State Update

Reports of Interest - July 2014

(Medicare and Medicaid, Reports of Interest) Permanent link   All Posts
  • The Medicaid and Children’s Health Insurance Program (CHIP) Payment and Access Commission (MACPAC) released its June Report to the Congress on Medicaid and CHIP. MACPAC recommends that the Congress should extend federal CHIP funding for a transition period of two additional years, through FY17, during which time the key issues regarding the affordability and adequacy of children’s coverage can be addressed. In the report, MACPAC encourages Congress to act soon to extend CHIP allotments through FY17 so that states do not respond to uncertainty around CHIP’s future by implementing policies that reduce children’s access to appropriate care.

    MACPAC notes that in future analyses and reports it will explore the issues that must be addressed before children currently enrolled in CHIP can be integrated into other sources of coverage, including coverage through Medicaid, exchanges and employers. Additionally, in future reports MACPAC will examine any emerging evidence regarding children’s experiences in exchange plans to determine whether other issues need to be addressed to ensure coverage is adequate and appropriate for children currently enrolled in CHIP.     
  • The Council of Economic Advisers, within the Office of the President of the United States, released a report titled, Missed Opportunities: The Consequences of State Decisions Not to Expand Medicaid. The report details the effects of state decisions regarding Medicaid expansion on access to care, financial security, overall health and well-being of residents, and state economies. To date, 26 States and the District of Columbia have expanded Medicaid, and since the beginning of the Affordable Care Act’s first open enrollment period, 5.2 million people have gained Medicaid or CHIP coverage in these States. In contrast, 24 States have not yet expanded Medicaid. If these States do not expand Medicaid, 5.7 million people will not have health insurance coverage in 2016. 
  • The Robert Wood Johnson Foundation and the Urban Institute released an issue brief estimating the effect on large cities within 14 states choosing to opt in or opt out of Medicaid expansion under the Affordable Care Act (ACA). The issue brief found that among the seven cities in states that have expanded Medicaid (Los Angeles, Chicago, Phoenix, Columbus, Detroit, Seattle, and Denver), the ACA will likely decrease the number of uninsured by an average of 57%. City by city, the reduction is projected to vary between 49% in Denver and 66% in Detroit by 2016. New federal spending on health care from 2014 to 2023 would range from $4.1 billion in Seattle to $27 billion in Los Angeles. 

    Among the seven cities in states not expanding Medicaid (Houston, Philadelphia, Indianapolis, Charlotte, Memphis, Atlanta, and Miami), the ACA will likely decrease the number of uninsured by an average of 30%. The decrease would range from 25% in Atlanta to 36% in Charlotte by 2016. New federal spending due to the ACA from 2014 to 2023 would increase by between $1.9 billion in Atlanta and $9.9 billion in Houston. If Medicaid eligibility were expanded in these cities, the number of uninsured would fall by an average of 52%.