The brief's maps and tables display one way of analyzing primary care capacity at a state level. The figures include information about the potential need (projected Medicaid eligibility and population characteristics) and capacity (current physician supply) in a visual format.

Click Here to Download

The brief's maps and tables display one way of analyzing primary care capacity at a state level. The figures include information about the potential need (projected Medicaid eligibility and population characteristics) and capacity (current physician supply) in a visual format.

Click Here to Download

The brief's maps and tables display one way of analyzing primary care capacity at a state level. The figures include information about the potential need (projected Medicaid eligibility and population characteristics) and capacity (current physician supply) in a visual format.

To Download Click Here

SHADAC Research Assistant Jessie Kemmick-Pintor and Lynn Blewett published an article in the October 2011 issue of Minnesota Physician as part of the journal’s special focus section on health reform. "Immigrant access to health care" reviews the key provisions of national legislation pertaining to access to care for immigrants.

Using insurance coverage among immigrants to address health care access issues, the authors find that across the U.S. and within Minnesota, non-citizens are four times more likely to be uninsured than their citizen counterparts.

Federal policies have hindered coverage among the immigrant population include.  The authors foresee an increasing reliance on formal and informal safety nets to provide care for uninsured immigrants under the restrictions of the Affordable Care Act. At the same time, less political will and lower state and federal tax revenue is likely to be directed to the safety net.

Citation:

Pintor, J.K. and L.A. Blewett.  "Immigrant access to health care," Minnesota Physician 25(7): 22-23.

In this webinar, experts from CMS, RAND, and SHADAC discuss the Federal Medical Assistance Percentages (FMAP) claiming and Modified Adjusted Gross Income (MAGI) income conversion methodologies that states will need to implement under the Affordable Care Act.  These methodologies will be needed to determine who is newly eligible for Medicaid under the Affordable Care Act and who would have been eligible before the Affordable Care Act took effect, had they applied for coverage (i.e., the “previously-eligible”), and to enable states to convert their current financial eligibility standards for Medicaid to the new MAGI-based standards.

The US Department of Health and Human Services (HHS) has contracted with the RAND Corporation, SHADAC, and the National Conference of State Legislatures (NCSL) to evaluate and refine proposed methodologies for (1) identifying individuals newly versus previously eligible for Medicaid for purposes of FMAP claiming, and (2) converting current state Medicaid eligibility standards to the new MAGI-based standards. Once the methodologies have been finalized, SHADAC will be providing technical assistance to states to implement them.

Whatever methodology or methodologies are ultimately chosen must be accurate but also administratively practical so that undue burden is not placed on states.  The goal of this webinar is to provide information about the approach of the feasibility study, and to solicit input on the study’s design in order to ensure that the expertise and concerns of state officials and other stakeholders inform the project.

Please send input on the methodologies and study design to jsonier@umn.edu by November 4, 2011.

States interested in study participation should contact Lisa Hiatt at hiatt@rand.org.

Supporting Materials

Click here to view the presentation slides.

Click here to view the webinar transcript.

You can also access these files in the downloads section below.