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7/15/2014

ACAView: First Observations Around the Affordable Care Act

This first report from a new collaboration between the Robert Wood Johnson Foundation and athenahealth found that health providers have not seen the spike in patient volume expected by some.

 
 

7/15/2014

National Survey Finds 10.6 Million People Helped By Navigators and Assisters During the Affordable Care Act's First Open Enrollment Period

Website  from http://kff.org

An estimated 10.6 million people nationally received personal help from navigators and assisters during the Affordable Care Act's first open enrollment period, finds a new Kaiser Family Foundation survey of navigators and assister programs nationally.

 
 

7/9/2014

Intensive Care Coordination Using High-Quality Wraparound for Children with Serious Behavioral Health Needs

This practical guide, made possible by the Centers for Medicare & Medicaid Services, profiles states and counties that have implemented intensive care coordination using high-quality wraparound for children and youth with serious behavioral health needs.

 
 

7/8/2014

Conflicting Views of Supreme Court's Contraception Decision Cloud Other Cases

Kaiser Health News continues reporting on the Supreme Court's contraception coverage rulings, including the Hobby Lobby decision and temporary injunction for Wheaton College.

 
 

7/7/2014

Investing in the Social Safety Net: Health Care's Next Frontier

A new Health Affairs blog post authored by participants in the Center for Health Care Strategies' Complex Care Innovation Lab focuses on the need to marry the nation's health and social safety nets to truly address social determinants of health issues at the ground level.

 
 

7/3/2014

CCIIO issues FAQ on Essential Community Providers

A new FAQ released by the Center for Consumer Information and Insurance Oversight (CCIIO) addresses questions insurance issuers may have concerning Essential Community Providers (ECPs). The Affordable Care Act (ACA) requires issuers to contract with a sufficient number of ECPs, or providers that generally treat low-income and medically underserved patients. The FAQ describes specifics of the ECP requirements, how issuers can access the non-exhaustive ECP list, and how ECPs can actively pursue inclusion in insurance planes. The exclusion of Children's Hospitals as ECPs has been of concern to the disability community.

 
 

7/2/2014

Missed Opportunities: The Consequences of State Decisions Not to Expand Medicaid

White House Council of Economic Advisors

This analysis, from the White House Council of Economic Advisers, discusses the economic and health consequences of states' decisions not to expand Medicaid.

 
 

7/1/2014

'A Uniquely New Hampshire Approach' to Medicaid Expansion

New Hampshire became the 26th state today to embrace the expanded Medicaid program, with as many as 50,000 low-income residents expected to begin signing up. Coverage for those who enroll this month will take effect Aug. 15. Initially, most New Hampshire enrollees will join one of two Medicaid managed care plans in the state. But New Hampshire officials hope that up to 10 percent of those who sign up will eventually enroll in employer plans - using federal money to subsidize that coverage.

 
 

7/1/2014

A State Policy Framework for Integrating Health and Social Services

This brief from The Commonwealth Fund, authored by the Center for Health Care Strategies, describes three essential components for integrating health - encompassing physical and behavioral health services and public health - and social services. These components are: (1) a coordinating mechanism; (2) quality measurement and data-sharing tools; and (3) aligned financing and payment.

 
 

6/30/2014

Hobby Lobby Ruling Cuts Into Contraceptive Mandate

Kaiser Health News explains the 5-4 Supreme Court decision in Burwell v. Hobby Lobby

 
 

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.

 
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