Medicaid/CHIP - Health Policy, Public Opinion & Research

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Key Resources on Medicaid: How It Works, How It's Financed and Whom It Serves
Several KCMU resources provide a basic overview of the Medicaid program, including the chartpack Top 5 Things To Know About Medicaid, and the papers Key Questions about Medicaid and Its Role in State/Federal Budgets and Health Reform, Medicaid Matters: Understanding Medicaid's Role in Our Health Care System and Faces of Medicaid. Another paper, Federal Core Requirements And State Options in Medicaid: Current Policies and Key Issues, provides an overview of Medicaid's framework and key issues related to the balance between federal standards and state options. Finally, a study analyzes the projected state-by-state impact on Medicaid enrollment and spending of converting the program to a block grant financing under the House Budget Plan.

Medicaid in Health Reform
The Foundation has prepared a summary of key Medicaid and Children’s Health Insurance Program provisions in the health reform law, as well as a timeline detailing important dates for the implementation of those provisions. Other briefs examine the opportunity for optimizing Medicaid’s reach, answer key questions about Medicaid’s role in state/federal budgets and health reform, and analyze the potential costs and savings to states from implementing the health reform law. A tutorial summarizes the Medicaid changes in the law.

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House Republican Budget Plan- State-By-State Impact of Changes in Medicaid Financing -- May 2011

This analysis examines the projected state-by-state impact on Medicaid enrollment and spending of converting the program to block grant financing and eliminating the program's expansion under the health reform law, as called for by the House Budget Plan.

Federal Core Requirements And State Options In Medicaid: Current Policies And Key Issues -- April 2011

This issue brief presents an overview of the current Medicaid program framework of federal core requirements and state options, with a focus on eligibility, benefits and cost sharing, care delivery and provider payment, long-term services and supports, and dual eligibles.

Physician Willingness and Resources to Serve More Medicaid Patients: Perspectives from Primary Care Physicians -- April 2011

This issue brief from the Kaiser Commission on Medicaid and the Uninsured analyzes data from a nationally representative survey of physicians to assess which adult-care primary care physicians are most likely to respond to health reform’s changes by serving additional Medicaid beneficiaries. It also profiles key aspects of their practices, patient care resources, and constraints on their capacity.

Medicaid Policy Options for Meeting the Needs of Adults with Mental Illness under the Affordable Care Act -- April 2011

The Kaiser Commission on Medicaid and the Uninsured convened an expert roundtable discussion in November 2010 to discuss Medicaid policy options available under the health reform law to help meet the needs of adults with mental illness.

Mental Health Financing in the United States: A Primer -- April 2011

This primer provides an overview of behavioral health care, reviews the sources of financing for such care, assesses the interaction between different payers and discusses the role of Medicaid in financing behavioral health services.

Summary of Coverage Provisions in the Patient Protection and Affordable Care Act -- April 2011
This summary describes the health coverage provisions contained in the Summary of Coverage Provisions in the Patient Protection and Affordable Care Act as signed into law in March 2010.

Summary of New Health Reform Law -- April 2011
This summary reflects provisions of the comprehensive health reform legislation, the Patient Protection and Affordable Care Act, signed into law in March 2010, as changed by subsequent legislation.

Comparison of Medicaid Provisions in Deficit-Reduction Proposals -- April 2011
This document provides a brief description of the key Medicaid changes that have been recommended as part of broad-based deficit- and debt-reduction packages.

Implications Of A Federal Block Grant Program For Medicaid -- April 2011

This issue brief examines the implications for beneficiaries, providers, states, localities and the federal government of converting Medicaid into a federal block grant program.

Pulling It Together: A Public Opinion Surprise -- April 2011
With Medicaid being the focus of federal and state debate on deficits, the Kaiser Family Foundation's President and CEO examines a recent poll finding about the program's popularity that may be a surprise considering the current discussion.

This analysis examines the projected state-by-state impact on Medicaid enrollment and spending of converting the program to block grant financing and eliminating the program's expansion under the health reform law, as called for by the House Budget Plan.

This issue brief presents an overview of the current Medicaid program framework of federal core requirements and state options, with a focus on eligibility, benefits and cost sharing, care delivery and provider payment, long-term services and supports, and dual eligibles.

This issue brief from the Kaiser Commission on Medicaid and the Uninsured analyzes data from a nationally representative survey of physicians to assess which adult-care primary care physicians are most likely to respond to health reform’s changes by serving additional Medicaid beneficiaries. It also profiles key aspects of their practices, patient care resources, and constraints on their capacity.

The Kaiser Commission on Medicaid and the Uninsured convened an expert roundtable discussion in November 2010 to discuss Medicaid policy options available under the health reform law to help meet the needs of adults with mental illness.

This primer provides an overview of behavioral health care, reviews the sources of financing for such care, assesses the interaction between different payers and discusses the role of Medicaid in financing behavioral health services.

This summary describes the health coverage provisions contained in the Summary of Coverage Provisions in the Patient Protection and Affordable Care Act as signed into law in March 2010.

This summary reflects provisions of the comprehensive health reform legislation, the Patient Protection and Affordable Care Act, signed into law in March 2010, as changed by subsequent legislation.

This document provides a brief description of the key Medicaid changes that have been recommended as part of broad-based deficit- and debt-reduction packages.

This issue brief examines the implications for beneficiaries, providers, states, localities and the federal government of converting Medicaid into a federal block grant program.

With Medicaid being the focus of federal and state debate on deficits, the Kaiser Family Foundation's President and CEO examines a recent poll finding about the program's popularity that may be a surprise considering the current discussion.

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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.