The Future of CHIP

The National Academy for State Health Policy (NASHP) staff, supported by the David and Lucile Packard Foundation, has put together a chart outlining what governors have said about the future of the Children’s Health Insurance Program (CHIP). This chart highlights the governors’ responses to key questions posed by Congress, including whether they support extending funding for the program.

Want to see more charts on CHIP? They have charts about coverage of pregnancy services, about alignment between CHIP and marketplace issuers, and about CHIP-specific eligibility verification

Statereforum.org’s library contains many more CHIP-related resources

From NASHP

By |December 21st, 2014|Health Reform, Medicare/Medicaid|Comments Off

CDC: Nearly 7 Million Gain Insurance in 2014

The share of Americans who were uninsured at the time of a recent federal survey was 2.2 percentage points lower than in 2013, the Centers for Disease Control and Prevention (CDC) reported this week.

Based on responses to the National Health Interview Survey, the CDC estimated a 12.2 percent uninsured rate as of June 2014, down from the 2013 estimate of 14.4 percent.

The reduced rate represented a drop of nearly 7 million out of the 44.8 million who were uninsured last year.

Potentially significant for hospitals was the survey’s finding that the share of people with a place other than an emergency department (ED) to get usual care ticked up from 86.5 percent to 87.6 percent.

Some hospitals have seen ED use by newly enrolled Medicaid beneficiaries surge, while others have reported declines in use.

The share of the population that failed to obtain needed medical care due to cost at some time during the previous 12 months dropped from an estimated 5.9 percent to 5.4 percent.

The drop in the number of uninsured is good news, said Jim Landman, director, healthcare finance policy, perspectives and analysis, for HFMA.

“Especially in the states that have decided to expand Medicaid coverage, the risk of catastrophic medical […]

By |December 19th, 2014|Health Reform|Comments Off

ACA Plans Lift Out-of-Pocket Caps

More than a quarter of plans in the most popular category sold on government-run marketplaces have moved their out-of-pocket maximum to the highest point allowed by federal law, a new analysis has found.

Only 74 percent of 2015 silver plans offered on the insurance marketplaces created by the Affordable Care Act (ACA) have set their out-of-pocket limits below the statutory cap for such charges, according to an analysis by Avalere Health. About two-thirds of marketplace enrollees are insured through silver plans, which generally cover 70 percent of healthcare costs.

The out-of-pocket maximum—the most enrollees can pay for in-network care, including deductibles and cost-sharing—rose in 2015 from $6,350 to $6,600 for individual plans and from $12,700 to $13,200 for family plans. Beyond that limit, insurers cover the full cost of in-network care. The law set no limits for out-of network care.

“Exchange consumers could face a higher burden of costs early in their benefit year depending on the plan they choose,” Caroline Pearson, vice president at Avalere Health, said in a written statement.

The $6,600 out-of-pocket maximum also was reached by 29 percent of bronze-level plans, 6 percent of gold plans, and 2 percent of platinum plans.

Even in plans for which the out-of-pocket maximum […]

By |December 19th, 2014|Health Reform|Comments Off

 

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