Found 32 resources.
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The Trump administration is proposing regulatory changes that could result in cuts in federal aid to millions of low-income Americans.
Topics: Food insecurity, Legislation & Policy, Low-income, Medicaid / Medicare

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Emerging health care financing models require much more sophisticated actuarial calculations than previous payment arrangements, often taking into account risk factors such as homelessness. Homelessness also has direct implications for clinical treatment decisions and integrated care models and should be noted in individual patient records. This policy brief provides a rationale for using the ICD-10-CM code for homelessness, outlines the challenges to maximizing this code, and offers strategies to consider to ensure health care providers ask about homelessness and record patients’ housing...
Topics: Health, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare
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The number of kids enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) — two government health plans for the poor — fell by nearly 600,000 in the first 11 months of 2018, a precipitous drop that has puzzled and alarmed many health policy analysts, while several states say it reflects the good news of an improving economy.
Topics: Affordable Care Act, Child welfare, Early childhood, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research, Youth

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A glossary for the emerging Democratic health care debate.
Topics: Health, Legislation & Policy, Low-income, Medicaid / Medicare, Seniors
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While there are many examples of small-scale programs that have integrated care and financing for Medicare-Medicaid eligible individuals, implementation at large scale has been elusive, often limited by concerns that savings will not materialize. The Medicare-Medicaid Coordination Office with its Financial Alignment Demonstration was specifically created to allow states to step forward and develop models that could substantially improve care for beneficiaries while delivering savings to states and the federal programs.We are now six years into this audacious set of pilots, which involve 12...
Topics: Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research
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Medicaid helps low-income seniors, children, people with disabilities, and families get needed health care. Medicaid coverage improves families’ financial security by protecting them from medical debt and helping them stay healthy for work. Medicaid coverage also has long-term health, educational, and financial benefits for children. Click on the map to learn more about Medicaid’s contributions to your state.
Topics: Child welfare, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research

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A whole host of factors — such as friends, housing and transportation — affect a person’s health and how much they need the social safety net. It’s time the government’s big health insurance programs took this reality into account, some lawmakers and policymakers are starting to argue.
Topics: Asset building, Cost effectiveness, Disabilities, Education, Food insecurity, Funding, Health, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Seniors, Transportation, Workforce development

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In response to the heightened interest in the relationship between work and the health of individuals and communities, CMCS has clarified that Medicaid funds cannot be used to pay beneficiaries’ wages, but can pay for employment counseling as an optional benefit—to help people get jobs. Years of experience with work requirements for the Supplemental Nutrition Assistance Program, Aid to Families with Dependent Children, and populations with disabilities have developed the evidence for what is needed to help different populations find and keep jobs.
Topics: Affordable Care Act, Disabilities, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research, Stability, Workforce development
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Health and reentry are closely related, and chronic medical, mental health, and substance use problems make it harder for newly released people to seek employment, obtain housing, and avoid reincarceration. Compared with the general population, justice-involved people tend to be in poorer health and need access to physical and behavioral health services, as well as the know-how and motivation to get care.
Topics: Affordable Care Act, Criminal justice, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research, Stability
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As the Trump Administration continues to encourage states to take Medicaid coverage away from people who don’t meet a work requirement, a new report describes Montana’s promising alternative: a workforce promotion program that targets state resources toward reducing barriers to work.
Topics: Affordable Care Act, Asset building, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Research, Workforce development

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Some seniors and people with disabilities receiving home- and community-based services (HCBS) could lose their Medicaid eligibility and have to go into nursing homes to get needed care if Congress adjourns without extending “spousal impoverishment” protections that are set to expire on December 31.
Topics: Affordable Care Act, Disabilities, Legislation & Policy, Medicaid / Medicare, Seniors
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HHS Secretary Alex Azar on Wednesday said Medicaid may soon allow hospitals and health systems to directly pay for housing, healthy food or other solutions for the "whole person."
Topics: Health, Housing, Legislation & Policy, Medicaid / Medicare, Mental health, Preventative care
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The new opioid legislation—the Substance Use-Disorder Prevention That Promotes Opioid Recovery and Treatment for Patients and Communities Act (the SUPPORT Act)—signed into law on October 24 includes targeted expansions in treatment, including provisions that provide funding or flexibility to states to expand access to treatment for substance use disorders (SUD), including opioid use disorder (OUD), and health care more generally in Medicaid and Medicare.
Topics: Affordable Care Act, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Safety, Substance abuse
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Using multiple panels from the US Census Bureau’s Survey of Income and Program Participation, we find that participation in Temporary Assistance for Needy Families, the Supplemental Nutrition Assistance Program (SNAP), or public health insurance reduces the number of hardships low-income families with children experience by 48 percent and reduces the share who experience food insufficiency by 72 percent.
Topics: Child welfare, Cost effectiveness, Food insecurity, Legislation & Policy, Low-income, Medicaid / Medicare, Metrics, Research, Stability
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Partnerships between medicaid and supportive housing providers
Topics: Cost effectiveness, Funding, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Supportive housing

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The Support and Services at Home (SASH) program in Vermont aims
to coordinate care and assist participants in accessing the health care and support services they need to maintain their health and age comfortably and safely in their homes. Most program participants are residents of U.S. Department of Housing and Urban Development (HUD)-assisted properties or Low-Income Housing Tax Credit
(LIHTC) properties. Our objective is to estimate the impact of the first 5 1/2 years of the SASH program on the Medicare expenditures of these participants.
Topics: Cost effectiveness, Dual-eligibles, East Coast, Health, Home visiting, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Metrics, Seniors

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Time and again, taking a narrow view of health care has proven ineffective in producing meaningful change. Yet the current
thrust of health care reform remains firmly focused on traditional health care services. Reforms such as care coordination models and patient centered medical homes are necessary but insufficient for homeless populations with complex problems. Pairing such reforms with supportive housing is more likely to result in lasting health improvements and reduced costs.
Topics: Cost effectiveness, East Coast, Health, Homelessness, Housing, Legislation & Policy, Medicaid / Medicare, Place-based, Supportive housing

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The aim of the study was to understand how policy capacity was defined and managed by state health leaders in different political environments during the implementation of the ACA. We conducted a total of 24 interviews, 18 with state executive agency officials and six with legislators from 10 states. The the final sample includes two states from the Northeast, three from the South, three from the Midwest, and two from the West.
Topics: Affordable Care Act, Funding, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships

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The aim of the study was to understand how policy capacity was defined and managed by state health leaders in different political environments during the implementation of the ACA. Working with a sample of states—large and small, red and blue, actively reformist or more circumspect, etc.—the research team interviewed 18 state executive agency officials and six legislators from 10 states about their experiences developing and sustaining the capacity needed for major transformations in health care
Topics: Affordable Care Act, Funding, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Research

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This report examines several ways in which health care changes created by the ACA, and other health care reform initiatives, create the potential for affordable housing providers to collaborate with health care providers, insurers, and other institutions to support the wellbeing of low-income individuals and families.
Topics: Affordable Care Act, Health, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships

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In December 2016, federal and state policymakers examined health and housing issues at a meeting convened in Washington, D.C., by the National Academy for State Health Policy (NASHP) with support from The Commonwealth Fund. The goal of the meeting was to identify concrete policy recommendations and actionable steps to align health and housing programs to ensure that people with high service needs receive the housing and supportive services they need to become and stay healthy. This report summarizes their findings and recommendations
Topics: Data sharing, Disabilities, Health, Homelessness, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Supportive housing

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Medicaid is the nation’s public health insurance program for people with low income. The Medicaid program covers more than 70 million Americans, or 1 in 5, including many with complex and costly needs for care. The vast majority of Medicaid enrollees lack access to other affordable health insurance. Medicaid covers a broad array of health services and limits enrollee out-of-pocket costs. The program is also the principal source of long-term care coverage for Americans. As the nation’s single largest insurer, Medicaid provides significant financing for hospitals, community health centers,...
Topics: Affordable Care Act, Funding, Health, Legislation & Policy, Low-income, Medicaid / Medicare

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A Toolkit for State Agencies
Topics: Affordable Care Act, Health, Legislation & Policy, Low-income, Medicaid / Medicare

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Topics: CLPHA, Data sharing, Health, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Preventative care, Research

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This brief aims to bring attention to non-Medicaid funding sources that states could potentially blend or braid to address social determinants of health and other needs that are not typically covered by Medicaid. It is intended to familiarize state Medicaid, public health, and other state policymakers with the funding streams of other agencies, and sketch out a continuum of options to help states coordinate funding to better serve the needs of low-income populations. Because this brief focuses on services for adult Medicaid beneficiaries, it does not address many of the funding sources...
Topics: Cost effectiveness, Data sharing, Dual-eligibles, Food insecurity, Funding, Health, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Mental health, Partnerships, Research, Substance abuse
