Health Reform Hub

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6/30/2014

Legal Analysis of the Supreme Court Ruling on Hobby Lobby

Website  from http://kff.org

Legal analysis from the Kasier Family Foundation explains how the Religious Freedom Restoration Act applies in Burwell v Hobby Lobby.

 
 

6/28/2014

The Medicaid Health Home Provision in the Affordable Care Act: An Overview

Section 2703 of the Affordable Care Act (ACA) went into effect on January 1, 2011. It is an optional provision of the ACA. States that create Medicaid Health Homes have an opportunity to integrate primary care, mental, behavioral, and substance use services for individuals with certain chronic conditions who are enrolled in Medicaid.

 
 

6/27/2014

Renewing Medicaid and CHIP under the ACA

Georgetown Center for Children and Families

The Affordable Care Act's (ACA) vision for no wrong-door, streamlined enrollment extends to annual renewals. Ultimately, the process should be highly automated with fewer burdens on enrollees to fill out forms or submit paperwork to prove eligibility. However, the first round of renewals will be more involved because eligibility for children, parents, pregnant women, and the expansion adults is now based on new Modified Adjusted Gross Income (MAGI) rules for counting income and household size.

 
 

6/26/2014

You've Got Mail: Designing Enrollment Notices for a Dual Eligible Demonstration Roll Out

To date, five states have begun implementing a dual eligible demonstration and are sending notices eligible individuals to enroll in new Medicaid-Medicare Plans. Their experience in designing notices and coordinating the enrollment and consumer outreach process provides important information and insights for states and stakeholders preparing for implementation. This issue brief provides an overview of the four key elements of the notice design process and a guide to the content states and the federal government require each notice and outreach document to include.

 
 

6/25/2014

Strategies to Facilitate Managed Care Implementation for Medicare-Medicaid Enrollees

Center for Health Care Strategies

Many states are working with health plans to develop managed care programs that integrate services for individuals dually eligible for Medicare and Medicaid or those receiving long-term services and supports. In doing so, states are creating early implementation strategies to smooth the transition of beneficiaries and providers from the fee-for-service environment into managed care. This brief describes strategies used by Medicaid agencies in four states to facilitate implementation of new managed care programs.

 
 

6/24/2014

Visualizing Health Policy: Understanding the Effect of Medicaid Expansion in the South

Website  from http://kff.org

This Visualizing Health Policy infographic examines the effect of decisions by states in the South to implement or forgo the Affordable Care Act Medicaid expansion. It shows that Southerners are more likely than people living in other parts of the United States to be uninsured; that most Southern states have poverty rates above the national average; that without the Medicaid expansion (which most Southern states are not implementing), Medicaid eligibility levels for adults in the South remain low; that nearly 80% of the 4.8 million uninsured US adults who fall into the coverage gap live in the South; and that the coverage gap in the South disproportionately affects people of color.

 
 

6/18/2014

HHS Releases New Details About 2014 Marketplace Premiums, Subsidies

Federal officials have released new data about who enrolled in the federal health marketplace plans for 2014, how much the law's subsidies helped offset the cost and how many plans people from could choose from, among other details.

 
 

6/16/2014

Roadmap to Better Care and a Healthier You

Coverage to Care Project

As part of a health literacy campaign called Coverage to Care, CMS has released this new consumer friendly document which includes 8 steps to help consumers and health care providers be informed about the diverse benefits available through their coverage and how to access care.

 
 

6/16/2014

State-by-State ACA Fact Sheets

Updated to include FY13 data

HHS has updated its state-by-state Affordable Care Act fact sheets with data through FY13. The fact sheets provide data on the marketplace, Medicaid expansion, mental health coverage, health care workforce, and more.

 
 

6/13/2014

ACA-Related State Plan Amendments in Medicaid

The Affordable Care Act (ACA) brought significant changes to the Medicaid program, including expanded coverage opportunities for adults under 65 with incomes under 138 percent of the Federal Poverty Level (FPL) and new methodologies for determining and renewing eligibility. States must update their existing Medicaid state plans to implement these changes. These ACA-related State Plan Amendments (SPAs) require states to make important policy decisions which may expand or limit coverage for their Medicaid beneficiaries. This issue brief highlights some of the key state-policy decision points under the SPAs, and provides recommendations for advocates seeking to expand Medicaid eligibility in their states.

 
 

6/12/2014

A Better Path to Health: Olivia's Story

The Voices for Better Health program at Community Catalyst has released a new video that drives home the power of effective long-term services and supports (LTSS) coordination. The video follows the story of Olivia Richards, a Boston resident, whose quality of life has improved by working with her Independent Living Long-Term Services and Supports Coordinator through the One Care program, the Massachusetts dual eligible demonstration project. As these demonstration projects roll out across the country, we must place high priority on LTSS as a means of helping older adults and people with disabilities live with dignity and as much independence as possible.

 
 

6/11/2014

ACO Health Data-Sharing Case Study

Hennepin Health is an accountable care organization serving adult Medicaid expansion enrollees with complex needs in Minneapolis, Minnesota. A central premise of Hennepin Health - a partnership including Hennepin County's health system and hospital; outpatient clinics; human services and public health department; and managed care organization - is to address social determinants to improve health outcomes and lower costs. In this blog post, the deputy director of Hannepin Health outlines first-hand solutions and lessons for maximizing data-sharing while balancing the need for patient privacy.

 
 

6/10/2014

Catalyst Center State-at-a-Glance Chartbook

on Coverage and Financing for Children and Youth with Special Health Care Needs

The Catalyst Center is a national center dedicated to working with states and stakeholder groups on improving health care insurance and financing for Children and Youth with Special Health Care Needs (CYSHCN). This chart book will help state advocates access data on where their state stands in coverage, financing, and disparities in access.

 
 

6/9/2014

AUCD Legislative News In Brief

This issue covered appropriations, Combating Autism Reauthorization Act, health, restraints & seclusion, employment, the disability treaty, mental health, education, family support, child abuse, and social security.

 
 

6/7/2014

Fact Sheet: Medicaid Buy-In

Fact Sheet #15 from the National Disability Navigator Resource Collaborative

This fact sheet is intended to give Navigators and Enrollment Specialists answers to the questions that people with disabilities may have about possible Medicaid Buy-In as a coverage option when they are looking into purchasing private insurance in the Marketplace. The Buy-In program is an optional Medicaid coverage group for working individuals with disabilities.

 
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