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The Roles of Medicare and Medicaid in Financing Health and Long-Term Care for Low-Income Seniors

September 1, 2001 - Medicaid fills critical gaps in coverage for Medicare beneficiaries with low incomes and for many in need of extensive long-term care. This chartbook is one of the first analyses to look at service use and spending for a large sample of these 'dual eligibles' across several states. The findings reveal how the two programs work in tandem and how widely enrollees' experiences can vary.

Fund Report

One-Third at Risk: The Special Circumstances of Medicare Beneficiaries with Health Problems

September 1, 2001 - The authors argue that any major change to the Medicare program, such as requiring coinsurance for home health care, must take into account the steep costs seriously ill beneficiaries already pay for health services.

Fund Report

Racial, Ethnic, and Primary Language Data Collection in the Health Care System: An Assessment of Federal Policies and Practices

September 1, 2001 - Using interviews conducted with administrators at federal health agencies, this report finds wide gaps between the goals of federal initiatives to eliminate racial and ethnic disparities in health care, such as Healthy People 2010, and the efforts of federal health agencies to collect and report data needed to help achieve these goals.

Fund Report

Preparedness for Clinical Practice: Reports of Graduating Residents at Academic Health Centers

September 1, 2001 - According to this study, more than one of 10 medical residents say they feel unprepared to handle certain treatments and procedures relative to their specialties despite years of solid training.

In the Literature

Insuring the Uninsurable: An Overview of State High-Risk Pools

August 1, 2001 - The authors argue that high premiums, deductibles, and copayments make high-risk pools unaffordable for people with serious medical conditions, and suggest that by lifting the tax exemption granted to self-insured plans, states could provide their high-risk pools with some much-needed financing.

Fund Report

Diagnosing Disparities in Health Insurance for Women: A Prescription for Change

August 1, 2001 - In this report, the author concludes that building on insurance options that currently exist—such as employer-sponsored insurance, the Children's Health Insurance Program (CHIP), and Medicaid—represents the most targeted and potentially effective approach for increasing access to affordable coverage for the nation's 15 million uninsured women.

Fund Report

Status of Clinical Research in Academic Health Centers: Views from the Research Leadership

August 1, 2001 - In this study, the authors report that close to half of the research leaders at U.S. medical schools do not consider their clinical research enterprises to be healthy or robust, and that they also question the overall quality of the clinical research being conducted.

In the Literature

Study Highlights Employer Policies that Deter Health Plan Enrollment

August 1, 2001 - A surprising number of working Americans cannot get health insurance even though they work for companies that offer health benefits, according to this study.

In the Literature

Gaps in Health Coverage Among Working-Age Americans and the Consequences

August 1, 2001 - The authors examine health coverage and access to care among working-age adults using the Kaiser/Commonwealth 1997 National Survey of Health Insurance, and report that having even a temporary gap in health coverage made a significant difference in access to care for working-age adults.

In the Literature

Market Failure? Individual Insurance Markets for Older Americans

August 1, 2001 - President Bush's proposal to provide tax credits to expand access to health insurance coverage would not be of much help to older Americans, this study finds.

In the Literature

How the New Labor Market is Squeezing Workforce Health Benefits

June 6, 2001 - To understand how labor market trends have contributed to the decline in the proportion of private-sector workers receiving benefits from their own employers—and to anticipate future trends—this study examines changes over a 19-year period, 1979 to 1998.

Fund Report

Health Policy and Early Child Development: An Overview

June 3, 2001 - This report is the first in a series of analyses exploring federal and state health policy in the area of early childhood development. It provides an overview of the evolution of federal health policy related to the financing and provision of preventive health services for young children.

Fund Report

Raising Payment Rates: Initial Effects of BIPA 2000

June 1, 2001 - This Mathematica "Fast Facts" brief on monitoring Medicare+Choice reviews the early effects of the Benefits Improvement and Protection Act, which raised payment rates for Medicare HMOs as of March 2001.

Fund Report

Room to Grow: Promoting Child Development Through Medicaid and CHIP

June 1, 2001 - This report, the second in a series of analyses exploring federal and state health policy in the area of early childhood development, examines how public insurance programs covering low-income children—namely, Medicaid and the State Children's Health Insurance Program (CHIP)—can be used to support and foster optimal child development interventions.

Fund Report

Health Insurance on the Way to Medicare: Is Special Government Assistance Warranted?

June 1, 2001 - The authors conclude that the loss of employer insurance should not be used as the primary justification for implementing Medicare buy-in or other reforms for over-55 and over-62 age groups, but instead propose that the better justification for such reforms is the poorer average health status of those nearing age 65.

Fund Report