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States Shouldn’t Impose Medicaid Premiums, Co-pays

July 22, 2015

In seeking to expand Medicaid under health reform, some states are asking the federal government for permission to charge very poor people premiums and co-pays.  But doing so hurts the poorest and most vulnerable, as a new Department of Health and Human Services (HHS) report confirms.

ASPE — HHS’ Office of the Assistant Secretary for Planning and Evaluation — issued a report last week...

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Medicaid at 50: Evolving to Improve Health, Lower Costs

July 16, 2015

While researching our paper on state Medicaid innovations that improve health while cutting unnecessary spending, we were surprised at how many states are using their flexibility under Medicaid to adopt positive changes rather than punitive, ineffective ones like co-...

Medicare - nurse

New Estimate for Medicaid Expansion Doesn’t Reflect Actual Costs

July 14, 2015

The Centers for Medicare & Medicaid Services (CMS) Actuary has raised its cost estimate for covering the adults that health reform made eligible for Medicaid last year.  The report, however, makes clear that the new estimates reflect the...

The Supreme Court Got It Right

June 25, 2015

Today’s Supreme Court decision in King v. Burwell leaves no doubt that health reform is here to stay.  Of particular importance, Chief Justice Roberts’ opinion for the majority recognizes the Affordable Care Act’s intent to expand the availability and...

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For Providing Health Care to Poor Adults, Medicaid Beats Uncompensated Care

April 28, 2015

Despite health reform’s Medicaid expansion to more low-income adults, some states are still paying for uninsured adults’ health care through uncompensated care pools.  As we explain in two new papers, Medicaid expansion is a better way to address uncompensated care.



States Can Use Smart Strategies to Curb ER Visits

April 16, 2015

We often hear that Medicaid beneficiaries use the emergency room (ER) for too much of their health care.  In response, some states have tried to reduce non-emergency use of the ER by charging beneficiaries co-pays.  As we explained in a recent paper, however, this approach is flawed — and other states have found better ways to...

Health - Ambulance Emergency Room

Health Reform’s Success Grows; House Budget Chair Promises Repeal

March 17, 2015

 A day after the Administration announced that 16.4 million uninsured people have gained coverage under health reform, the House Budget Chairman unveiled a budget that would reverse this remarkable progress by repealing health reform.

Health Reform - Doctor and Family

Ruling Against Health Reform Subsidies Would Be Wrong — and Harmful

March 4, 2015

As the Supreme Court hears oral arguments in King v. Burwell this morning, it’s critical that the Court recognize that the Affordable Care Act (ACA) provides premium tax credits for consumers in all states, as we’ve explained. ...

More Uninsured, Higher Premiums if Subsidies End in Federal Marketplace

January 12, 2015

Millions more Americans would be uninsured and premiums in the individual (nongroup) market would jump if the Supreme Court disallowed health reform subsidies for people getting coverage through the federal marketplace, new studies from the Urban Institute and...

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