Using Medicaid to Cover the Uninsured: Medicaid Participant Buy-in Programs

This report briefly reviews findings from the health services research literature on issues related to charging premiums for public health coverage programs. Findings from an October 2002 survey of the 41 current Medicaid buy-in programs operated by 29 states also are presented. Finally, a discussion of the implications of the research findings from the perspectives of the state officials attending the expert meeting is presented. The group addressed practical and policy issues related to charging premiums for Medicaid and, more broadly, some topics pertinent to redesigning Medicaid.

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