Health Reform Hub

Medicaid Expansion

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Presumptive Eligibility: A Step Toward Streamlined Enrollment in Medicaid and CHIP

This issue brief from Families USA explores how the Affordable Care Act expands presumptive eligibility to help states streamline enrollment and discusses the important role that presumptive eligibility can play in helping low-income people get access to care during and after the implementation of the new law.

pdf File Presumptive-Eligibility.pdf [download]


Medicaid Eligibility, Enrollment Simplification, and Coordination under the Affordable Care Act

A Summary of CMS's August 17, 2011 Proposed Rule and Key Issues to Consider

On August 17, 2011, the Centers for Medicare and Medicaid Services issued a proposed rule to implement the law's provisions relating to Medicaid eligibility, enrollment simplification, and coordination. This brief summarizes the major provisions of that proposed rule.



Video Vocab: Understanding the Affordable Care Act

A new series of animated educational videos from the Robert Wood Johnson Foundation tackle five key concepts from the Affordable Care Act: Market Reforms, Cost Sharing, Medicaid Expansion, Medicare Part D Donut Hole and Insurance Exchanges.



How does health reform expand Medicaid, and who pays?

The health reform law will expand Medicaid coverage to 16 million Americans, beginning in 2014. This video explains who will be newly eligible for Medicaid, and how the expense for these new Medicaid recipients will be divided between the federal government and state governments. Featuring Diane Rowland, executive vice president of the Kaiser Family Foundation and executive director of the Kaiser Commission on Medicaid and the Uninsured.



Understanding Health Reform's Waivers for State Innovation

"[T]he Affordable Care Act (ACA) allows states to request five-year waivers of certain key provisions of health reform, including the individual mandate and the requirement to set up an exchange. To be approved, a 'waiver for state innovation' must cover at least as many people as under the ACA and provide coverage that is at least as comprehensive and affordable, at no greater cost to the federal government." This brief analysis explains state innovation waivers in more detail.

pdf File CBPP 4.18.11 [download]


Medicaid's Role in the Health Benefits Exchange

This report funded by the Robert Wood Johnson Foundation and produced by Manatt Health Solutions, a consulting firm, examines the issues that states will confront as they try to integrate Medicaid into the administration and operation of the Exchanges created by the Affordable Care Act.



State Variation in Primary Care Physician Supply: Implications for Health Reform Medicaid Expansions

Research Brief

This study by the Center for Studying Health System Change and funded by the Robert Wood Johnson Foundation examines variation among states in the number of primary care physicians accepting Medicaid beneficiaries.



Health Reform Across the States: Increased Insurance Coverage and Federal Spending on the Exchanges and Medicaid

Report by the Robert Wood Johnson Foundation

This new report estimates the effects of the Affordable Care Act on states, in particular the increases in insurance coverage, subsidies in the exchanges, Medicaid enrollment and federal spending.



Net Effects of the Affordable Care Act on State Budgets

Report by First Focus

This new analysis commissioned by First Focus and authored by the Urban Institute reviews how states could achieve savings under health reform while absorbing some of the costs of new Medicaid enrollees under the Medicaid expansion. The analysis shows that savings could range from $40.6 billion to as high as $131.6 billion from 2014 - 2019.



New Affordable Care Act Resources from Families USA


Medicaid Primary Care Rate Increase: Considerations Beyond 2014

The Medicaid primary care rate increase, a provision of the Affordable Care Act, requires Medicaid programs to reimburse primary care providers at Medicare levels for two years � a �bump� that is funded 100 percent by the federal government in 2013 and 2014. The increase was intended to ensure sufficient provider participation as the Medicaid population expands. As the temporary provision enters its final months, a number of state and federal policymakers are considering extending the rate increase into 2015 and beyond. This new Center for Health Care Strategies (CHCS) brief draws from interviews with policy experts and stakeholders across the country to assesses the policy�s successes and shortcomings.

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