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Federal Medical Assistance Percentages
(Website)
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Organization(s): Assistant Secretary for Planning and Evaluation, HHS |
The Federal Medical Assistance Percentages (FMAPs) are used in determining the amount of Federal matching funds for State expenditures for assistance payments for certain social services, and State medical and medical insurance expenditures. The Social Security Act requires the Secretary of Health and Human Services to calculate and publish the FMAPs each year. For historical purposes, this web site lists recent FMAPs as well. |
Published: November, 2007 |
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Marriage and Health Care Coverage Among Families with Children
(Research Brief)
Original Research |
Author(s): Brian Goesling and Heather Koball |
Organization(s): Mathematica Policy Research (MPR) |
This research brief describes rates of health care coverage for married and single parent families with children under age 18, a key target population of both marriage and health care coverage initiatives. Drawing on nationally representative data from the Current Population Survey (March 2004), the brief reports differences in rates of coverage by marital status among with children, for the overall national population and separately by income and racial/ethnic group. The brief finds that overall rates of coverage are similar for both married-parent and single-parent families, about four-fifths of families are fully covered but that the source of coverage differs. Almost 70 percent of married families are fully-covered through employment based coverage, while single parent families are as likely to have public coverage as employer based coverage (about 40 percent in each). Low-income married families are less likely to be fully covered than are low-income single parent families and Hispanic families, both married and single parent, are less likely to have any coverage. |
Published: August, 2008 |
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Research Brief
PDF Research Brief
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Cost and Coverage Impacts of the President's Health Care Reform Proposal and a Congressional Tax Credit Proposal
(Report)
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Organization(s): The Lewin Group |
This project focuses on modeling the potential impact on states of the various insurance coverage proposals in the President's 2008 Budget, estimating fiscal impacts as well as their potential effects on insurance participation rates. The project also models the potential impacts of a tax credit proposal as outlined in S 1019. |
Published: May, 2008 |
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Changes in Coverage in the Individual and Group Health Insurance Markets and the Effect of Health Status
(Report)
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Author(s): Bradley Herring, Xue Song and Mark Pauly |
Organization(s): Johns Hopkins University |
Although the vast majority of privately insured people in the U.S. obtain their coverage in the employment-based group market, about 17 million people under age 65 were insured in the individual health insurance market in 2006. About 47 million people, or 16% of the total U.S. population, were without health insurance coverage in 2006. Researchers know relatively little about how the group and individual markets actually function for those with chronic health conditions, and much of what we know is based on point-in-time analyses of insurance coverage. However, insurance coverage is actually very dynamic due to changes in employment and because eligibility for public programs typically depends on income and other criteria. This paper provides an in-depth look at the impact of health status on changes in coverage in these insurance markets using data from the Medical Expenditure Panel Survey. We also use these data to examine the effect of health status on changes in premiums in the individual insurance market. [38 PDF pages] |
Published: April, 2008 |
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Examining Relationships in an Integrated Hospital System
(Report)
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Author(s): Barbara Gage, Melissa Morley, Roberta Constantine, Pamela Spain, Justine Allpress, Megan Garrity, Melvin Ingbe |
Organization(s): RTI International |
The Examining Relationships in an Integrated Hospital System research project with RTI explores whether an organizational link between a Medicare hospital and a Medicare post-acute care (PAC) setting, such as a long term care hospital, inpatient rehabilitation facility, skilled nursing facility, or home health agency, increases the likelihood of transfer to a Medicare PAC setting. RTI uses calendar year 2005 data to build patient-level episodes beginning with an acute hospital discharge and tracking patient transfer patterns across settings. The project provides information on the national distribution of Medicare acute and PAC providers and their organizational relationships, both formal and informal. The organizational relationships are defined as freestanding PAC providers, provider-based PAC, or co-located providers (i.e., those within 250 yards of other providers). The initial findings include multivariate analysis of the effects of these organizational relationships on PAC site of care choices. |
Published: March, 2008 |
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Executive Summary
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Overview of the Uninsured in the United States: An analysis of the 2007 Current Population Survey
(Issue Brief)
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Author(s): Office of Health Policy |
Organization(s): ASPE |
According to the Census Bureau's 2007 Current Population Survey (CPS), there were 47 million uninsured individuals in 2006, or 15.8% of the civilian non-institutionalized population. Those that lack insurance represent a diverse group. Understanding the uninsured population is important for policy makers looking to design solutions to the problem. This report describes insurance coverage in the United States, as well as the key demographic characteristics of the uninsured. |
Published: August, 2007 |
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TRIM3 Simulations of Full-Year Uninsured Children and their Eligibility of Medicaid and SCHIP
(Report)
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Author(s): Kenneth Finegold and Linda Giannarelli |
This paper estimates the number of full-year uninsured children and the share of them eligible for Medicaid or SCHIP using the TRIM3 microsimulation model. This model applies detailed state-specific rules to determine which individuals represented in the Current Population Survey (CPS) are eligible for Medicaid and/or SCHIP. Other key aspects of the model are the correction for underreporting of Medicaid, SCHIP, and other public benefits in the CPS and the imputation of immigrant legal status. Corrections for underreporting involve simulating additional enrollees so that reported coverage on the CPS matches totals given in the program administrative data. Imputation for immigrant legal status is required because this information is not provided in the CPS but is required to estimate eligibility. |
Published: June, 2007 |
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How Risky is Individual Health Insurance?
(Report)
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Author(s): Mark Pauly and Rob Lieberthal |
Organization(s): University of Pennsylvania |
This paper describes the relationship between the type of insurance coverage a person has in one period and the likelihood of becoming uninsured in the next. Using SIPP data, the authors find that, for people at the median health status, becoming uninsured is most likely for those with individual insurance, less likely for those with small group insurance, and least likely for those with large group insurance. However, they ind that for people in poor or fair health, the chances of losing coverage are much greater for people who had small group insurance than for those who had individual insurance. The authors attribute these results to the offsetting effects of high loadings and guaranteed renewability on the individual market. [16 PDF pages] |
Published: May, 2007 |
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Following an Admissions Cohort: Care Management, Claim Experience and Transitions among an Admissions Cohort of Privately Insured Disabled Elders over a 16 Month Period
(Report)
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Author(s): Marc A. Cohen, Jessica S. Miller and Xiaomei Shi |
Organization(s): LifePlans, Inc. |
This is the second in a series of reports based on longitudinal information collected from a sample of 1400 individuals with long-term care (LTC) insurance, who notified their insurance company that they are receiving or intend to receive paid services for which they will file or have filed a claim under their LTC policy. These individuals comprise "an admissions cohort" of new LTC service users. This admissions cohort has been tracked over a period of 16 months. The purpose of this report is to report on selected findings of data collected from the first four follow-up telephone interviews completed after the initial in-person baseline assessment. These interviews were conducted at four-month intervals and examine key issues related to changes in disability status, the use of care management services, individuals' experience with the claims filing process, and transitions through the continuum of care. The authors also report on individuals' satisfaction with providers and their experiences with their LTC insurance. [36 PDF pages] |
Published: May, 2007 |
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Executive Summary
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Modeling the Decision to Purchase Private Long-Term Care Insurance
(Report)
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Author(s): Richard W. Johnson, Simone G. Schaner, Desmond Toohey and Cori E. Uccello |
Organization(s): Urban Institute |
To assess how different tax break proposals for private long-term care insurance might affect private coverage, better information is needed on the decision to purchase long-term care insurance and the sensitivity of the purchase decision to price changes. This report describes the results of efforts to model private long-term care insurance coverage and simulate policy reforms. |
Published: January, 2007 |
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