Download or read book Section 1115 Waivers at a Glance written by Samantha Gill and published by . This book was released on 2003 with total page 17 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid Section 1115 Waivers written by DIANE Publishing Company and published by DIANE Publishing. This book was released on 1996-07 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt: To determine whether the Medicaid program can add several million new beneficiaries without increasing federal funds, this report examines the financing arrangements for applications for 1115 demonstration waivers approved since 1992, concentrating on the potential net impact on federal Medicaid expenditures. It focuses on four approved waivers : Tennessee, Florida, Oregon & Hawaii, in addition to monitoring other approved & pending waivers. Charts, tables & graphs.

Download or read book Medicaid and SCHIP Section 1115 Research and Demonstration Waivers written by and published by . This book was released on 2006 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Section 1115 of the Social Security Act provides the Secretary of Health and Human Services (HHS) with broad authority to conduct research and demonstration projects under several programs authorized by the Social Security Act. Two such programs are Medicaid and the State Children's Health Insurance Program (SCHIP). Specifically, Section 1115 allows the Secretary to waive certain statutory requirements to modify virtually all aspects of the programs as long as the changes further the goals of Titles XIX (Medicaid) and/or XXI (SCHIP). In recent years, there has been increased interest among states and the federal government in the Section 1115 waiver authority as a means to restructure Medicaid coverage, control costs, and increase state flexibility. States have used the Section 1115 waiver authority to cover nonMedicaid and SCHIP services, limit benefit packages for certain groups, cap program enrollment, among other purposes. As of fall 2003, there were 68 operational (i.e., approved and implemented) Medicaid and SCHIP Section 1115 waiver programs. In FY2003 (the most recent data available), Section 1115 waiver federal expenditures (for Medicaid and SCHIP) totaled $22.4 billion. Section 1115 waiver programs represented nearly14% of all federal Medicaid spending in the 50 states and the District of Columbia for FY2003 (8% for SCHIP), and provided coverage to approximately 9.5 million enrollees. Of the 9.5 million total Medicaid and SCHIP waiver enrollees, 2.4 million were eligible only for a targeted benefit package such as family planning or pharmacy benefits. This report provides background information on the waiver authority, and will be updated when new data are available.

Download or read book Investigating State Incentives and Decision Making During Section 1115 Waiver Application written by Kathryn Brooks Vaughn and published by . This book was released on 2022 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: The social determinants of health are relatively well-documented, considering that the academic and research concept of studying the non-clinical causes of health disparities is little more than twenty years old. The World Health Organization recognizes ten different social elements that are likely to influence health outcomes in both positive and negative ways: income and social protection, education, unemployment and job insecurity, food insecurity, housing, basic amenities and the environment, early childhood development, social inclusion and non-discrimination, structural conflict, and access to affordable services of decent quality. The United States healthcare system is one of few among the developing nations that centers health policy decisions upon favoring employer sponsored insurance, or ESI. Such a practice has deep roots in American history and policy. What is concerning about this focus, however, is that less than fifty percent of Americans actually access their primary insurance coverage through employer-sponsored plans. Lower-income families and workers are traditionally less likely to be covered by employer plans, meaning that those who qualify are all but forced to seek coverage through state and federal insurance programs, like Medicaid. As prices and overall spending continues to increase at concerning rates, the reliance upon insurance as a mechanism to facilitate affordability is nearly cemented. Overall health outcomes among the uninsured (or underinsured) tend to be worse than those who have insurance, as we know that in many cases, the uninsured end up delaying or avoiding care due to cost.States that consistently rank as having the worst health outcomes , tend to coincide with data that indicates that they also spend less on care per capita. There are a multitude of reasons why this could be - some research points to burdens in accessing public health care provisions (both insurance and clinical care), others point to high rates of uninsurance due to cost, while others examine the relationship between cultural and dietary habits and health maintenance. Many of these concentrations in poor health outcomes tend to reside in states that also have poor outcomes in education, poverty, and other social metrics that tend to be predictors of health outcomes. For these reasons, this paper will explore the access to affordable and quality services in the United States, specifically in the realm of Medicaid and state efforts to alter its accessibility and quality. Section 1115 Medicaid waivers have long been utilized by states to change health care policy in ways that the federal government does not. From expanding eligibility criteria, to imposing work requirements, it is often implied that state leaders use this tool for political posturing rather than program improvement. However, almost every state has applied for a waiver at some point in time, making irrelevant the argument that one party rather pulls this lever more than another. This paper seeks to quantify some of the assumptions about why states use this tool to alter Medicaid and its structure: by incorporating state demographic factors, I will examine the varying incentives that states have to apply for Medicaid demonstration waivers. I will investigate this question by using data from a combination of sources including for poverty and income levels, employment, state gross domestic product, Medicaid enrollment, state legislative leanings, and more. Due to the multi-faceted nature of these waivers, my research will examine waivers in all states, along with separate analyses for states that are re-applying for existing waivers, and further stratification for addressing the individual likelihoods of applying for “progressive” waivers (that seek to expand Medicaid access and enrollment) versus “regressive” waivers (or waivers that seek to restrict Medicaid access and enrollment). This research will provide valuable context for further discussion around political incentives, and whether state efforts to better manage (or better afford) Medicaid programs are really of merit.

Download or read book Section 1115 Medicaid Waivers written by Jane Perkins and published by . This book was released on 1994 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book An Overview of Recent Section 1115 Medicaid Demonstration Waiver Activity written by and published by . This book was released on 2012 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt: Section 1115 Medicaid demonstration waivers provide states an avenue to test new approaches in Medicaid that differ from federal program rules. Waivers can provide states significant flexibility in how they operate their programs and can have a significant impact on program financing. As such, waivers have important implications for beneficiaries, providers, and states. This brief provides an overview of Section 1115 waiver authority, the waiver approval process, and recent Section 1115 Medicaid waiver activity and discusses the implications of this activity.

Download or read book Medicaid Section 1115 Waivers Flexible Approach to Approving Demonstrations Could Increase Federal Costs written by United States Accounting Office (GAO) and published by . This book was released on 2018-04-29 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: HEHS-96-44 Medicaid Section 1115 Waivers: Flexible Approach to Approving Demonstrations Could Increase Federal Costs

Download or read book Section 1115 Waivers in Medicaid and the State Children s Health Insurance Program written by Kaiser Commission on Medicaid and the Uninsured and published by . This book was released on 2001 with total page 21 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid and SCHIP recent HHS approvals of demonstration waiver projects raise concerns written by and published by DIANE Publishing. This book was released on 2002 with total page 71 pages. Available in PDF, EPUB and Kindle. Book excerpt: States provide health care coverage to about 40 million low-income uninsured adults and children largely through two federal-state programs-Medicaid and the State Children's Health Insurance Program (SCHIP). Medicaid generally covers low-income families and elderly and disabled individuals, while SCHIP provides health coverage to children in families whose incomes, while low, are above Medicaid's eligibility requirements. To receive federal funding, which covered on average about 57 percent of Medicaid expenditures and 72 percent of SCHIP expenditures in 2001, states must meet certain statutory requirements including providing a certain level of benefits to specified populations. Under section 1115 of the Social Security Act, the Secretary of Health and Human Services (HHS) can waive many of the statutory requirements in the case of experimental, pilot, or demonstration projects that are likely to promote program objectives. As part of their responsibility to protect the fiscal integrity of the programs, traditionally, HHS and the Office of Management and Budget (OMB) have had a policy that all approved waiver projects be "budget neutral" for the federal government-that is, the proposed project cannot result in federal expenditures that are higher than they would have been without the project.

Download or read book Section 1115 Waivers and Budget Neutrality written by Charles Milligan (J.D.) and published by . This book was released on 2001 with total page 4 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book New Directions for Medicaid Section 1115 Waivers written by Samantha Artiga and published by . This book was released on 2005 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Section 1115 Waiver Implementation of Select States written by and published by . This book was released on 2021 with total page 4 pages. Available in PDF, EPUB and Kindle. Book excerpt: This memorandum provides information regarding the status of select state's implementation of Medicaid Section 1115 waivers.

Download or read book California Section 1115 Comprehensive Demonstration Project Waiver written by California. Department of Health Care Services and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid Section 1115 Demonstration Waivers written by and published by . This book was released on 2009 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid Section 1115 Demonstration Waivers written by Sara Rosenbaum and published by . This book was released on 1995 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Role of Section 1115 Waivers in Medicaid and CHIP written by Samantha Artiga and published by . This book was released on 2009 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid and SCHIP Section 1115 Research and Demonstration Waivers written by Evelyne P. Baumrucker and published by . This book was released on 2008 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt: