Sign Up for Email Alerts Visit us on Twitter Visit us on Facebook Visit us on YouTube Subscribe to RSS Feeds

Home > Past Briefings > Briefing Detail Page

Briefing Detail Page

Change Text Size:   Smaller Text Size   Larger Text Size   Default Text Size    

The New Health Reform Law and Medicaid

Friday, April 23, 2010

This briefing is part of our ongoing series to explore the provisions of the Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act of 2010 (HCERA). A panel of well-qualified experts explained how the two health reform laws affect Medicaid, and to answered a variety of questions about topics such as Medicaid eligibility, financing, and other implementation issues. The Kaiser Family Foundation cosponsored.

What new groups will be eligible for Medicaid coverage, and when? What changes are there in determining eligibility? What benefits will be available to newly-eligible enrollees? How will the expansion be financed? How will Medicaid and CHIP interact with the new health insurance exchanges? What other changes will affect access, provider payments, benefits and financing? What are the key implementation issues and fiscal implications for states? When will major changes take effect?

Guiding us through these complicated issues were: Cynthia Mann, Center for Medicare and Medicaid Services; Robin Rudowitz, the Kaiser Family Foundation; and Vernon Smith, Health Management Associates. Diane Rowland of Kaiser and Ed Howard of the Alliance co-moderated.

Upcoming events include:

April 30: The New Health Reform Law and Private Insurance (Rm. 902, Hart Bldg.)
May 7: The New Health Reform Law and Medicare (Rm. 325, Russell Bldg.)


Ed Howard, Alliance for Health Reform, Moderator
Diane Rowland, Kaiser Family Foundation, Moderator
Robin Rudowitz, Kaiser Family Foundation, Speaker
Cynthia Mann, Center for Medicare and Medicaid Services , Speaker
Vernon Smith, Health Management Associates, Speaker

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Transcript (Word Document), 4/23/2010
Full Webcast/Podcast: The New Health Reform Law and Medicaid

The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Cindy Mann presentation (PowerPoint), 4/23/2010
Robin Rudowitz Presentation (PowerPoint), 4/23/2010
Vernon Smith Presentation (PowerPoint), 4/23/2010

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Agenda (Word Document), , 4/23/2010
Speaker Biographies (Word Document), , 4/23/2010
Source List (Word Document), , 4/23/2010
Event Summary (Word Document), , 4/23/2010

Offsite Materials (briefing documents saved on other websites)

Holding the Line on Medicaid and CHIP: Key Questions and Answers About Health Care Reform’s Maintenance-of-Effort Requirements (Adobe Acrobat PDF),Georgetown University Health Policy Institute and the Center for Budget and Policy Priorities, 3/26/2010
Guidance for New Option for Coverage of Individuals under Medicaid (Adobe Acrobat PDF),Centers for Medicare and Medicaid Services, 4/9/2010
- Cindy Mann, Director of the Center for Medicaid and State Operations
Health Care Reform, Dual Eligibles & Coverage Expansion, National Senior Citizens Law Center, 4/1/2010
The Medicaid Long-Term Services and Supports Provisions in the Health Care Reform Law, National Senior Citizens Law Center, 4/1/2010
Landmark Health Care Reform Legislation Significantly Expands Government's Ability to Fight Fraud, Waste, and Abuse, Foley and Lardner LLP, 3/30/2010
The Effect of the Health Reform Law on Arizona's Health Care Budget (Adobe Acrobat PDF),Arizona Health Care Cost Containment System, 3/25/2010
- Thomas J. Betlach, Director of AHCCCS
Implementation Timeline for Federal Health Reform Legislation (Adobe Acrobat PDF),National Governors Association, 4/13/2010
Medicaid and Children’s Health Insurance Program Provisions in the New Health Reform Law, Kaiser Family Foundation, 4/7/2010
Medicaid and CHIP Health Reform Implementation Timeline, Medicaid and CHIP Health Reform Implementation Timeline, 4/12/2010
Medicaid Beneficiaries and Access to Care, Kaiser Commission on Medicaid and the Uninsured, 4/1/2010
Expanding Medicaid: Coverage for Low-Income Adults Under Health Reform, Kaiser Commission on Medicaid and the Uninsured, 4/20/2010
Explaining Health Care Reform: Questions About Medicaid's Role, Kaiser Family Foundation, 4/1/2010


Diane Rowland, executive vice president of the Kaiser Family Foundation, provided an overview of Medicaid provisions in the new health reform law at the April 23 briefing co-sponsored by the foundation. Click on the arrow above to see the full webcast.

Robin Rudowitz of the Kaiser Commission on Medicaid and the Uninsured offered details on Medicaid expansions in the new health reform law, at the April 23 briefing cosponsored by the Kaiser Family Foundation. Click on the arrow above to see the full webcast. Photo by Bob Peavy.

Cindy Mann, CMS deputy administrator, discussed how to create a high-performance Medicaid system within a reformed health care system, at the April 23 briefing cosponsored by the Kaiser Family Foundation. Click on the arrow above to see the full webcast. Photo by Bob Peavy.


Uwe Reinhardt Questions Bundled Payment Savings Prospects

Video (2:58)

A new Alliance for Health Reform video features Princeton’s Uwe Reinhardt questioning whether bundling payments for medical services might actually lead to higher – not lower – costs.

"The ACO's, the accountable care organizations, could create local monopolies that could dictate to you what that bundled price would be, and some of us fear that bundled prices might be even more than what the fee-for-service for that bundle would be today. … You really should align all the payers and say, 'Let us jointly negotiate with the ACOs what those bundles should be so that they cannot divide and rule and sort of make us on the buy side weak.'"


Read More 

Sister Carol Keehan on Health Law Enrollment Challenges this Year

Video 3:00

A new Alliance for Health Reform video features Sister Carol Keehan of the Catholic Health Association of the United States addressing the challenges of quickly enrolling millions of Americans for health insurance this fall. Open season begins October 1 of this year, yet she says that up to 85 percent of those who will be newly eligible for Medicaid or for subsidies to buy private insurance in state-based exchanges don't know it.  FULL TRANSCRIPT

Read More 

Jonathan Blum on CMS Efforts to Keep Medicare Spending Growth Down

Video (2:54)

Jonathan Blum, acting principal deputy administrator and director of the Center for Medicare at the Centers for Medicare and Medicaid Services (CMS), addresses the slower growth of Medicare spending over the last few years, and what his agency is doing to try and continue the trend. “There are promising signs that this strategy to change the payment system, to change the payment models, to focus on waste and abuse, is paying off," he said. "We are taking a whole new approach to addressing fraud in the program. Much more data resources, much more on the ground reaction. We have seen dramatic spending declines in areas of spending, such as home health and durable medical supplies that historically fueled lots of the fraud.”  FULL TRANSCRIPT

Read More 

Two Former Medicare Administrators Discuss How to Save the Program

A new Alliance for Health Reform video features two former Medicare administrators -- Gail Wilensky and Bruce Vladeck -- on their ideas about how to save the program.

Ms. Wilensky, who ran Medicare in a Republican administration, argued for increasing the eligibility age of Medicare for future retirees, while still making the program available at age 65 for those who are disabled.

Watch at

Read More 

Douglas Holtz-Eakin: Health Care Spending Lull Only Temporary

Video (3:11)

A new Alliance for Health Reform video features Douglas Holtz-Eakin of the American Action Forum, and a former director of the Congressional Budget Office, arguing that recent slower spending growth in health care won’t continue.

"We also saw a slowdown in the mid-90s, and we all declared victory and it came right back. I think next year we’ll see a noticeable uptick. There will be lots of new people entering the insurance markets because of the exchanges and the subsidies that come along with them, and those subsidies are very generous. … These are an invitation for people to get coverage and to buy more health care. I think that’ll place a lot of pressure on spending."


Read More 

Marketplace Enrollment Helpers Toolkit

Beginning October 1, insurance marketplaces open for enrollment, and millions of people will be eligible to purchase plans. To guide them in the application process, the federal government has invested in programs to train community organizations and hired staff.

Read More 

The Employer Mandate of the Patient Protection and Affordable Care Act

The Toolkit, available here, details the ACA’s employer requirements and penalty. It also includes information about the delay in the mandate to 2015, and analysis about its impact on employer-based coverage.

Read More 

Toolkit: Training the Workforce for a Changing Health System

A new Alliance for Health Reform toolkit addresses concerns about whether newly-trained physicians are adequately prepared for today's evolving health care delivery system. Does training adequately emphasize care coordination, team-based care, costs of care, health information technology, cultural competence and quality improvement? Does it encourage students to practice in a primary care setting?

Read More 

Toolkit: Emergency Preparedness in the U.S.: The Ebola Threat

Is the U.S. prepared for a potential virulent pandemic? This new Alliance toolkit examines public health infrastructure, funding and policy levers that deal with these kinds of health crises in America.

Read More 

Copyright 1997-2014 Alliance for Health Reform
1444 Eye Street, NW, Suite 910 Washington, DC 20005-6573      202-789-2300      202-789-2233 fax      Sitemap