Medicaid/CHIP - Health Policy, Public Opinion & Research

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CHIP TIPS: New Opportunities For Covering Children Under Medicaid and CHIP
A new series of implementation briefs called “CHIP Tips” examines opportunities for covering children following the reauthorization and expansion of CHIP in February 2009. The series is jointly produced by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured and the Center for Children and Families at the Georgetown University Health Policy Institute.

Fact Sheet: American Recovery and Reinvestment Act (ARRA): Medicaid and Health Care Provisions
A concise examination of federal assistance for state Medicaid programs and other key health provisions in the $787 billion economic stimulus package enacted in February 2009.

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CHIP TIPS: Citizenship Documentation Changes -- May 2009

This brief, the third in a series, examines changes to citizenship documentation requirements under the Children's Health Insurance Program Reauthorization Act of 2009.

Congressional Testimony on Expanding Health Care Coverage -- May 2009
This contains the prepared written testimony of Foundation Executive Vice President Diane Rowland and Vice President Gary Claxton, who each testified May 5, 2009, before the U.S. Senate Committee on Finance's Roundtable On Health Care Coverage.

Pulling it Together: About Kaiser Health News -- May 2009
In his latest essay for "Pulling It Together, From Drew Altman," the Foundation's President and CEO discusses the motivation behind launching Kaiser Health News, a new nonprofit health policy news service.

Where Does the Burden Lie?: Medicaid and Medicare Spending for Dual Eligible Beneficiaries -- April 2009

This issue brief analyzes the demographic and health characteristics of people who are simultaneously eligible for Medicaid and Medicare, as well as their patterns of service utilization and spending under both programs.

Trends in Medicaid Physician Fees, 2003-2008 -- April 2009

A study published in Health Affairs provides the first national and state-by-state update of Medicaid physician fees since 2003. It shows that Medicaid physician fees grew by more than 15 percent from 2003 to 2008, narrowing the gap with Medicare -- but losing ground to inflation.

Webinar: Health Policy Provisions of ARRA -- April 2009
The Kaiser Family Foundation and the National Conference of State Legislatures co-sponsored a webinar on key health policy aspects of the American Recovery and Reinvestment Act (ARRA). The webinar for state legislative health chairs and their staffs, provided an overview of provisions on Medicaid, COBRA and health information technology, among other subjects.

Oral Health Coverage and Care For Low-Income Children: The Role of Medicaid and CHIP -- April 2009

This updated policy brief provides an overview of oral health care access and coverage for low-income children.

Tutorial: Tax Subsidies for Health Care -- April 2009
This narrated presentation explains how tax subsidies for health insurance work and discusses the arguments for and against them.

CHIP TIPS Series Focuses On New Opportunities For Covering Children Under Medicaid and CHIP -- April 2009

This series of implementation briefs called “CHIP Tips” examines new opportunities for covering children following the reauthorization and expansion of CHIP in February 2009. The series is jointly produced by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured and the Center for Children and Families at the Georgetown University Health Policy Institute.

CHIP TIPS: Medicaid Performance Bonus -- April 2009

This brief, the first in a series, examines the new federal "performance bonus" available to states that do an especially good job of signing up eligible children for Medicaid.
It reflects an understanding that aggressive state outreach efforts for CHIP tend also to drive up enrollment in state Medicaid programs. The bonus stems from a provision in the Children’s Health Insurance Program Reauthorization Act of 2009.

This brief, the third in a series, examines changes to citizenship documentation requirements under the Children's Health Insurance Program Reauthorization Act of 2009.

This contains the prepared written testimony of Foundation Executive Vice President Diane Rowland and Vice President Gary Claxton, who each testified May 5, 2009, before the U.S. Senate Committee on Finance's Roundtable On Health Care Coverage.

In his latest essay for "Pulling It Together, From Drew Altman," the Foundation's President and CEO discusses the motivation behind launching Kaiser Health News, a new nonprofit health policy news service.

The Kaiser Family Foundation and the National Conference of State Legislatures co-sponsored a webinar on key health policy aspects of the American Recovery and Reinvestment Act (ARRA). The webinar for state legislative health chairs and their staffs, provided an overview of provisions on Medicaid, COBRA and health information technology, among other subjects.

This updated policy brief provides an overview of oral health care access and coverage for low-income children.

This narrated presentation explains how tax subsidies for health insurance work and discusses the arguments for and against them.

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Medicaid/CHIP

Medicaid is the nation's public health insurance program for low-income Americans, financing health and long term care services for more than 55 million individuals. The program provides access to affordable and comprehensive health care for children and adults in low-income working families and for the elderly and disabled who often rely on the program to fill in critical gaps in their Medicare coverage. Although three quarters of Medicaid's enrollees are adults or children, the elderly and disabled account for 70% of the program's expenditures. Financed and operated jointly by the states and federal government, Medicaid accounts for roughly one sixth of the nation’s health care spending and almost half of all spending on long term care. As the largest source of federal support to the states, Medicaid is also a major engine in state economies, supporting millions of jobs across the country. Its guarantee of open-ended federal financing that matches state spending enables states to respond to losses of private health insurance attributable to unemployment and rising health insurance premiums, increases in health care costs, emergencies and disasters, and an aging society.

The State Children's Health Insurance Program (CHIP) was enacted in 1997 to provide a capped amount of federal matching funds to states for coverage of children and some parents with incomes too high to qualify for Medicaid, but for whom private health insurance was either unavailable or unaffordable. Covering roughly four million children, CHIP has played an important role in reducing the number of uninsured children in America.

This section provides data and information on the Medicaid and CHIP programs with a focus on the populations they serve. Analyses of proposals to restructure these programs, data from surveys, studies of the impact of recent programmatic changes on beneficiaries, and basic information on how the programs operate and are administered can all be found here. These materials can help to inform discussions of reform proposals and efforts to improve and maintain health coverage and financing for the low-income disabled and elderly populations, families, and children who are left out of our country’s fragmented, employer-based health care system.

The Kaiser Commission on Medicaid and the Uninsured is the main source for the Foundation's work related to the Medicaid and CHIP programs. Begun in 1991, the Commission is the largest operating program of Henry J. Kaiser Family Foundation and has brought increased analysis and attention to health coverage issues facing the low-income population for over a decade. Through its reports and briefings, the Commission continues to provide up-to-date information on Medicaid and CHIP and assesses options for reform.