Charlie Alfero is the Executive Director of The Southwest Center for Health Innovation and the New Mexico Primary Care Training Consortium and a member of Families USA’s Health Equity Task Force for Delivery and Payment Transformation. We asked him why Health Action 2019: Fighting For America’s Families will be his fourth Health Action Conference.
Families USA has identified some of the biggest legislative victories for health care in the 2018 state legislative sessions.
Health Coverage Matters for Children: The Role of Medicaid in the Healthy Development of America's Children
Access to health care is crucial to children’s health and development. When children have health insurance, they are more likely to get the health care they need. For more than 40 percent of children in the U.S.—approximately 37 million children—Medicaid is the health insurance they rely on. Another 8.9 million children are enrolled in the Children’s Health Insurance Program (CHIP), Medicaid’s sister program. The success of Medicaid and CHIP is largely responsible for the fact that 95 percent of children under 18 have some form of health coverage.
To protect their residents, some states are considering using their own income tax systems to replace the federal government’s enforcement of the individual mandate. But another approach under consideration in Maryland would both prevent the harm forecast by CBO while taking new steps to insure families who would otherwise remain without coverage.
Not only would Maryland’s approach increase coverage, newly insured young and healthy residents would improve the overall risk pool, stabilizing markets and lowering premiums for numerous insured residents who buy individual coverage.
Half of U.S. children with special health care needs, nearly 7 million children, rely on Medicaid/Children’s Health Insurance Program (CHIP) for health insurance to cover some or all of their medical care. Medicaid and CHIP cover 48 percent of children with special health care needs. CHIP, which covers low- to moderate-income children above the Medicaid income limit, is administered by states sometimes as a separate program, but often through state Medicaid programs. This issue brief explores why Medicaid plays a unique role in serving children with special health care needs.
Medicaid managed care contracting is a promising pathway for securing more sustainable funding for community health workers (CHWs). This issue brief provides examples of contract language that can be used to incentivize or require Medicaid managed care organizations to utilize and fund CHWs and considerations for advocates looking to improve support for CHWs through this pathway.
How the Midterm Elections Could Impact People in America with Preexisting Conditions: National and Key State Fact Sheets, Infographics, and Tables
This midterm election season, some candidates want to take away health insurance protections for people with preexisting conditions. This would allow health insurers to return to abusive practices that were widespread before protections against preexisting condition discrimination were in place. These national and key state fact sheets, infographics, and tables explain how many people would be affected if insurers are once again permitted to flatly refuse coverage, increase premiums, or deny treatment to people with preexisting conditions.