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Medicaid Coverage Gap Resources

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Medicaid Coverage Gap Resources

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Commentary

This commentary tells the story of Alicia, who was able to access a doula through Medicaid while incarcerated and pregnant with her second child.

Brief

This brief highlights key state actions to increase cancer screening for adults covered by Medicaid and improving health outcomes.

Commentary

This commentary tells the story of Becky, whose Medicaid covers her medical visits and medication, as well as home-based assistance to help manage her multiple sclerosis.

Webinar & Presentations

This webinar provide an overview of strategies for states seeking to ensure that eligible enrollees are able to keep or transition to new affordable health coverage when the Medicaid continuous coverage requirement ends.

Report

This report estimates increases in federal subsidies under two provisions of the Build Back Better Act that would flow to people below the federal poverty limit in the 12 states that have not expanded Medicaid (people in the “Medicaid gap”).

Commentary

This commentary is the story of Theresa, who developed Spastic Quadriplegia Cerebral Palsy and whose Medicaid allows her to work and live independently, and do activities she enjoys such as swimming. 

Webinar & Presentations

This webinar reviewed steps states can take to integrate health equity into their Medicaid managed care programs.

Brief

This brief examines how state Medicaid and public health programs can advance health equity for the communities they serve, especially for people of color, working both within their agency and through cross-agency partnerships.

Commentary

11.2021 /

This commentary tells the story of Adrian, who serves as an assistant director at the Hattiesburg, Miss., office of Youth Villages and oversees the Medicaid-funded Mississippi Youth Programs Around the Clock (MYPAC) effort, which currently has more than 500 people enrolled throughout the state.

Brief

This brief examines the information technology system, policy, and operational strategies states can consider to update key enrollee contact information to ensure eligible enrollees are able to keep or transition to new affordable health coverage at the end of the public health emergency.

Chart

This chart presents efforts by state insurance purchasers using reimbursement rates paid by Medicare as a reference-point to inform their programs’ hospital payments.

Journal Article

This journal article assesses the impact of the Affordable Care Act (ACA) Medicaid expansion on coverage and access to care for a subset of low-income parents who were already eligible for Medicaid when the ACA was passed.

Report

10.2021 / By Urban Institute

This report aims to estimate the Medicaid enrollment trends once the COVID-19 public emergency ends and policies prohibiting disenrolling beneficiaries are nullified.

Webinar & Presentations

This webinar discusses the research on how Medicaid saves lives, reduces costs, and helps eliminate racial and ethnic health disparities.

Report

09.2021 / By Urban Institute

This report examines policies to improve continuous postpartum coverage after the COVID-19 public health emergency ends.

Graphic

This infographic examines how expanded coverage has saved lives, reduced health care costs, narrowed racial disparities, and provided peace of mind to those who would otherwise have been uninsured.

Resource Page

This resource page compiles the latest Robert Wood Johnson funded research on the benefits of closing the Medicaid coverage gap.

Blog

This blog post examines how the American Rescue Plan Act affected the affordability, choice, and coverage stability of health plans on 12 different state-based marketplaces. 

Blog

This blog post outlines the potential coverage gains, state cost savings, and improved health outcomes that would occur if the remaining 12 nonexpansion states extending their Medicaid programs in accordance with the Affordable Care Act. 

Brief

08.2021 / By Urban Institute

This brief examines how enrollment gains in public insurance helped offset declines in employer-sponsored insurance during the COVID-19 pandemic. Unlike previous recessions, the uninsurance rate did not change.

Commentary

This commentary examines how Washington implemented the nation’s first public option for the 2021 plan year and in the first six months of 2021, states made significant progress in advancing public option proposals, with public option legislation advancing in Colorado, Nevada, and Oregon.

Brief

This brief describes Nevada's new public option that is intended to provide consumers with comprehensive, but lower cost health insurance.

Blog

This blog examines the interest in the potential timeline for Medicaid expansion in the remaining states after the passage of the American Rescue Plan Act. 

Report

This report includes a collection of summarized evidence on how Medicaid can improve the health of states' residents and communities.

Report

This report describes the American Rescue Plan Act's (ARPA) Medicaid matching rate provision and also assesses its fiscal impact for each of the states that have not yet expanded Medicaid, while comparing the available new federal dollars to the cost of expansion.

This journal article describes patterns of perinatal uninsurance and health outcomes of women experiencing uninsurance.

Brief

01.2021 / By Urban Institute

This brief present that if the remaining 14 states had expanded eligibility in 2020, 4.4 million fewer people would have been uninsured that year.

Report

This report examines the implications if the outstanding 15 states chose to expand Medicaid eligibility in 2020.

Report

This report describes select policy and strategy levers that Medicaid agencies can employ to improve maternal health outcomes and address outcome disparities in five areas: coverage, enrollment, benefits, models of care, and quality improvement.

Brief

08.2019 / By Urban Institute

Using the American Community Survey, the brief presents that uninsurance increased by 0.2 percentage points between 2016 and 2017 despite a strong economy, meaning 700,000 more uninsured Americans.

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