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

Tag: Medicaid expansion

CBPP releases report on alternative Medicaid expansion approaches

Posted by Sara Rothenberg on August 22, 2014

The Center on Budget and Policy Priorities (CBPP) released a report to help state policymakers design waiver proposals for alternative approaches to expanding Medicaid. Arkansas, Iowa, and Michigan have all been granted waivers by the federal government to expand their Medicaid programs through alternative methods. The report outlines what federal officials have previously permitted and refused to help newly interested  states successfully obtain a waiver.

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Study looks at remaining uninsured

Posted by Sara Rothenberg on July 29, 2014

A new study by the Urban Institute funded by the Robert Wood Johnson Foundation finds that two-thirds of the nation’s remaining uninsured adults have incomes at or below 138 percent of the federal poverty level (FPL). While this is the target population of the Affordable Care Act’s (ACA) Medicaid expansion, 40 percent of the uninsured live in states that chose not to expand Medicaid. The study found that affordability was the main reason people did not get health insurance, yet many uninsured individuals had limited awareness of potential financial help available to them.

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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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