A project of the George Washington University's Hirsh Health Law and Policy Program and the Robert Wood Johnson Foundation

Tag: Medicaid expansion

Update: State Medicaid, Marketplace and Navigator Law Status

Posted by Nikki Hurt on May 12, 2014

This post provides the most updated map concerning state status on Medicaid expansion, Marketplace operation, and passage of Navigator laws.

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Update: State Medicaid, Marketplace and Navigator Law Status

Posted by Nikki Hurt on April 11, 2014

Click here to see an updated version of our HealthReformGPS map that provides a comprehensive depiction of each state’s status on Medicaid expansion, Marketplace operations, and Navigator laws. Note that partnership marketplaces are considered federally-facilitated marketplaces for the purposes of this map.

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CMS issues DSH allotments

Posted by Nikki Hurt on February 27, 2014

The Centers for Medicare and Medicaid Services (CMS) issued the funding allocation for disproportionate share hospitals (DSH) for FY 2014. DSH payments are typically provided to hospitals that treat a disproportionate number of uninsured or under-insured patients. The Affordable Care Act (ACA) originally called for a cut in DSH payments, as more Americans would presumably be insured under Medicaid. The Supreme Court ruling that made Medicaid expansion optional, however, ultimately coerced CMS to delay DSH cuts for two years.

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Brookings report finds ACA will shift incomes

Posted by Nikki Hurt on January 28, 2014

A report recently released by The Brookings Institution stated that the Affordable Care Act (ACA) will lead to a redistribution of incomes. Specifically, the report cited that individuals with incomes in the bottom 20% of the population will see a 6% increase due to the availability of subsidies and Medicaid expansion, while individuals in higher income brackets may see a slight reduction in their incomes based upon higher taxes and shifts in the insurance market. Of note, the authors of the report include “government and employer contributions to health insurance” in their determinations for income.

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CMS finds 6.3 million eligible for Medicaid or CHIP

Posted by Nikki Hurt on January 24, 2014

The Centers for Medicare and Medicaid Services (CMS) issued a new report chronicling the numbed of individuals deemed eligible for Medicaid or the Children’s Health Insurance Program (CHIP) during the first three months of open enrollment. The report stated that 6.3 million Americans enrolled in Medicaid or CHIP in state-based Marketplaces or in-person at state Medicaid offices. The report does not, however, provide numbers for Medicaid enrollment in federally-facilitated Marketplaces, nor does it differentiate between individuals that are newly eligible for Medicaid as a result of expansion and those that were previously eligible under the original Medicaid criteria.

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Update: Medicaid Expansion Map

Posted by Nikki Hurt on January 13, 2014

This updated map reflects the recent acceptance of Wisconsin’s 1115 demonstration waiver to permit childless adults earning up to 100% of the federal poverty level (FPL) to receive health coverage from Wisconsin’s Medicaid program, BadgerCare.

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CMS approves WI Medicaid waiver

Posted by Nikki Hurt on

Last week. the Centers for Medicare and Medicaid Services (CMS) approved a 1115 demonstration waiver for Wisconsin to expand the state’s Medicaid program, BadgerCare.  The waiver expands Medicaid to childless adults earning up to 100% of the federal poverty level (FPL).  Individuals previously enrolled in Wisconsin’s BadgerCare Plus program and those deemed newly eligible for Medicaid under the Affordable Care Act’s (ACA) criteria will be placed on the federal health insurance Marketplace operating in Wisconsin.  The waiver went into effect on January 1st, 2014.

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Iowa expands Medicaid

Posted by Nikki Hurt on December 13, 2013

Yesterday, Governor Terry Branstad announced that Iowa and the Centers for Medicare and Medicaid Services (CMS) reached a deal to expand Medicaid to over 100,000 Iowans under the Affordable Care Act (ACA). Iowa submitted a waiver (part one and part two) to CMS requesting to adopt an expansion model similar to Arkansas in which the state would use federal funds to purchase private insurance for the new Medicaid population. The difference with the Iowa model was that the state would require individuals earning between 50-133% of the federal poverty level to pay a premium for their coverage of no more than 2% of their income. CMS renegotiated with the state, and both parties now agree that individuals earning between 100-133% of the federal poverty level will pay premium on their coverage. Iowa is now the 10th state with a Republican governor to expand Medicaid.

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CRS issues report on DSH payments

Posted by Nikki Hurt on December 9, 2013

The Congressional Research Service (CRS) recently published a report about Medicaid disproportionate share hospital (DSH) payments. Since FY1993, DSH payments have been provided to hospitals that serve a high proportion of both uninsured and underinsured patients. Care provided to these patients is often uncompensated or compensated at low rates, rendering DSH payments necessary to help mitigate some of the financial strain associated with treating this patient population. The Affordable Care Act (ACA) was designed to help reduce the uninsured population, and as a result, a provision to reduce DSH payments was included in the law. The 2012 Supreme Court ruling, which made Medicaid expansion optional for states, did not change the DSH payment reduction provision. The final rule outlining the DSH reduction methodology does not take into account a state’s decision on Medicaid expansion, so some states may experience a reduction in DSH payments without the intended accompanied increase in insured individuals. The new CRS report provides an overview of DSH payments, including allocation methodology, current trends in DSH spending, and implications on states after full implementation of the ACA.

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Update: Ohio expands Medicaid

Posted by Nikki Hurt on October 22, 2013

After the measure to expand Medicaid failed in the Legislature this summer, the Ohio Controlling Board voted 5-2 to approve Medicaid expansion under the Affordable Care Act (ACA). This decision, which will likely be met by a multitude of legal challenges in the coming months, makes Ohio the 25th state to accept enhanced federal funding to help insure the state’s most impoverished residents. Our map has been updated to reflect these changes.

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