Medicaid and Health Insurance Exchanges: Comparing Benefits and Costs

Scott Ahearn (Editor)
Maria Antonino (Editor)

Series: Health Care Issues, Costs and Access
BISAC: HEA028000

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Volume 10

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Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick

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The Patient Protection and Affordable Care Act (ACA) expands health insurance coverage primarily through two mechanisms: by expanding the existing Medicaid program and by establishing new health insurance exchanges where certain individuals and businesses can purchase private health insurance. Under ACA, Medicaid and exchanges are envisioned to work in tandem, with the potential to provide a continuous source of subsidized coverage for lower-income individuals and families, beginning in 2014.

This book provides an analysis of some of the key similarities and differences between Medicaid and insurance plan structure in plans offered through exchanges. Because Medicaid services vary by population covered and by state, and exchange plans can also vary by state, this book provides insight into the complexities and issues when comparing beneficiary benefits and costs to individuals for Medicaid and the exchanges. The inherent variations in Medicaid and the uncertainty about exactly how the exchanges will operate are just two of the factors that complicate this comparison. (Imprint: Nova)

Preface

Comparing Medicaid and Exchanges: Benefits and Costs for Individuals and Families
(Evelyne P. Baumrucker, Bernadette Fernandez, CRS)

Health Insurance Exchanges Under the Patient Protection and Affordable Care Act (ACA)
(Bernadette Fernandez, Annie L. Mach, CRS)

Medicaid and the State Children’s Health Insurance Program (CHIP) Provisions in ACA: Summary and Timeline
(Evelyne P. Baumrucker, Cliff Binder, Elicia J. Herz, Elayne J. Heisler, CRS)

Frequently Asked Questions on Exchanges, Market Reforms, and Medicaid
(Department of Health & Human Services, Centers for Medicare & Medicaid Services)

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