Affordable Care Act

An Initial Assessment of Initiatives to Improve Care for High-Need, High-Cost Individuals in Accountable Care Organizations

Publication
Apr 11, 2019
Janet Niles, Teresa Litton, and Robert Mechanic for Health Affairs
High-need, high-cost (HNHC) individuals are defined as people of all ages living with clinically complex needs and functional limitations who also incur high health care costs or are likely to do so in the near future.

Child Enrollment in Public Health Programs Fell by 600K Last Year

Research
Mar 8, 2019
Michael Ollove for The Pew Charitable Trusts
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 refl

Spillover benefit of improved access to healthcare on reducing worry about housing and meal affordability

Research
Nov 22, 2018
Shiho Kino, Koryu Sato, and Iciro Kawachi for International Journal for Equity in Health
Improved access to health insurance contributed to reducing worry and stress associated with paying rent/mortgage or purchasing meals among low-income people. Expanding health insurance access may have contributed to increasing the disposable income of low income groups.

To Work and To Love—Health in Theory and Practice

Publication
Dec 17, 2018
Christopher F. Koller for Millbank Memorial Fund
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.

Montana Program Supports Work Without Causing Harm

Case study
Dec 11, 2018
Hannah Katch for Center on Budget and Policy Priorities
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.

Penalizing immigrants for obtaining Medicaid coverage puts child and family well-being at risk

Publication
Dec 6, 2018
Emily M. Johnston, Genevieve M. Kenney, and Jennifer M. Haley for The Urban Institute
The administration has proposed an expansion of the “public charge” rule that would make it more difficult for applicants whom officials deem likely to rely on public assistance to obtain lawful permanent residence (a “green card”) or a temporary visa.

Protections for Married Couples Receiving Medicaid Home- and Community-Based Services End on December 31 Without Congressional Action

Policy Brief
Dec 3, 2018
Judith Solomon for The Center on Budget and Policy Priorities
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.