Kaiser Family Foundation

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Medicaid Home and Community-Based Services Enrollment and Spending

This issue brief highlights Medicaid HCBS enrollment and spending data from the Kaiser Family Foundation's 17th annual state survey. The report found that nearly all Medicaid HCBS enrollment (86%) and spending (93%) went to services provided at state option. This optional nature of most HCBS covered populations and services puts individuals at risk of losing services if the current structure of Medicaid financing were to change.

Short URL: http://www.nasuad.org/node/71326

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Medicaid: What to Watch in 2019 from the Administration, Congress, and the States

This brief highlights the importance of ongoing litigation around the ACA and discusses Medicaid demonstration waiver activities. It also addresses the recent passage of bi-partisan legislation with new tools and financing that states can use to strengthen their response to the opioid crisis. Finally, the brief reviews issues including Medicaid financing for Puerto Rico and USVI; Medicaid and public charge changes; and reforms in benefits, payment and delivery systems.

Short URL: http://www.nasuad.org/node/71071

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Potential Changes to Medicaid Long-Term Care Spousal Impoverishment Rules: States’ Plans and Implications for Community Integration

On Thursday, November 15, 2018, the Kaiser Family Foundation (KFF) published an issue brief exploring the upcoming changes to spousal impoverishment policies in Federal Medicaid HCBS policy. This report provides an explanation of why spousal impoverishment policies exist, the changes made by the Affordable Care Act (ACA), and the potential implications of the expiration of these ACA changes.

Short URL: http://www.nasuad.org/node/70901

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States Focus on Quality and Outcomes Amid Waiver Changes: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2018 and 2019

This recently released report examines the reforms, policy changes, and initiatives that occurred in FY 2018 and those adopted for implementation for FY 2019. The report focuses on changes in eligibility, managed care and delivery system reforms, long-term services and supports, provider payment rates and taxes, covered benefits, and pharmacy and opioid strategies.

Short URL: http://www.nasuad.org/node/70859

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Implications of the ACA Medicaid Expansion: A Look at the Data and Evidence

This issue brief summarizes the current evidence surrounding the effects of Medicaid expansion on coverage, access, affordability, health outcomes, and economic indicators. The paper draws primarily from evidence examined in 202 studies reviewed in a previous KFF literature review on this subject.

Short URL: http://www.nasuad.org/node/70484

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Brief and Interactive Map Examine Poverty Among Seniors in the U.S.

This brief and interactive map from the Kaiser Family Foundation provide the latest national and state-level estimates from the U.S. Census Bureau of the share of people ages 65 and older who are living in poverty. These resources explore the poverty rate among seniors under the official poverty measure and the Supplemental Poverty Measure.

Short URL: http://www.nasuad.org/node/70227

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Snapshots of Recent State Initiatives in Medicaid Prescription Drug Cost Control

This issue brief reviews the structure of the prescription drug benefit in Medicaid and the traditional policy levers states have used to control drug spending. It also describes state strategies to contain costs, such as efforts to obtain greater rebates, actions concerning generic drugs and biosimilar alternatives, transparency laws and new efforts to draw on federal resources.

Short URL: http://www.nasuad.org/node/70195

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Medicare Beneficiaries’ January 2018 Out-of-Pocket Health Care Spending as a Share of Income Now and Projections for the Future

This report from the Kaiser Family Foundation addresses Medicare beneficiaries’ out-of-pocket health care spending. This report highlights the rising medical costs for low-income older adults. It is estimated that by 2030, Medicare beneficiaries will be spending half of their Social Security benefit on out-of-pocket Medicare expenses.

Short URL: http://www.nasuad.org/node/70131

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How Might Medicaid Adults with Disabilities Be Affected By Work Requirements in Section 1115 Waiver Programs?

This issue brief from the Kaiser Family Foundation examines the implications of work requirements for Medicaid recipients with disabilities. Kaiser’s analysis finds that waivers that condition Medicaid eligibility on meeting a work requirement could affect people with disabilities who have limitations that interfere with their ability to work but do not rise to the stringent SSI level of disability.

Short URL: http://www.nasuad.org/node/70128

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Medicaid and Work Requirements: New Guidance, State Waiver Details and Key Issues

This brief from the Kaiser Family Foundation describes what the Medicaid eligibility work requirements would be in each state, including what would count as work activities, the hours required, and what the common exemptions to the requirements would be. The brief also describes key issues to consider in implementing such requirements, such as administrative costs, potential confusion over documentation requirements and the risk that some people will lose coverage for which they remain eligible.

Short URL: http://www.nasuad.org/node/70090

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