SHADAC and SHARE Newsletter, November 27, 2012
News: November 27, 2012
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November 28th SHARE Webinar: Income Dynamics and Coverage Transitions of Health Reform Expansion Populations
SHARE will host a webinar on Wednesday, November 28, 2012, at 12:00 p.m. EDT titled, “Income Dynamics of Health Reform Expansion Populations and State Strategies to Smooth Coverage Transitions.” Dr. Lara Shore Sheppard, Professor of Economics at Williams College, will discuss the income dynamics among health reform expansion populations moving into, out of, and between coverage eligibility categories defined by the Affordable care Act. She will be joined by Shannon McMahon, Director of Coverage and Access at the Center for Health Care Strategies, who will discuss current state and national models for managing coverage transitions between Medicaid and the Exchanges along with existing best practices for facilitating the transition process. Register for the event.
Lynn Blewett Declares "Full Speed Ahead" on Health Reform
The St. Paul Pioneer Press interviewed SHADAC Director Lynn Blewett and other policy experts to get their take on the future of health reform, and Dr. Blewett voiced her optimism about the likelihood of passing exchange legislation in the state and further expanding Medicaid as well. Read the full article, “Changes in Minnesota health care look likelier.” Dr. Blewett also spoke to KARE-TV (NBC affiliate) for a segment titled, “Minnesota prepares for Obamacare,” about the logistics of health insurance exchanges.
News from the States
Children's Health Insurance Coverage in California, 2011
The California HealthCare Foundation released a new report, “Covering Kids: Children’s Health Insurance in California.” The report provides an in-depth analysis of children’s health insurance coverage in California in 2011, during which time the state had a higher proportion of children covered by public programs and a lower percentage with employer-sponsored insurance (ESI) than the nation as a whole. Among other key findings, over three-quarters of the state’s approximately 1.1 million children who were uninsured in 2011 were eligible for Medi-Cal and Healthy Families (the state’s Medicaid/CHIP program).
Idaho: Medicaid Expansion Cost/Savings Report
The Idaho Department of Health and Welfare made available a preliminary Medicaid expansion analysis from Milliman. The analysis, “Idaho Medicaid Expansion Population and Cost Forecast,” estimates enrollment and consequent costs/savings in Idaho’s Medicaid program under two scenarios: no expansion (projected 2014 enrollment of 70,300) and expansion to 138 percent of the Federal Poverty Level (FPL; projected 2014 enrollment of 150,100). The analysis projects state and local costs of approximately $283.9 million from 2014 to 2024 without expansion. If the state expands Medicaid to 138 percent FPL, state and local government are projected to save approximately $290.4 million during this timeframe.
Insurance Coverage in Kansas, 2012
The Kansas Health Institute authored a report, “Snapshot of Insurance Coverage in Kansas – 2012.” The report examines the major coverage findings for the state based on the 2011 and 2012 Annual Social and Economic Supplements to the Current Population Survey (CPS-ASEC), the 2010 Small Area Health Insurance Estimates (SAHIE), and the Medicaid Data Analytic Interface (DAI). The authors note that although employer-sponsored insurance (ESI) remains the primary source of coverage for Kansans, 29.6 percent of Kansans rely on public coverage and 13.1 percent of Kansans were uninsured in 2012.
Medicaid Expansion in Mississippi: Policy Considerations
The Center for Mississippi Health Policy published an issue brief, “Medicaid Expansion: An Overview of Potential Impacts in Mississippi,” that provides background information on the state’s Medicaid program and outlines policy considerations associated with the potential expansion of Medicaid under the Affordable Care Act (ACA). The brief looks at the impacts of a Medicaid expansion on insurance coverage, the private insurance market, the state economy, the state budget, and state agencies.
Medical Expenditure Panel Survey (MEPS) 2010 Access-to-Care Tables
The Agency for Healthcare Research and Quality (AHRQ) has released access-to-care tables from the 2010 MEPS Household Component (HC). The tables include information on usual source of care and delayed or foregone care by demographic characteristics. View the 2010 MEPS-HC access-to-care tables.
State Supplemental Poverty Estimates Available
The U.S. Census Bureau released its second annual report, “The Research Supplemental Poverty Measure, 2011.” The report describes findings from research on the new supplemental poverty measure (SPM), which is based on the Current Population Survey (CPS) and extends information provided by the official poverty measure by explicitly including benefits from many of the government assistance programs for low-income families and individuals. The document compares 2011 supplemental poverty estimates to 2011 official poverty estimates for numerous demographic groups at the national level and, for the first time, presents supplemental poverty estimates for states, using three-year averages. Read the Census Bureau press release.
2012 Employer Health Benefits Annual Survey
The Kaiser Family Foundation (KFF) and the Health Research & Educational Trust (HRET) released results from the 2012 Employer Health Benefits Annual Survey. The KFF/HRET survey is an annual national survey of nonfederal public and private employers with three or more workers. Findings from the 2012 survey include modest increases in the average single and family insurance premiums with little change in employee premium contributions and employee cost-sharing that workers face since 2011. Additionally, approximately 2.9 million adult children who had previously not been eligible for dependent coverage now have health insurance as dependents on their parent plans because of the dependent coverage provision of the Affordable Care Act.
Updated Analysis of Medicaid Expansion under Affordable Care Act (ACA): National and State Estimates
The Kaiser Family Foundation’s Commission on Medicaid and the Uninsured (KCMU) released an updated national and state-level impact analysis of the ACA’s Medicaid expansion, taking into account the June 2012 Supreme Court ruling that effectively made the Medicaid expansion a state option. “The Cost and coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis,” was produced by researchers at the Urban Institute and uses the Urban Institute’s Health Insurance Policy Simulation Model (HIPSM) to provide national and state-specific estimates of the ACA’s impact on federal and state Medicaid costs, Medicaid enrollment, and the number of uninsured.
2012 Mercer Survey of Employer-Sponsored Health Plans
Mercer released findings from its 2012 National Survey of Employer-Sponsored Health Plans. According to the survey--which samples public and private employers with at least 10 employees and received responses from 2,809 employers in 2012--employers in general remain committed to providing health coverage under health reform. Only 7 percent of large employers (500 or more workers) and 22 percent of small employers (10 to 499 employees) reported that they were likely or very likely to drop coverage within the next five years.
Draft Report: Insurance Coverage and Income of American Indians and Alaska Natives (AIAN)
The Tribal Affairs Group at the Centers for Medicare and Medicaid Services (CMS) released a draft report, “Health Care Coverage & Income of American Indians & Alaska Natives: A Comparative Analysis of 33 States with Indian Health Service Funded Programs.” The report uses Census and American Community Survey (ACS) data to explore coverage and income among the AIAN populations of 33 states that have counties in the service delivery areas of health program funded by Indian Health Services (IHS) and that have sufficient AIAN numbers in the ACS sample for these counties. The report notes that the top ten states with the highest AIAN uninsurance rates are all equal to or exceed 30 percent uninsurance, with the highest rate reported in Idaho, at 40 percent.
Updated State Refor(u)m Resources
State Refor(u)m has updated and supplemented its summary of exchange activities in the states. Two charts now capture states' steps toward establishing an exchange and states' policy decisions regarding how their exchange may operate. State-level exchange work is likely to accelerate in the coming weeks as the revised December 14 deadline nears for states to submit a letter of intent and a blueprint for state-based exchanges to the U.S. Department of Health and Human Services.
"If You Build It, Will They Come? Outreach Lessons from CHIP"
In this State Refor(u)m blog entry NASHP Program Manager Carla Plaza explores lessons from state experiences conducting CHIP outreach that can inform state outreach efforts as they expand Medicaid and establish insurance exchanges. These lessons include the importance of message testing, setting measurable goals, and embracing web-based tools, among others.
These updates include our bi-weekly newsletter; webinars on data, evaluation, and reporting related to Affordable Care Act implementation; and other resources pertinent to state health policy.