The Financing of Pharmacy Plus Waivers: Trade Offs Between Expanding Rx Coverage and Global Caps in Medicaid April 30, 2003 Report Background Paper
Bush Administration Medicaid/SCHIP Proposal April 30, 2003 Report In January 2003, the Bush Administration put forth a proposal to restructure Medicaid and SCHIP in ways that could fundamentally alter the two programs. This policy brief provides a detailed explanation of what is known about the key elements of the proposal and includes a discussion of the proposal’s implications.…
The Financing of Pharmacy Plus Waivers: Implications for Seniors on Medicaid of Global Funding Caps April 29, 2003 Issue Brief This policy brief describes Pharmacy Plus waivers being considered by some states for their Medicaid program and their implications for Medicaid financing. These waivers offer an opportunity for prescription drug coverage for low-income seniors, but they also include a major change in the financing of care for all seniors on…
National ADAP Monitoring Project, Annual Report, April 2003 April 2, 2003 Report This report, the seventh in an annual series, provides an overview of the status of state-administered AIDS Drug Assistance Programs (ADAPs) and documents how these programs are responding to the changing fiscal, clinical and epidemiological dynamics of HIV/AIDS.ADAPs, authorized under Title II of the Ryan White Comprehensive AIDS Resources Emergency…
Model Prescription Drug Prior Authorization Process for State Medicaid Programs April 1, 2003 Report This report details the rules governing prior authorization programs and the major steps in a model process based on key issues raised by beneficiary advocates, provider groups and states.Report
Prior Authorization for Medicaid Prescription Drugs in Five States: Lessons for Policy Makers April 1, 2003 Report This report is a case study of five states’ (California, Georgia, Oklahoma, Oregon, and Washington) implementation of prior authorization in their Medicaid programs.
Health Insurance Premiums and Cost-Sharing: The Impact on Low-Income Populations March 30, 2003 Fact Sheet This fact sheet summarizes the issues surrounding premiums and cost-sharing in public coverage programs and discusses the impact of these mechanisms on participation and health outcomes, particularly for low-income populations. Fact Sheet (.pdf)
Health Insurance Premiums and Cost-Sharing: Findings from the Research on Low-Income Populations March 30, 2003 Issue Brief Health Insurance Premiums and Cost-Sharing: Findings from the Research on Low-Income PopulationsThis policy brief reviews studies on the impact of premiums and cost-sharing, particularly on low-income populations, and finds that premiums generally depressed participation in public programs and cost-sharing affected health utilization, access and outcomes. Policy Brief