in Four States

This report explores how four state Medicaid programs — Washington, Wyoming, Minnesota, and North Carolina — differ in their use of Oregon’s Drug Effectiveness Review Project (DERP) to manage their prescription drug benefit.Report (.pdf)

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The Henry J. Kaiser Family Foundation

Increasing Premiums and Cost Sharing in Medicaid and SCHIP: Recent State Experiences

Over the past few years, a number of states have implemented new or increased existing out-of-pocket costs for beneficiaries in their Medicaid, SCHIP, or other public coverage programs. This brief reviews the key findings from this recent activity, including the impact on enrollment in public coverage programs, access to care,…

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