1332 State Innovation Waivers


The State Innovation Waiver, also known as the 1332 waiver, was created as part of the Affordable Care Act and became an option for states to consider on January 1, 2017. States that want to use this option to explore ways to transform health care financing must apply to the U.S. Secretary of Health and […]

2018 Report on Health Coverage and Montana’s Uninsured


The Montana Healthcare Foundation commissioned this study of Montana’s uninsured rate for 2018. According to a report issued by the Montana Commissioner of Securities and Insurance (CSI), the uninsured rate in April 2016 was approximately 7.4 percent, down from 20 percent in 2012.1 In January 2018, approximately 979,257 Montanans had health coverage, out of a […]

The Economic Impact of Medicaid Expansion in Montana


This independent analysis by the University of Montana’s Bureau of Business and Economic Research estimates that Montana’s 2016 Medicaid expansion adds $270 million in personal income and more than $500 million in additional economic output to Montana’s economy each year and generates approximately 5,000 new jobs. The program provides health coverage for approximately 94,000 Montanans. Although […]

Trauma-Informed Approaches: Opportunities and Challenges in Montana


Over the past two decades, professionals in education, health, and human services have become more aware of the wide-ranging effects of trauma on health and well-being. Starting with the landmark Adverse Childhood Experiences study in the late 1990s, which linked the experience of potentially traumatic experiences in childhood to a wide range of long-term health […]

MHCF 2015 Strategic Plan


This report describes the planning process that the board of trustees and staff of MHCF carried out to guide the foundation’s first full year of programming. Countless individuals, organizations, and public agencies generously contributed time, insights, and data that are reflected in the pages that follow. The Montana Healthcare Foundation makes strategic investments to improve […]

Integrated Behavioral Health in Montana: A Baseline Assessment of Benefits, Challenges, and Opportunities


Substance use disorders and mental illness are among the most serious and challenging health problems in Montana. These issues are often linked: individuals that report mental health concerns are also more likely to have problems with substance use, and vice versa. Integrated behavioral health is an evidence-based way to provide care for patients with co-occurring mental illness, substance […]

Overview of Alternative Schools and Education Programs


Alternative education programs in Montana are defined as “A ‘restructured’ academic program to serve at-risk students and operated within an accredited public school.” Twenty-eight alternative education programs that fit this definition currently exist in Montana, though there is no official tracking system for these programs, and local schools districts have full discretion over how these […]

Impact on Montana of the Better Care Reconciliation Act’s Medicaid Provisions


This independent analysis by nationally-recognized experts from Manatt Health, projects that if the U.S. Senate’s version (Better Care Reconciliation Act or BCRA) of the American Health Care Act (AHCA) is enacted, Montana’s Medicaid program could lose $5.3 billion in federal funding, and more than 75,000 adults enrolled through the recent Medicaid expansion could lose coverage […]