Blog Entries: Medicaid

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Achieving Equity in the Health System: The Commonwealth Fund's Vulnerable Populations Program

January 31, 2012 - Vulnerable populations have more difficulty obtaining health care, receive worse care, and experience poorer health outcomes than other groups. This blog post looks at the new Vulnerable Populations program, which aims to help achieve equity in the U.S. health system.

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Achieving Medicare and Medicaid Savings: Cutting Eligibility and Benefits, Trimming Payments, or Ensuring the Right Care?

July 13, 2011 - Given persistent budgetary pressures, it's not surprising that the Administration and Congress are weighing options for achieving savings in the Medicare and Medicaid programs, say the Fund's Karen Davis and Stu Guterman. It's important, however, to bear three points in mind.

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ACOs: Making Sure We Learn from Experience

April 12, 2012 - The goals of accountable care—supporting providers' efforts to work together to achieve better care, better health, and lower costs—are compelling. But translating principles into practice requires learning. Elliott Fisher and Stephen Shortell explore the challenges in learning from ACOs' early experiences.

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Adapting the Medicare Shared Savings Program to Medicaid Accountable Care Organizations

March 27, 2013 - Many state Medicaid agencies are using the Medicare Shared Savings Program established under the Affordable Care Act a model for their shared saving arrangements.

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Advancing Accountable Care Organizations in Medicaid

August 15, 2012 - The health professionals who care for people with Medicaid coverage are struggling to deliver high-quality, efficient care to their most vulnerable patients. This post highlights several states that are developing accountable care organizations (ACOs) for their Medicaid populations to both improve care and control costs.

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The Affordable Care Act's Medicaid Expansion: Alternative State Approaches

March 28, 2014 - This blog post looks at the alternative approaches to Medicaid expansion that some states are pursuing to cover more low-income residents.

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The Aftermath of the Super Committee: What Will It Take to Reduce Federal Health Spending?

December 12, 2011 - At the December 2 Alliance for Health Reform briefing, "Inside Deficit Reduction: What Now?," a panel of experts with diverse perspectives discussed the potential impact on health policy of the failure of the Joint Select Committee on Deficit Reduction to reach agreement on a plan to reduce the federal deficit.

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Are Safety Net ACOs a Good Idea? Views from Key Stakeholders

January 16, 2012 - To examine how safety-net health systems might participate in ACOs and other innovative payment and delivery system reforms, the National Academy for State Health Policy interviewed several key stakeholders about what is needed to promote ACOs in the safety net.

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Coverage Opportunities and Obstacles for Hispanics Under the ACA

February 13, 2014 - The Hispanic community—a group whose vote is highly valued by both political parties—stands to benefit significantly from the Affordable Care Act (ACA).

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Enrollment Climbs in the Affordable Care Act's Health Insurance Options

December 20, 2013 - In an update, Sara Collins, Ph.D., and Tracy Garber report that enrollment has climbed to more than a million people nationwide, about five times the last estimate reported on November 21.

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Enrollment in the Affordable Care Act's Health Insurance Options: An Update

November 21, 2013 - Despite the difficult rollout of, new data from states that are operating their own marketplaces show that Americans are slowly but surely enrolling in the new insurance coverage options now available under the Affordable Care Act.

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The Future of Medicare

October 02, 2012 - In invited testimony today before the House of Representatives Democratic Steering and Policy Committee, Commonwealth Fund president Karen Davis discussed two approaches to sustaining Medicare, the vital public insurance program for seniors and disabled Americans.

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How State Leaders Can Guide Health Reform

May 23, 2011 - Former Republican Governor of Vermont James H. Douglas discusses the need to find ways to bring health care costs down, and suggests five key areas for state-based reform.

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How States Can Simplify Transitions to Medicare Under the Affordable Care Act

January 14, 2013 - People who become eligible for Medicare in states without a comprehensive transition plan could face gaps in coverage and avoidable out-of-pocket costs. This post looks at how states can help ensure people make smooth transitions to Medicare.

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How the Affordable Care Act Supports a High-Performance Safety Net

January 16, 2012 - This post describes the Affordable Care Act provisions that will help safety-net providers promote coordination and integration of care, capitalize on investments in the capacity of the safety net, and understand and adapt to upcoming changes to safety net financing and payment.

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