Unbiased Analysis of Today's Healthcare Issues

Archive for the 'CHIP' Category

2016 ASSA: How does expanding Medicaid eligibility affect take-up and health care spending?

Typically, answering this question is difficult as the Medicaid program varies across states and even within states. What Amanda Kowalski and co-authors do in a paper she presented at the 2016 ASSA is collect data on the variation in Medicaid eligibility across states, across demographic groups, and across time from the inception of Medicaid in […]

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Do Medicaid Expansions Crowd Out Private Health Insurance?

According to Hamersma and Matthew Kim (2013), the answer is no. The authors use data from the 1996, 2001, and 2004 panels of the Survey of Income and Program Participation (SIPP). This data is supplemented with state-level information on Medicaid income eligibility rules. The authors classify each person as either: holding no insurance, private insurance, […]

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Does expanding insurance coverage improve access to care?

Although Health Reform did little to reduce the cost of health care, it did make significant strides to expand access to care.  For low-income individuals, the increased access comes along two dimensions: expanded Medicaid eligibility and increased physician fees.  Specifically, Health Reform required to Make all individuals with incomes below 138% of the Federal Poverty […]

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Have States made any progress towards implementing Health Exchanges?

The answer depends on the state. Today, I examine an Urban Institute research paper that looks at this progress in more detail. Dividing States into 3 Group The most advance States fall into Group 1 (CA, CO, CT, DC, HI, IN, MA, MD, NV, OR, RI, UT, VT, WA, WV). These states have either enacted […]

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MEPS vs. NHEA

Many researchers use household data sources to examine a variety of hypothesis.  The use of household data has many benefits including allowing for more detailed socioeconomic information (e.g., education, income) beyond what is contained in administrative claims files.  One drawback of household data is that extrapolations made from household survey data may not match national […]

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State Governments Providing Health Insurance to More Children

Of the 6.6 million uninsured children in the nation, 4.3 million are eligible for Medicaid or the Children’s Health Insurance Program (CHIP). Approximately 2.8 million children come from families at or near the federal poverty line (FPL). Despite the fact that millions of children are uninsured, children’s participation rates in Medicaid/CHIP are increasing. Today I […]

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The President’s Proposal to “Live Within Our Means”

President Obama released a proposal last week to jump start the economy and reduce the deficit.  The proposal includes many cuts to Medicare and increased cost sharing.  Senators Coburn and Lieberman are supporting these cuts. Increased cost sharing is a common theme in Medicare, Medicaid, but also for other programs as well.  For instance, the […]

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Federal Medicaid Spending: The Worst is Yet to Come

As the economy worsened, Medicaid enrollment has risen.  In the short-run, however, States have been able to avoid large increases in Medicaid spending because the Federal government has footed the tab.  According to the HHS: “Over the past three years, despite rising enrollment due to the economic recession, nationwide State spending on the Medicaid program […]

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Safety Net Patients in California

The California Health Care Foundation (CHCF) reviews how California’s safety net residents receive medical care.  Safety Net patients are considered those who have incomes below 300% of the federal poverty line.  Below is a list of governmental and non-governmental programs which serve California Safety Net residents. State: Medi-cal (California’s Medicaid program) and Healthy Families (California’s CHIP […]

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The Medicaid Medical Industrial Complex

“Across the nation, sizeable and forceful groups–a Medicaid medical industrial complex–support welfare medicine, many of them becoming entirely or partially dependent on its funding for their financial viability.  Their reliance on the low-income health program puts them at risk of adverse political decisions, but also drives them to exert disproportionate influence over policymakers. Vested interests–professionals, […]

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