Medicaid

Effects of the Affordable Care Act on Safety Net Hospitals

This study examines the early effects of the ACA on 10 safety net hospitals, both in states that expanded income eligibility for Medicaid under the ACA and those that did not. This primarily qualitative research study, was conducted between September 2013 and March 2016....

Compilation of State Data on the Affordable Care Act

Compilation of State Data on the Affordable Care Act...

Analysis of the Joint Distribution of Disproportionate Share Hospital Payments. Appendix E. Federal Support for Uncompensated Care Costs Incurred by Ambulatory Care Providers

Overview...

Analysis of the Joint Distribution of Disproportionate Share Hospital Payments. Appendix D. Simulation Results from Three State Analysis

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Analysis of the Joint Distribution of Disproportionate Share Hospital Payments. Appendix C. Summary of Financial Indicators by Hospital Class

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Analysis of the Joint Distribution of Disproportionate Share Hospital Payments. Appendix B. Additional Tables on the Current Distribution of DSH Payments

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Analysis of the Joint Distribution of Disproportionate Share Hospital Payments. Appendix A. Technical Documentation for Estimating DSH Payments

Data Sources Used to Estimate Medicare Payments...

Analysis of the Joint Distribution of Disproportionate Share Hospital Payments. Appendices

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Marriage and Health Care Coverage Among Families with Children

From: Marriage and Health Care Coverage Among Families with Children

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Footnotes

The process used is similar to that used by the Bureau of the Census to establish final family weights in the March CPS. A description of the CMS data is available at: http://www.cms.hhs.gov/NationalHealthExpendData/02_NationalHealthAccountsHistorical.asp#TopOfPage We controlled for worker wage levels, industry, firm size and other characte...

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. 10-Year Estimates

We projected the cost of the two proposals over the 10-year period, 2009 through 2018. Note that when projecting program enrollment and costs, we assume a 40 percent phase-in for 2009 and an 80 percent phase in for 2010, with the program reaching ultimate enrollment beginning in 2011. Therefore, the 2009 impact estimates in our projections dif...

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Single-Year Estimates of State Costs

Note that the net Federal, State and total public costs for both proposals are displayed by State in Figure 13 . Detailed estimates of the costs, similar to those displayed in Figure 15 and Figure 16 are displayed in the Appendix for each State. Below we describe the derivation of the net cost amounts for the States under each pro...

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Single-Year Estimates of Federal Costs

President’s Proposal . The total amount of the federal tax revenue lost due to the new deduction would be $294.6 billion, including income and Social Security taxes ( Figure 16 ). These revenue losses would be largely offset by about $229.9 billion by requiring workers to count the value of their ESI coverage as taxable income. After...

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Impact on Health Spending

In this section we will discuss the impacts from both programs on Federal and State health spending. We first do so based upon our single year estimates assuming that the programs are fully implemented in 2009. We then present the estimated impacts over a 10-year projection period including an expected phase-in of the program over time. ...

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Changes in Private Insurance Coverage

President’s Proposal . Under current law, the tax exclusion for employer-sponsored health benefits effectively reduces the cost of insurance to workers. Creating a tax deduction of an equal amount for both employer and non-group coverage eliminates the relative tax advantage of providing coverage through the employer, resulting in a shi...

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Impact on the Uninsured

President’s Proposal . We project that under current policy there will be about 48.8 million people without health insurance in 2009. Under the President’s proposal, about 10.9 million people would become newly covered under the tax deduction, 8.6 million under Affordable Choices, and another 0.8 million children under SCHIP ( Figure 1...

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Impact on Coverage

Below we describe the impact of the President’s proposal and the Congressional tax credit proposal on health insurance coverage nationally and by state....

Assumptions used for the State-Level Estimates

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Assumptions used for the State-Level Estimates

As mentioned earlier, aside from developing national estimates, we also modeled the President’s proposal and the Congressional tax proposal for each state. Again, we used the HBSM to estimate the state impacts. The policy options were modeled using similar assumptions and methods as described above for the national estimates. This facilita...

Key Modeling Assumptions for Tax Deduction and

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Key Modeling Assumptions for Tax Deduction and Tax Credit

We modeled the effect of the President’s tax deduction proposal and the Congressional tax credit proposal on coverage using a uniform methodology. We estimated the impact of these tax incentive methodologies in HBSM based upon a multivariate model of how the likelihood of taking coverage is affected by changes in the net cost of insurance to t...

Key Modeling Assumptions for the Affordable

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Key Modeling Assumptions for the Affordable Choices Program

State Participation. Affordable Choices is an optional program to the states. To participate, the state must redirect half of their DSH funds to the Affordable Choices program. The remainder of the program is financed with federal matching funds, at the SCHIP enhanced matching rates. While the enhanced matching rate is attractive, the stat...

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