Starting on October 1, millions of Americans will be able to sign up for health coverage through health insurance marketplaces. In addition to private insurance, consumers can use the marketplaces to apply for Medicaid, which is a public insurance program that offers health care at little or no cost to people with low incomes. Here, we address three common questions about Medicaid under the Affordable Care Act
States Should Implement or Expand Continuous Eligibility to Prevent Disruptions in Health Coverage for Kids
As states gear up for full implementation of the Affordable Care Act, more children than ever will be able to get health coverage through Medicaid, the Children’s Health Insurance Program (CHIP), or their states’ health insurance marketplaces. But many of these children are predicted to experience mid-year changes in eligibility (caused by shifts in household income), which could mean that they have to switch health insurance programs. When children move between health coverage programs or in and out of coverage multiple times a year—a process called “churning”—their health can suffer.
A New Report Shows that Michigan Medicaid Beneficiaries Are Very Satisfied with Their Health Coverage
A new report by the Center for Healthcare Research and Transformation in Michigan found that Medicaid beneficiaries in the state are very satisfied with their health coverage. As lawmakers in the state and across the country decide if they will take the opportunity under the Affordable Care Act to expand Medicaid coverage to more of their state residents, they should take into consideration this and other reports that show that Medicaid is good coverage.
A few weeks ago, the Washington Post ran an article about Grady Memorial Hospital in Atlanta, Georgia, and some tough decisions it is confronting related to financial strains it anticipates and services it may have to cut because Georgia’s governor has rejected the Medicaid expansion.
New HHS Rules: People Determined Ineligible for Medicaid Due to Their State Not Expanding Medicaid Will Be Exempt from the Individual Mandate
On June 26, the Department of Health and Human Services (HHS) issued final rules that defined eligibility for exemptions from the individual shared responsibility payments and how certificates of exemption will be granted. HHS made clear in this rule that people who are determined to be ineligible for Medicaid solely because their state did not expand the program will not be required to pay a penalty for not purchasing insurance.
We’ve said it over and over—expanding Medicaid is not just a good deal for people who gain health insurance coverage, but it’s a good deal financially for states. And now a new report by the Urban Institute, “Medicaid Expansion Under the ACA: How States Analyze the Fiscal and Economic Trade-Offs,” reaches that same conclusion. The study (issued by the Robert Wood Johnson Foundation) takes an in-depth look at economic analyses of Medicaid expansion in ten very different states.
A RAND Corporation Study released this week concludes that states would be smart to expand Medicaid. This is yet another study demonstrating what we have known for a while: The Medicaid expansion is a good deal for states.
On May 17, the Centers for Medicare and Medicaid Services released a list of five great options states can use to ensure that low-income people get and keep Medicaid coverage when the new simplified, streamlined enrollment system opens in October 2013. (It’s important to note that those determined eligible for Medicaid before the end of the year won’t receive benefits until January 2014, unless they are currently eligible for Medicaid.) As states attempt to enroll millions of new applicants in coverage, the following options will make it easier for them to ensure people get covered:
Last week, the Kaiser Commission on Medicaid and the Uninsured released a study suggesting that people with Medicaid enjoy similar access to health care at lower cost than they would experience if they had job-based coverage.
Here’s a detailed breakdown of the study’s findings:
New findings from the Oregon Health Study reaffirm that Medicaid is good health coverage: The study showed that Medicaid beneficiaries were more likely than the uninsured to receive needed health care services (including preventive care), they experienced improved mental health as a result of coverage, and they were more financially secure. These findings, published last week in the New England Journal of Medicine, are part of an ongoing study of Oregon’s state Medicaid program.