Executive Summary Medicaid payments to hospitals and other providers play an important role in these providers’ finances, which can affect beneficiaries’ access to care. Medicaid hospital payments include base payments set by states or health plans and supplemental payments. Estimates…
Becoming “Healthy Louisiana”: An Overview of Planning Efforts to Implement the Medicaid Expansion
As the first act of his new Administration, Louisiana Governor John Bel Edwards signed the state’s Affordable Care Act (ACA) Medicaid expansion into law, setting in motion a key initiative that is anticipated to have far-reaching benefits for the state.…
Uncompensated Hospital Care Fell by $6 Billion Nationally in 2014, Primarily in Medicaid Expansion States; However Many Hospitals Worry About Future Changes in Medicaid Supplemental Payments
The Affordable Care Act’s coverage expansions have benefited hospitals financially, helping to produce an overall decline nationwide in uncompensated care from $34.9 billion to $28.9 billion in 2014, according to a new analysis by the Kaiser Family Foundation. Nearly all…
8 Questions & Answers about Puerto Rico
Puerto Rico’s $73 billion debt crisis has been the subject of national media and congressional debate over the last several months. Additionally, a number of major news outlets have reported on an impending Puerto Rico health care crisis related to…
Connecting the Justice-Involved Population to Medicaid Coverage and Care: Findings from Three States
This brief provides an overview of initiatives to connect the justice-involved population to Medicaid coverage and care in three states—Arizona, Connecticut, and Massachusetts. These states are leading efforts in these areas and provide key lessons about how to coordinate across…
Puerto Rico: Datos Básicos
The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270 www.kff.org | Email Alerts: kff.org/email…
Medicaid Expansion Waivers: What Will We Learn?
Six of the 32 states implementing the Affordable Care Act’s (ACA) Medicaid expansion to date have done so through Section 1115 waivers. Using these waivers, the Centers for Medicare and Medicaid Services (CMS) has approved terms that extend beyond the…
Outreach and Enrollment Strategies for Reaching the Medicaid Eligible but Uninsured Population
Introduction As of February 2016, a total of 31 states and the District of Columbia are moving forward with the ACA Medicaid expansion to adults. While millions of individuals have gained Medicaid coverage since initial implementation of the ACA coverage…
Health Plan Enrollment in the Capitated Financial Alignment Demonstrations for Dual Eligible Beneficiaries
As of February, 2016, over 377,000 beneficiaries who are dually eligible for Medicare and Medicaid were enrolled and receiving services from health plans in nine states with capitated financial alignment demonstrations. These demonstrations, jointly managed by the Centers for Medicare…
Medi-Cal Managed Care: An Overview and Key Issues
California’s Medicaid program, Medi-Cal, is the largest state Medicaid program in the nation, insuring almost one-third of California’s more than 38 million residents. In the early 1970s, California was the first state to enter into risk contracts with managed care…