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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.

 
 

6/11/2014

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.

 
 

6/6/2014

CHIP Financing Basics: Where the CHIP Falls on State Program Design

In this blog post, the second on CHIP financing, the Georgetown Center for Children and Families explains how state program design interacts with the renewal of CHIP.

 
 

6/4/2014

Updated Medicaid and CHIP Eligibility Thresholds Released

The Centers for Medicare and Medicaid Services released new Modified Adjusted Gross Income (MAGI)-based eligibility thresholds effective April 1.

 
 

6/3/2014

Coverage and Beyond: A Foundation for Accountable Care

This post on the Center for Health Care Strategies blog highlights the transformational achievements of the Medicaid Expansion.

 
 

5/31/2014

Video Series on Health Insurance Literacy

CMS has published this 10 part video series on tips for consumers to help them navigate their new health plan.

 
 

5/30/2014

Poll: Majority of Public Say They Haven't Been Affected by the Health Reform Law

Website  from http://kff.org
Democrats more likely to say they have been helped, Republicans more likely to say they have been hurt

The latest Kaiser Health Tracking Poll finds that more than four years after the passage of the Affordable Care Act (ACA) and several months into the first year of its coverage expansions, most Americans do not feel personally impacted by the law. Among the minority who say they have felt an impact, more feel they have been harmed than helped by the law, with Republicans more likely to say they have been hurt and Democrats more likely to say they have been helped.

 
 

5/28/2014

Making the Connection: Meeting Requirements to Enroll People with Mental Illness in Healthcare Coverage

Judge David L. Bazelon Center for Mental Health Law

This report explores strategies that are useful to increase enrollment of individual with serious mental illness in the Medicaid Expansion and the Marketplaces.

 
 

5/27/2014

A 50-State Look at Medicaid Expansion: 2014

One of the most important provisions of the Affordable Care Act is the expansion of health coverage to low-income families through the Medicaid program. This infographic presents basic facts on where states stand on Medicaid expansion in 2014, along with brief analysis on four states to watch.

 
 

5/23/2014

UPDATED: State Demonstration Proposals to Integrate Care and Align Financing and/or Administration for Dual Eligible Beneficiaries

Website  from http://kff.org

This map shows the current status of the state demonstration proposals to integrate care and align financing for beneficiaries eligible for both Medicare and Medicaid. Over 9.1 million seniors and younger people with significant disabilities are dually eligible for both programs, and as many as 2 million of them may be included in the demonstrations. Dual eligible beneficiaries are among the poorest and sickest beneficiaries covered by either program and consequently account for a disproportionate share of spending in both programs.

 
 

5/21/2014

HHS Releases Final Marketplace Rule

HHS has released a final rule regarding key marketplace standards for 2015 and standards and protections for navigators and other consumer assistance personnel.

 
 

5/20/2014

Dismantling CHIP in Arizona: How Losing KidsCare Impacts a Child's Health Care Costs

On January 31, 2014, an estimated 14,000 Arizona children lost their health coverage under KidsCare II, a temporary extension of the state's Children's Health Insurance Program (CHIP). Arizona is the only state in the country to cut eligibility and phase out CHIP over time. This analysis examines three real-life scenarios of children and their actual use of health care services to determine what their costs would be if enrolled in plans from three different insurance carriers consistently offering the lowest cost QHPs across Arizona's 15 counties.

 
 

5/19/2014

Webinar Series on Meaningful Consumer Engagement in Duals Demonstrations

The Meaningful Consumer Engagement Webinar Series, hosted by the Centers for Medicare & Medicaid Services (CMS) in collaboration with The Lewin Group and Community Catalyst, is based on The Meaningful Consumer Engagement toolkit, developed by Community Catalyst. The webinars will be helpful to health plans as they seek to enhance the role of the consumer in health plan decisions and administration. The webinars are also intended for frontline community partners and delivery staff such as care managers, member service representatives and home care providers. They will be practically focused and participatory in nature.

 
 

5/15/2014

Six Reasons Health Insurance Premiums Will Go Up Next Year

Hint: the first reason is that health insurance premiums have gone up every year, since we started tracking these things, no matter what.

 
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