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- March 9, 2017
What Makes Medicaid, Medicaid? — Affordability
Read moreMedicaid includes provisions to ensure Medicaid beneficiaries are able to afford health care services. In this paper, Senior Policy Analyst David Machledt explains why cost sharing can discourage low-income individuals from seeking health care coverage, and the importance of Medicaid's protections against run away cost sharing mechanisms. Machledt notes that…
- February 27, 2017
Indiana Medicaid Demonstration Raises Concerns
Read moreIndiana expanded Medicaid through a demonstration waiver that some have lauded as a "potential model" for other states interested in expanding Medicaid. Senior Policy Analyst David Machledt, examining evaluations of Indiana's so-called Healthy Indiana Program, concludes that the state's Medicaid demonstration, so far, has generated plenty of confusion, but…
- December 19, 2016
Protect Medicaid Funding: Affordability, Issue 5 (Updated Feb. 2017)
Read moreThis fifth issue in NHeLP's Protect Medicaid Funding series examines how critical Medicaid is to helping low-income individuals and underserved populations access quality health care, and how efforts to cut or cap funding of Medicaid would endanger that access, and worsen health outcomes for the most vulnerable. For example,…
- October 4, 2016
Issue Brief: A Primer on Reference Pricing & VBID
Read moreCost sharing is too often a tool that prevents low-income individuals from being able to access quality and timely health care services. Health care experts, however, are exploring other mechanisms, such as Value-Based Insurance Design (VBID) and its Reference Pricing ways to address shortcomings of cost sharing. VBID, at…
- September 23, 2016
Health Advocate: States Expand Coverage of Contraception
Read moreStates are taking the initiative to bolster federal health care policy intended to provide comprehensive contraceptive coverage, Staff Attorney Agata Pelka writes in the September Health Advocate. Pelka states, "Access to quality, comprehensive health care is critical for women to be equal, participating, and productive members of society." While…
- April 26, 2016
Covered California: 2016 Benefit Designs: Cost Sharing for Prescription Drugs & Tiered Network Designs
Abbi Coursolle and Kim Lewis LetterRead moreRecommendations concerning the changes the California Covered Board will contemplate at its Board meeting this month regarding the 2016 standard benefit designs.