Dually eligible beneficiaries comprise 20% of the Medicare population and 15% of the Medicaid population, 2008 July 15, 2013 Slide
The News Media and “Entitlement Reform” November 26, 2012 Perspective In the coming debate about the deficit, policymakers will struggle to craft a package of spending reductions and new revenues that both Democrats and Republicans can agree on, totaling as much as four trillion dollars over ten years. Medicare, Medicaid and potentially the Affordable Care Act will have their turn…
A Public Opinion Surprise, The Latest “Pulling It Together, From Drew Altman” April 5, 2011 Perspective With Medicaid being the focus of federal and state debate on deficits, the Kaiser Family Foundation’s President and CEO examines recent poll findings about the program’s popularity that may be a surprise considering the current discussion.
The Role of Clinical and Cost Information in Medicaid Pharmacy Benefit Decisions: Experience in Seven States September 1, 2011 Issue Brief This policy brief provides perspective on the potential for using comparative effectiveness research in Medicaid pharmacy programs by looking at seven states to determine how they currently evaluate relative clinical and cost information about prescription drugs when making coverage decisions for their Medicaid pharmacy benefits. The brief was prepared by…
Special Needs Plans: Availability and Enrollment September 9, 2011 Report Special Needs Plans are a form of Medicare Advantage plan authorized to provide a managed care option for beneficiaries with significant or relatively specialized care needs, including Medicare beneficiaries who are dually eligible for Medicare and Medicaid, beneficiaries living in nursing homes or other institutions, and beneficiaries with severe chronic…
Hispanics and the New Medicare Drug Benefit October 31, 2005 Poll Finding In a few short weeks, Medicare will undergo big changes that will have a major impact on more than 3 million Hispanic seniors and younger people with permanent disabilities who rely on Medicare for their health coverage. More than one in three Hispanics with Medicare lack coverage for their prescription…
CHIP TIPS: Children’s Oral Health Benefits March 8, 2010 Issue Brief This brief examines a new requirement under the Children’s Health Insurance Program Reauthorization Act of 2009 that state CHIP programs cover comprehensive dental benefits. The reauthorization law also allows states with separate CHIP programs to offer a dental-only plan for children who have other health insurance but lack adequate dental…
Pulling it Together: Teaching An Old Dog New Tricks July 7, 2009 Perspective Way back in the eighties when I was Human Services Commissioner in New Jersey, I established something called the Garden State Health Plan (GSHP). It was the first — and I think the only — federally qualified state-run HMO for Medicaid beneficiaries. One goal of the GSHP was to reallocate…
CHIP TIPS: CHIP Financing Structure May 31, 2009 Issue Brief This brief, the fourth in a series, examines important changes to CHIP’s financing structure under the Children’s Health Insurance Program Reauthorization Act of 2009. The law includes a number of important programmatic and financing changes that affect both Medicaid and CHIP. Among the most important changes include significant new funding…