Eligibility and Enrollment

US Census Bureau data released this past week revealed 8.5 percent (27.5 million people) did not have health coverage at any point during 2018 – an increase from 7.9 percent (25.6 million people) in 2017. The latest census data also affirmed fears raised after reports of declining child enrollment in Medicaid and the Children’s Health […]

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  • State Health Policy Blog

    A Snapshot of State Efforts to Reach and Enroll Children for State Medicaid and CHIP Programs

    In 2018, the number of children enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) declined 2.2 percent. It is not known if these children moved to other sources of health coverage, like employer-sponsored insurance, or became uninsured until publication of the US Census Bureau’s American Community Survey this fall. However, last year’s decline […]

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  • State Health Policy Blog

    Is New Jersey’s Conversion to a State-Based Insurance Exchange a Harbinger?

    States with state-based insurance marketplaces (SBMs) have consistently outperformed states that use the federal platform in enrollment, affordability, and increased plan offerings and competition, prompting states to consider launching their own marketplaces and Congress to propose new funding to support states that want to transition. New Jersey may become the next state to convert to an […]

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  • Individual Enrollment in Federal and State Health Insurance Marketplaces 2018-2019*

    Read a blog about state-based marketplace performance here and view slides comparing state-based and federally-facilitated marketplaces here. * State-based marketplaces (SBMs) design their enrollment websites, control outreach and marketing, and manage the health plans offered through the marketplace. This data came from publicly available sources or directly from the marketplace. States with federally-facilitated marketplaces (FFM) rely on […]

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    April 1, 2019 | Filed under: Charts, Eligibility and Enrollment, Insurance Exchanges

  • State Health Policy Blog
    Health Coverage and Human Service Program Eligibility: Considerations for States Weighing Systems Integration

    Health Coverage and Human Service Program Eligibility: Considerations for States Weighing Systems Integration

    Should states integrate their health insurance and human services eligibility and enrollment systems? Some state officials are weighing this question now that their revamped, Affordable Care Act (ACA) health coverage systems have been operational for several years and most of the early, initial glitches have been repaired. However, there are multiple factors to consider, some […]

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  • State Health Policy Blog

    Emerging Themes in Proposed State Medicaid Waivers

    Under the current administration, the Centers for Medicare and Medicaid Services (CMS) has signaled a willingness to evaluate new types of Medicaid proposals from states. Specifically, in March of this year CMS indicated that the agency would consider Medicaid waiver applications that include programs to connect individuals to employment or incorporate features of private market […]

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  • State-Specific Medicaid Program Changes

    The following information is paired with our blog, Emerging Themes in Proposed State Medicaid Waivers. Key Pending Waiver Requests for ACA Medicaid Expansion Eligibility Groups Seeking to add work requirements as a condition of eligibility: Arizona (20 hours/week for school/job training; unspecified for employment or job search) Arkansas (80 hours/month) Indiana (Average of 20 hours/week) Kentucky […]

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  • Alternative Models of Medicaid Expansion: Is the Juice Worth the Squeeze? – Coverage Track

    Tuesday, October 24th 3:30PM-5:00PM State officials with both short- and long-term experience managing Medicaid expansion waivers share insights about what works well when administering enrollee premiums and healthy behavior incentives. They also examine their states’ anticipated goals and why they’ve had to modify their models since implementation. The session features states that have operated their […]

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    June 6, 2017 | Filed under: 2017 Conference, Eligibility and Enrollment, Medicaid

  • State Health Policy Blog

    The Clock is Ticking as We Enter a Critical Time for the Future of CHIP

    Federal funding for the Children’s Health Insurance Program (CHIP) is set to end this September, and without Congressional action, states will soon confront significant fiscal challenges. If states exhaust their federal CHIP funds, those with separate CHIP programs can cap enrollment and take steps to close their CHIP programs. States that operate Medicaid expansion CHIP […]

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  • The State of State Health Policy: Governors’ 2017 State of the State Addresses

    State of the State speeches provide governors with an opportunity to highlight recent policy successes as well as outline key plans and issue areas of focus for the coming year. These speeches are generally strong indicators of governors’ main priorities and sometimes also include specific proposal suggestions and funding recommendations for deliberation by legislatures. Currently, […]

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