News Article | May 3, 2017
WASHINGTON--(BUSINESS WIRE)--On May 4-5, National Skills Coalition and New America will host a ground-breaking gathering of 500 local and national leaders dedicated to expanding apprenticeship. These experts will discuss how we can help millions of students and workers apprentice with thousands of companies to develop skilled careers. The two-day event will kick off with speeches from government and business leaders before digging deep into the social and economic potential of apprenticeship - and the policies and programs that will allow more workers and businesses to benefit. The conference is made possible with the support of JP Morgan Chase & Co., Siemens Foundation, The Annie E. Casey Foundation, The Joyce Foundation, and The JPB Foundation. Conference partners are National Skills Coalition, New America, AFL-CIO Working for America Institute, Advance CTE, Jobs for the Future, National Association of Workforce Boards, National Fund for Workforce Solutions, National Governors Association, and Urban Institute. Apprenticeship Forward was developed in consultation with the U.S. Department of Labor’s Employment and Training Administration and the U.S. Department of Education’s Office of Career Technical and Adult Education. Media must be registered to attend. Please contact Nicky Coolberth.
News Article | April 19, 2017
Many Veterans Gained Health Care Through The Affordable Care Act Almost half a million veterans gained health care coverage during the first two years of the Affordable Care Act, a report finds. In the years leading up to the implementation of the ACA's major coverage provisions, from 2010 to 2013, nearly 1 million of the nation's approximately 22 million veterans didn't have health insurance. Almost half of all veterans are enrolled in the VA health system; others get health care through employers or Medicare. But some don't quality for those options, and others don't know that they have them. Two years after the ACA's implementation, 429,000 veterans under the age of 65 gained coverage, which is a 40 percent drop in vets without insurance from 2013 to 2015. The vets were covered for the most part through Medicaid expansion, privately purchased plans and marketplace coverage, according to the report. The number of insured veterans rose across demographics like age, gender, race and education level. "The gains in coverage were really broad," says Jennifer Haley, a research associate at the Urban Institute, a research group based in Washington, D.C., who was an author on the report. Veterans with the lowest incomes saw the greatest increase in coverage, especially in states that adopted Medicaid expansion. Vets with incomes up to 138 percent of the federal poverty level, or $16,394 a year for an individual, became eligible for Medicaid in expansion states, the report notes. In 2015, just 4.8 percent of veterans were uninsured in states that participated in Medicaid expansion, compared to 7.1 percent in states that did not. One in 5 uninsured vets live in states that did not expand Medicaid and would have been eligible for coverage had their state chosen to expand the program, the report found. Haley says these are key data points when considering changes to policy. "If states would adopt the expansion, more vets would qualify for publicly supported coverage," she says. Currently, 31 states and the District of Columbia have expanded Medicaid programs, including California, New York, Pennsylvania and Illinois. Another 19 states, including Florida and Texas, have not expanded access to the program. Veterans weren't the only ones to benefit from expanded insurance access. Their family members had access to more coverage, too, and by a similar margin. The overall rate of uninsurance among relatives sank from 9.2 percent in 2013 to 4.5 percent in 2015. For children, the rates fell from 4.5 to 2.9 percent. Overall, 730,000 fewer vets and their family members were lacking health insurance from 2013 to 2015. The report, published by the Urban Institute, used data from the American Community Survey, which is performed annually by the U.S. Census Bureau. It surveys around 100,000 veterans and 100,000 family members of veterans. The report also considered data from the National Health Interview Survey which is conducted by the Centers for Disease Control and Prevention's National Center for Health Statistics. A repeal of the ACA or a rollback of Medicaid could negate these coverage increases and leave more vets without health insurance coverage, the authors note in their report. The VA health system continues to struggle with delays in delivery of services to veterans. On Wednesday, President Donald Trump signed a law extending the Veterans Choice program, which allows some vets get health care from private providers paid for by the VA and was created to help improve access to timely care. The $10 billion program has been riddled with problems, as Montana Public Radio's Eric Whitney reports, including long waits, a confusing, complicated system and delayed payments to providers.
Decker S.L.,Centers for Disease Control and Prevention |
Kenney G.M.,Urban Institute |
Long S.K.,Urban Institute
JAMA - Journal of the American Medical Association | Year: 2013
Importance: Under the Affordable Care Act (ACA), states can extend Medicaid eligibility to nearly all adults with income no more than 138% of the federal poverty level. Uncertainty exists regarding the scope of medical services required for new enrollees. Objective: To document the health care needs and health risks of uninsured adults who could gain Medicaid coverage under the ACA. These data will help physicians, other clinicians, and state Medicaid programs prepare for the possible expansions. Design, Setting, and Patients: Data from the National Health and Nutrition Examination Survey 2007-2010 were used to analyze health conditions among a nationally representative sample of 1042 uninsured adults aged 19 through 64 years with income no more than 138% of the federal poverty level, compared with 471 low-income adults currently enrolled in Medicaid. Main Outcomes and Measures: Prevalence and control of diabetes, hypertension, and hypercholesterolemia based on examinations and laboratory tests, measures of self-reported health status including medical conditions, and risk factors such as measured obesity status. Results: Compared with those already enrolled in Medicaid, uninsured adults were less likely to be obese and sedentary and less likely to report a physical, mental, or emotional limitation. They also were less likely to have several chronic conditions. For example, 30.1% (95% CI, 26.8%-33.4%) of uninsured adults had hypertension, hypercholesterolemia, or diabetes compared with 38.6% (95% CI, 32.0%-45.3%) of those enrolled in Medicaid (P =.02). However, if they had these conditions, uninsured adults were less likely to be aware of them and less likely to have them controlled. For example, 80.1% (95% CI, 75.2%-85.1%) of the uninsured adults with at least 1 of these 3 conditions had at least 1 uncontrolled condition, compared with 63.4% (95% CI, 53.7%-73.1%) of adults enrolled in Medicaid. Conclusion and Relevance: Compared with adults currently enrolled in Medicaid, uninsured low-income adults potentially eligible to enroll in Medicaid under the ACA had a lower prevalence of many chronic conditions. A substantial proportion of currently uninsured adults with chronic conditions did not have good disease control; projections based on sample weighting suggest this may represent 3.5 million persons (95% CI, 2.9 million-4.2 million). These adults may need initial intensive medical care following Medicaid enrollment. ©2013 American Medical Association. All rights reserved.
Rosenbaum S.,George Washington University |
Kenney G.M.,Urban Institute
Health Affairs | Year: 2014
Thirty-eight percent of US children depend on publicly financed health insurance, reflecting both its expansion and the steady erosion of employment-based coverage. Continued funding for the Children's Health Insurance Program (CHIP) is an immediate priority. But broader reforms aimed at improving the quality of coverage for all insured children, with a special emphasis on children living in low-income families, are also essential. This means addressing the "family glitch," which bars premium subsidies for children whose parents have access to affordable self-only employer-sponsored benefits. It also means addressing the quality of health plans sold in the individual and small-group markets-whether or not purchased through the state and federal exchanges-that are governed by the "essential health benefit" standard of the Affordable Care Act (ACA). In this article we examine trends in coverage and the role of Medicaid and CHIP. We also consider how the ACA has shaped child health financing, and we discuss critical issues in the broader insurance market and the need to ensure plan quality, including the scope of coverage, use of a pediatric medical necessity standard that emphasizes growth and development, the structure of pediatric provider networks, and attention to the quality of pediatric health care.