Tag Archives: states

Report card shows erosion of health insurance coverage in the states

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Chart: Commonwealth Fund

In four of the states that have not expanded Medicaid eligibility have among the highest rates of uninsured residents, according to a Commonwealth Fund report.Source: “2020 Scorecard on State Health System Performance,” The Commonwealth Fund, September 2020.

The coronavirus has certainly pushed the health care system into a crisis. Still, even before the pandemic began earlier this year, health insurance coverage in the states already was being eroded and health care costs were rising sharply along with the number of preventable deaths, according to a new report by the Commonwealth Fund.

In addition to those sad statistics, the fund’s researchers show in the 2020 Scorecard on State Health System Performance that racial and ethnic disparities were getting worse as well. Continue reading →

Joseph Burns (@jburns18), an independent journalist who resides in Brewster, Massachusetts, is AHCJ’s topic leader on health reform. He welcomes questions and suggestions and tip sheets at joseph@healthjournalism.org.

Pandemic changes, or pauses, state approaches to health coverage

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Photo: Yuri Samoilov via Flickr

Before the new coronavirus pandemic, expanding health insurance was a hot topic in the presidential campaign. States were considering a wide range of health coverage policies, including Medicaid expansion, Medicaid block grants, public options, new subsidies and coverage of immigrants.

Much of the state policymaking has been on hold or is phasing in more slowly as the nation’s health system focuses on COVID-19. States are facing enormous financial stresses due both to the pandemic and the subseqent economic crisis. Continue reading →

Contributing editor to Politico Magazine and former health care editor-at-large, Politico, Commonwealth Fund journalist in residence and assistant lecturer at Johns Hopkins Bloomberg School of Public Health.

How can states keep nursing home residents safe during the pandemic? 

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Photo: Deborah Crowe

When we first learned of widespread incidence and deaths from COVID-19 in a Seattle-area nursing home, many in the aging and health care fields already knew what was ahead. Since early March, Missouri, California, Texas, New York, Florida, Pennsylvania and nearly every other state have reported cases, More than 5,500 nursing home residents had died from coronavirus-related conditions as of April 15.

The real number undoubtedly is higher, since the Centers for Medicare & Medicaid Services only recently announced new regulatory requirements to report cases of COVID-19 directly to the Centers for Disease Control and Prevention. Many deaths early in the pandemic likely were attributed to age-related complications from flu, pneumonia, or pre-existing heart and breathing problems. So how are states helping to protect their most vulnerable residents? Continue reading →

Liz Seegert is an independent health journalist based in New York’s Hudson Valley, who writes about caregiving, dementia, access to care, nursing homes and policy in her role as AHCJ’s Health Beat Leader for Aging. Seegert helps provide context for reporting on this multidimensional issue with story posts, tip sheets, analysis, data and one-on-one interviews with aging experts.

Data analysis yields state-by-state dental rankings

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health care provider working on teeth

Photo by ktpupp via Flickr.

Overall, across America, about 15% of children and one-third of adults have gone longer than a year without a dental visit, federal data show.

But rates of children and adults getting oral health services, and factors that can represent barriers to access – including provider shortages and the cost of care – vary from state to state.

Continue reading →

Mary Otto, a Washington, D.C.-based freelancer, is the author of "Teeth: The Story of Beauty, Inequality, and the Struggle for Oral Health in America."

New tip sheet explains ‘partial Medicaid expansion’ – and why it hasn’t happened (yet)

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Map: Kaiser Family Foundation (as of Nov. 15, 2019)

Since the Supreme Court ruling in 2012, states have been warring over whether or not to expand Medicaid.

Now, some states want to pursue a “partial” expansion – under the same generous federal funding rules. So far, no state has been able to do this – but they are trying. Continue reading →

Contributing editor to Politico Magazine and former health care editor-at-large, Politico, Commonwealth Fund journalist in residence and assistant lecturer at Johns Hopkins Bloomberg School of Public Health.