State Health Reform Assistance Network- Heather Howard; State Health Access Data Assistance Center- Elizabeth Lukanen; Center for Health Care Strategies- Shannon McMahon; Manatt Health Solutions- Deborah Bachrach
On September 27th, 2012, the National Governors Association (NGA) partnered with the State Network to host a webinar for state officials highlighting the Medicaid Expansion Analysis Tool in order to aid officials in their own state analyses. During the webinar, State Network experts from State Health Access Data Assistance Center, Center for Health Care Strategies, and Manatt Health Solutions walked through the cost and savings elements for Medicaid expansion financial analyses and state-specific assumption considerations. Additional financial impacts outside the table shell (e.g. disproportionate share hospital payments), as well as a list of state and national resources (with embedded hyperlinks), were included to help further guide states in conducting Medicaid expansion analyses.
Medicaid Expansion: Framing and Planning a Financial Impact Analysis
This brief containts a worksheet and considerations table that can serve as a guide for states considering their own Medicaid expansion analysis. Created by State Network experts at the State Health Access Data Assistance Center (SHADAC), Center for Health Care Strategies (CHCS), and Manatt Health Solutions, this analysis approach is limited to financial considerations related to the state’s decision to expand and therefore excludes many important financial aspects related to the ACA as a whole (e.g. remaining mandatory provisions).
State specific Medicaid expansion analysis should take into account existing program structure, available data sources (both state and national) and realistic assumptions about enrollment and costs.
States should also note within the analysis whether costs are directly related to the Medicaid expansion or if they are likely to occur despite expansion (e.g., the woodwork effect for individuals eligible but not currently enrolled).
Keeping Kids Covered: Number of Children with Health Coverage Increases During Economic Downturn
This report examines state-level trends in children's health insurance coverage. Download the report.
This report analyzes recent trends in health insurance coverage for children at the state level between 2008 and 2010. The percentage of children with public coverage through Medicaid or the Children’s Health Insurance Program (CHIP) increased substantially, while rates of private coverage and uninsurance declined. However, we find substantial variation across states.
SHAP Report on the Modernization of State Medicaid Eligibility Systems
This report presents findings of a survey conducted by SHADAC of State Medicaid Directors regarding state plans for and progress made toward upgrading Medicaid eligibility systems in light of national health reform. The purpose of this study was to delve behind the user experience of Medicaid eligibility and enrollment to better understand the technical situations and upgrade issues the states are facing.
The survey addressed a subset of issues of import to state and federal decision makers related to state Medicaid eligibility system enhancements. The survey results provide point-in-time (winter 2012) answers from 30 study states on issues relating to preparations to address federal eligibility system reforms, use of vendors, eligibility support for individuals who qualify for other non-health related programs, including social services, food and housing assistance, and integration with Exchanges.