Protecting and Expanding Medicaid

Expanding Medicaid to cover uninsured Americans.

Impact of Expanding SSI on Medicaid Expenditures of Disabled Children

Supplemental Security Income (SSI) expansions for disabled children in the early 1990s provoked criticism that eligibility criteria were too lax and motivated the subsequent retraction of benefits for many children. However, little evidence exists on whether the clinical needs of SSI children declined during this period. The authors used Medicaid data to examine changes in average expenditures ...

Expanding coverage to parents through Medicaid Section 1931.

for parents has primarily been limited to those enrolled in welfare. The only way for states to cover more parents was through the federal waiver process, which often involved long and complicated negotiations with the Health Care Financing Administration (HCFA) and required states to achieve offsetting Medicaid savings. By adding Section 1931 to the Social Security Act, the Personal Responsibi...

The Expanding Role of Managed Care in the Medicaid Program

States increasingly use managed care for Medicaid enrollees, yet evidence of its impact on health care outcomes is mixed. This research studies county-level Medicaid managed care (MMC) penetration and health care outcomes among nonelderly disabled and nondisabled enrollees. Results for nondisabled adults show that increased penetration is associated with increased probability of an emergency de...

How states are expanding Medicaid to low-income adults through Section 1115 waiver demonstrations.

In the wake of the Supreme Court's 2012 decision making state expansion of Medicaid to more adults optional under the Affordable Care Act, several states have received approval to combine such expansion with broader Medicaid reforms. They are doing so under Section 1115 of the Social Security Act, which authorizes Medicaid demonstrations that further program objectives. State demonstrations app...