Medicaid

This Issue Brief summarizes the ACA's preventive services provisions for private health coverage, Medicare, and Medicaid; provides updated estimates of the number of people benefiting from these provisions nationally; and examines evidence on trends in utilization of preventive services and outcomes since the ACA's preventive services coverage requirements went into effect.

This report provides an overview of the characteristics of the immigrant population in the United States, their health status and barriers to care, recent trends in health insurance coverage, their access to Federal health programs, and how they have been affected by the Covid-19 pandemic. It also offers possible policy approaches to improve health care equity for this diverse population.

The Child and Caregiver Outcomes Using Linked Data project provides technical assistance to states to develop state-specific datasets linking the Medicaid administrative claims of parents with the records of their children from the child welfare system. The data will be combined into a multi-state, de-identified data sets for secondary data analysis.

The postpartum period is increasingly recognized as a target for policy intervention to improve maternal health. The American Rescue Plan Act included an option for states to offer 12 months of postpartum Medicaid eligibility, a significant extension from the current requirement of 60 days.

Participation in the social safety net varies widely across programs—from 15 percent among eligibles for subsidized child care (CCDF) to over 75 percent for Medicaid/CHIP and EITC.  Participation differs by race and ethnicity, yet patterns are not consistent. In general rates differ more across programs than between race-ethnic groups.

Network adequacy is often defined as having enough providers within a health plan network to ensure reasonable and timely access to care. At a minimum, health plans should include a sufficient number of providers who deliver mental health and substance use disorder (SUD) services (collectively referred to in this report as behavioral health services) to support access to those services.

Federal surveys relied on by researchers and policymakers for estimates of the uninsured population have been disrupted by the COVID-19 pandemic, potentially influencing the accuracy of their estimates. This report analyzes evidence from a variety of data sources, including surveys and administrative data, which collectively indicate that the number of uninsured people in the U.S.

Dual eligible beneficiaries are an important subset of the Medicare and Medicaid populations because they have a high prevalence of chronic conditions and disabilities, substantial care needs, and high health care and long-term services and supports (LTSS) utilization and costs.

This Issue Brief reviews evidence on factors affecting enrollment in health coverage among uninsured populations, including take-up of Medicaid and subsidized Marketplace plans among eligible individuals.