Debra Miller

Author Articles

Kaiser Health News has created a special website to keep track of news about changes to the Affordable Care Act. KHN says it will provide analysis, explanation, investigation and data on its site called Repeal & Replace Watch. You can bookmark this on your browser.

A new study from the Commonwealth Fund finds that repeal of two major federal spending provisions of the Affordable Care Act, insurance premium tax credits and the expansion of Medicaid, would ultimately lead to the loss of 2.6 million jobs in 2019. The data, generated by researchers at George Washington, breaks down the impact of repeal for each state. California would lose the most jobs, 334,000 their multistate economic forecasting model suggests, and Wyoming the least with 4,000 jobs lost.

A new study out of Michigan concludes that the state’s Medicaid expansion is to the state’s financial advantage.

When the legislature approved the expansion in 2013, it required that Michigan achieve other health care savings and revenue to offset the state match required starting Jan. 1, 2017 – or the state would reverse its expansion.

Three speakers provided a look at major health policy issues, with emphasis on state policy options available in 2017. Michael Williams discussed health equity and disparities and how they drive health care costs. Dania Palanker reviewed health insurance exchanges and provided data for the 2016 open enrollment period. She also looked at the major policy proposals being considered by the incoming Trump administration. Ameet Sarpatwari analyzed pharmaceutical drug pricing and state policy recommendations recently developed by a work...

 

As states are battling heroin and opioid epidemics, they are doing so in the remnants of an economic recession that saw an estimated $5 billion cut from state mental health budgets. With less than two cents of every state and federal dollar allocated toward substance abuse and addiction spent on prevention and treatment, government at all levels, as well as private

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One in five health care dollars is spent caring for people with diabetes and prediabetes. Eighty-six million Americans have prediabetes, but most don’t know it. If we can prevent just 30 percent of individuals with pre-diabetes from developing diabetes, we can save $74 billion dollars in medical costs and lost productivity. CSG is engage in surveying states to look at how they are tackling diabetes and how they are allocating resources to the effort.

Presentation slides and audios from the session are posted, as well as speaker biographies. 

The Medicaid Policy Academy provided attendees an opportunity to meet with federal government officials and other Medicaid experts to develop a deeper understanding of program rules and requirements. With the upcoming change of administration in Washington, D.C., speakers and attendees discussed how policy changes might impact states' Medicaid programs. 

Presentation slides and audios from the session are posted, as well as speaker biographies. 

Seema Verma, a health policy consultant from Indiana, has been picked by President-elect Donald J. Trump to direct the Centers for Medicare and Medicaid within the U.S. Department of Health and Human Services according to Politico.

The first case of local transmission of the Zika virus outside of Florida has been reported in Brownsville, Texas.

Health policies and programs in the states face an uncertain future with the election of Donald J. Trump. During his campaign he vowed to repeal the Affordable Care Act.

Currently 73 million Americans are enrolled in the Medicaid program, a federal-state partnership program for which the federal government pays 62 percent of total expenditures. A Medicaid block grant, one proposal under discussion, might provide the states more flexibility but also might transfer more financial responsibility, especially in the long term, to the states. 

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