The Commission’s March 2013 report to Congress focuses on issues confronting Medicaid and State Children’s Health Insurance Program (CHIP) administrators as implementation of the Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended) moves forward. These include executing new eligibility provisions; managing interaction among Medicaid, CHIP, and exchange coverage; and pursuing delivery system and payment innovations for individuals dually enrolled in Medicare and Medicaid, who are among the highest need and highest cost enrollees in both programs.
The report also addresses Medicaid coverage of premiums and cost sharing for low-income Medicare beneficiaries, and issues in setting Medicaid capitation rates for integrated care plans.
Chapters:
- Setting the Context
- Eligibility Issues in Medicaid and CHIP: Interactions with the ACA
- The Roles of Medicare and Medicaid for a Diverse Dual-Eligible Population
- Medicaid Coverage of Premiums and Cost Sharing for Low-Income Medicare Beneficiaries
- Issues in Setting Medicaid Capitation Rates for Integrated Care Plans