Medicaid, enacted in 1965, has grown into the nation's largest insurer and is now
the bulwark of health care for low-income children. Twenty-three percent of all US
residents are enrolled in Medicaid; this includes 37 million, or almost 40%, of the
nation's children.
1
,
- Medicaid and CHIP Payment and Access Commission (MACPAC)
Child enrollment in CHIP and Medicaid by state, FY 2016.
https://www.macpac.gov/wp-content/uploads/2015/01/EXHIBIT-32.-Child-Enrollment-in-CHIP-and-Medicaid-by-State-FY-2016.pdf
Date: 2017
Date accessed: January 8, 2018
2
,
3
Further, Medicaid is the insurer for 69% of children with special health care needs.
- Kaiser Family Foundation
Health insurance coverage of children 0–18.
http://www.kff.org/other/state-indicator/children-0-18/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D
Date: 2015
Date accessed: August 18, 2017
4
Medicaid has had a profound impact on child health. For example, Medicaid has reduced
uninsurance significantly among low-income children and has even contributed substantially
to offsetting both the prevalence and impact of child poverty.
5
,
- Majerol M.
- Newkirk V.
- Garfielld R.
The uninsured: a primer—key facts about health insurance and the uninsured in America.
http://files.kff.org/attachment/the-uninsured-a-primer-key-facts-about-health-insurance-and-the-uninsured-in-america-primer
Date: 2015
Date accessed: January 8, 2018
6
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References
- Child enrollment in CHIP and Medicaid by state, FY 2016.(Available at:)https://www.macpac.gov/wp-content/uploads/2015/01/EXHIBIT-32.-Child-Enrollment-in-CHIP-and-Medicaid-by-State-FY-2016.pdfDate: 2017Date accessed: January 8, 2018
- Medicaid and CHIP enrollment as a share of the US population, 2015.(Available at:)
- Health insurance coverage of children 0–18.(Available at:)http://www.kff.org/other/state-indicator/children-0-18/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7DDate: 2015Date accessed: August 18, 2017
- Implementing coverage and payment initiatives: results from a 50-state Medicaid budget survey for state fiscal years 2016 and 2017.(Available at:)
- The uninsured: a primer—key facts about health insurance and the uninsured in America.(Available at:)http://files.kff.org/attachment/the-uninsured-a-primer-key-facts-about-health-insurance-and-the-uninsured-in-america-primerDate: 2015Date accessed: January 8, 2018
- The role of public health insurance in reducing child poverty.Acad Pediatr. 2016; 16: S98-S104
- Inside the life and death of Graham-Cassidy.(Available at:)https://www.politico.com/story/2017/09/27/obamacare-repeal-graham-cassidy-243178Date: 2017Date accessed: November 8, 2017
- Medicaid and CHIP income eligibility limits for children as a percent of the federal poverty level.(Available at:)
- Trends in Medicaid spending.(Available at:)https://www.macpac.gov/publication/trends-in-medicaid-spending/Date: 2016Date accessed: January 8, 2018
- Differences in the volume of services and in prices drive big variations in Medicaid spending among US states and regions.Health Aff. 2011; 30: 1316-1324
- Medicaid spending by enrollment group.(Available at:)
- Child poverty and the health care system.Acad Pediatr. 2016; 16: S83-S89
- EPSDT in Medicaid.(Available at:)https://www.macpac.gov/subtopic/epsdt-in-medicaid/Date accessed: January 8, 2018
- Effects of the Medicaid per capita cap included in the House-passed American Health Care Act.(Available at:)https://www.brookings.edu/research/effects-of-the-medicaid-per-capita-cap-included-in-the-house-passed-american-health-care-act/Date: 2017Date accessed: January 8, 2018
- Key provisions in the House-passed AHCA and Senate-proposed substitute BCRA.(Available at:)https://www.manatt.com/Manatt/media/Media/PDF/Newsletters/Key-Provisions-in-the-House-passed-AHCA-and-Senate-proposed-Substitute.pdfDate: 2017Date accessed: January 8, 2018
- NCSL fiscal brief: state balanced budget provisions.http://www.ncsl.org/documents/fiscal/StateBalancedBudgetProvisions2010.pdfDate: 2010Date accessed: January 8, 2018
- Can states survive the per capita Medicaid caps in the AHCA?.(Health Affairs Blog, May 17; Available at:)http://healthaffairs.org/blog/2017/05/17/can-states-survive-the-per-capita-medicaid-caps-in-the-ahca/Date: 2017Date accessed: January 8, 2018
- The downstream consequences of per capita spending caps in Medicaid.(Health Affairs Blog, June 26; Available at:)http://healthaffairs.org/blog/2017/06/26/the-downstream-consequences-of-per-capita-spending-caps-in-medicaid/Date: 2017Date accessed: January 8, 2018
- Financial loss for inpatient care of Medicaid-insured children.JAMA Pediatr. 2016; 170: 1055-1062
- Children's Hospital Association: Trumpcare's Medicaid cuts “catastrophic” for children.(Available at:)https://www.dailykos.com/stories/2017/6/9/1670341/-Children-s-Hospital-Association-Trumpcare-s-Medicaid-cuts-catastrophic-for-childrenDate: 2017Date accessed: August 18, 2017
- A primer on defining the Triple Aim.
Article Info
Publication History
Published online: December 07, 2017
Footnotes
The authors have no conflicts of interest to disclose.
Identification
Copyright
Copyright © 2018 by Academic Pediatric Association
