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Enrollment Data for Indiana’s Medicaid Waiver Raise Questions

September 28, 2015

Before and after the federal government approved the Healthy Indiana Plan (HIP) 2.0, the state’s plan to expand Medicaid, we raised concerns that charging premiums and co-...

Indiana State Map

Defunding Planned Parenthood Would Undermine Women’s Care in Medicaid

September 24, 2015

Barring federal funding for Planned Parenthood, as some in Congress favor, would have a devastating impact on women’s access to health care services through Medicaid — especially family planning services — and put many women’s health at risk. 

Nearly 400,000 low-income women would lose access to care under the one-year funding prohibition that the...

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Medicaid at 50: A Critical and Evolving Pillar of U.S. Health Care

July 30, 2015

Before President Johnson signed Medicaid into law in 1965, poor families mostly depended on charity care, and many went without treatment. Medicaid brought a rapid change for these families.

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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-...

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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...

Stethoscope and American Flag

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