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Medicaid Increase for Doctors Shouldn’t Be on Chopping Block

December 12, 2012

The list of possible Medicaid cuts in an agreement to avert the “fiscal cliff” includes rolling back a scheduled payment increase for primary care providers.  That’s a bad idea, and it would undercut efforts to ensure that beneficiaries — including the people who become eligible for Medicaid under health reform’...

Will States Take Full Advantage of Health Reform?

November 7, 2012

With the election decided, it’s clear that health reform — the Affordable Care Act — is here to stay.  One of its key provisions enables states to expand Medicaid to cover low-income adults with incomes up to 133 percent of the poverty line, with the federal government paying nearly all of the cost.  The question now is...

Don’t Expect Big Savings on Care for “Dual Eligibles,” New Study Suggests

October 31, 2012

We recently cautioned policymakers that trying to shrink deficits by moving everyone who receives both Medicare and Medicaid into state-run managed care plans — and capping funding for their care below what it would otherwise be — risks harming this extremely vulnerable group.  A new...

What Arizona and Rhode Island Don’t Tell Us About Block-Granting Medicaid

October 24, 2012

Arizona and Rhode Island have come up in debates over converting Medicaid to a block grant because both states’ Medicaid programs operate under federal waivers that provide some added flexibility.  But these states’ experiences tell us nothing about the likely impact of a block grant, for a simple reason:  neither state has faced the sharp drop in federal Medicaid funding that a block grant...

Health Coverage Must Be Affordable for Families, Too

July 27, 2012

Many people who are uninsured because they can’t afford health coverage for their family would remain uninsured under the Treasury Department’s current interpretation of one piece of health reform (i.e., the Affordable Care Act or ACA).  The Government Accountability Office (GAO), which estimates that some 460,000 children could be...

Supreme Court Ruling Doesn’t Let Maine (or Other States) Cut Thousands from Medicaid

July 20, 2012

Under the health reform law, states must keep their current Medicaid eligibility rules for adults until 2014, when new, nationwide Medicaid eligibility rules will take effect and state-based health insurance exchanges will begin operating.  States must also maintain their Medicaid and CHIP eligibility rules for children until 2019.  (These are known as maintenance of eligibility, or MOE,...

The Latest Effort to Undo Health Reform

July 16, 2012

Led by Representative Michele Bachmann (R-MN) and Senator Jim DeMint (R-SC), a group of Republican members of Congress recently asked governors to help them undermine health reform’s implementation by refusing to set up the “exchanges” that will give consumers a choice of private health insurance plans....

The Difference Medicaid Makes

July 9, 2012

With the House scheduled to vote Wednesday on repealing health reform, and some governors vowing not to move forward with the law’s expansion of Medicaid to cover low-income adults, this is a good time to remind ourselves why Medicaid coverage is so beneficial.

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Health Reform’s Medicaid Expansion Is a Very Good Deal for States

June 28, 2012

Today’s Supreme Court decision essentially means that states can decide whether or not to expand their Medicaid programs to cover low-income adults.  The typical (or median) state only covers working parents who make less than 63 percent of the poverty line ($12,790 a year for a family of three) and non-working parents with incomes below 37 percent of the poverty line ($7,063 a year).  Only a...

Repealing Health Reform’s Medicaid Provision Would Weaken Coverage, Not Fight Fraud

April 24, 2012

The House Energy and Commerce Committee will try again this week to repeal a part of health reform that requires states to maintain their current Medicaid and Children’s Health Insurance Program (CHIP) programs until other parts of the law take effect.

Contrary to critics’ claims, these “maintenance-of-effort” (MOE) requirements don’t interfere with ongoing state efforts to fight...

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