Resources

Health Insurance Marketplaces

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4/29/2014

How is the ACA Impacting Medicaid Enrollment?

Website  from http://kff.org

In early April 2014, the Centers for Medicare and Medicaid Services reported that as of the end of February 2014, Medicaid and CHIP enrollment had increased by over 3 million since open enrollment began for the new Health Insurance Marketplaces in October 2013. Understanding the ACA's impact on Medicaid enrollment remains complex given that the ACA promotes increased Medicaid enrollment in varied ways, including changes in eligibility, modernization and simplification of enrollment processes, and increased outreach and enrollment efforts. This brief discusses the new data and its interpretation to assess the influence of the ACA on Medicaid enrollment.

 
 

4/25/2014

Information for People on Medicaid Home and Community-Based Services Waiver Waiting Lists

A Fact Sheet from the National Disability Navigator Resource Collaborative

This fact sheet is intended to provide Navigators, Assisters and Certified Application Counselors with information about people with disabilities who are on the Medicaid Home- and Community-Based Services (HCBS) Waiver waiting list. HCBS waiver recipients and their families can seek health insurance through the Marketplace or through Medicaid expansion if that is occurring in their state, and will have concerns about continuity of care and other issues that are common to many people with disabilities, as well as a few issues that are unique to potential HCBS waiver recipients.

 
 

4/22/2014

How Much Financial Assistance are People Receiving Under the Affordable Care Act?

Website  from http://kff.org

The Affordable Care Act (ACA) provides premium subsidies to low and middle income people who buy insurance on their own through new health insurance marketplaces (also known as exchanges). This issue brief estimates the percentage of enrollees who have qualified for assistance, the number of subsidized enrollees, subsidized enrollees as a percentage of those eligible, the average subsidy per enrollee, and total premium subsidies in the state based on enrollment data as of March 1, 2014.

 
 

4/17/2014

Designing a Marketplace: A State-by-State Comparison of Marketplace Implementation

The Center on Budget and Policy Priorities has analyzed 23 marketplaces across a number of design questions as well as best practices. They've summarized the findings in a new database that states can use as they work to ensure that their marketplaces meet adequate competition, affordability, accessibility, and customer satisfaction requirements.

 
 

4/7/2014

How Will the Uninsured Fare Under the Affordable Care Act?

Website  from http://kff.org

The June 2012 Supreme Court ruling made the Medicaid expansion optional for states. As a result, while many non-elderly uninsured individuals may gain coverage through the expansions in 2014, millions of uninsured adults who would have been newly-eligible for Medicaid will remain without a coverage option. This fact sheet covers uninsured adults in states that do not expand Medicaid.

 
 

3/26/2014

Get Covered Plan Picker

Get Covered America created this easy tool to help consumers understand what the different mental levels mean and which might be right for them.

 
 

3/18/2014

Proposed Standards for Navigators and Consumer Assistance Counselors: Preemption of Certain State Navigator Regulatory Laws

A brief from Health Reform GPS

Many states have created policies regulating the activities of navigators created by the Affordable Care Act. On March 17, 2014, HHS released a proposed rule in public view form that addresses a variety of issues including Exchanges, Navigators and Non-Navigator consumer assistance personnel. This brief explains and provides context for the proposed rule.

 
 

3/13/2014

Marketplace Comparison Worksheet

Form the Center on Budget and Policy Priorities

This worksheet, from the Center on Budget and Policy Priorities' Beyond the Basics project, can help consumers compare Marketplace plans considering costs and their individual needs.

 
 

3/12/2014

Basic Health Program Final Regulations

A brief from Health Reform GPS

On March 7, 2014, the Centers for Medicare and Medicaid Services (CMS) published final regulations implementing the Affordable Care Act's Basic Health Program (BHP) market option. The BHP is an optional program for states to provide protections for people who may "churn" between Medicaid and the Marketplaces. This brief explains the final regulations from CMS.

 
 

3/10/2014

Medicaid and Marketplace Eligibility Changes Will Occur Often In All States; Policy Changes Can Ease Impact

Under the Affordable Care Act (ACA), changes in income and family circumstances are likely to produce frequent transitions in eligibility for Medicaid and health insurance Marketplace coverage for low- and middle-income adults. This Health Affairs article provides state-by-state estimates of potential eligibility changes ("churning") if all states expanded Medicaid under health reform, and identifies predictors of rates of churning within states.

 
 

3/8/2014

CMS Bulletin on Premium Subsidies and Cost-Sharing Reductions in 2014 Due to Exceptional Circumstances

A brief from Health Reform GPS

The Affordable Care Act (ACA) provides premium tax credits (PTCs) and cost sharing reduction assistance (CSRs) to help individuals defray the cost of enrolling in qualified health plans (QHPs) provided by insurance issuers and purchased through the Health Insurance Marketplace. Technical problems, however, have plagued many state Marketplaces as well as the Federally-facilitated marketplace during the initial 2014 open enrollment period, resulting in a potential for lost enrollment opportunities. This brief from Health Reform GPS explains the allowances CMS will make in eligibility determinations for those who faced technical difficulties applying for coverage.

 
 

3/7/2014

The ACA in California: Briefing and Panel Discussion

Website  from http://kff.org

In the first of many events to highlight Affordable Care Act (ACA) implementation in the states and on the front lines across the country, the Kaiser Family Foundation partnered with the Blue Shield of California Foundation to examine ACA implementation in California (CA) at a briefing and panel discussion. State and county officials, experts and advocates discussed the latest developments and lessons learned about the ACA implementation in California, a state with seven million uninsured people, which is expanding its Medicaid program and running a state Marketplace.

 
 

3/6/2014

Rehabilitation and Habilitation Services and Devices

A Fact Sheet from the National Disability Navigator Resource Collaborative

This fourth fact sheet in the NDNRC series is intended to help Navigators answer specific questions that people with disabilities might ask about rehabilitation and habilitation services and devices benefits when they are considering buying health insurance through the Marketplace

 
 

3/5/2014

CMS 2015 Draft Letter to Issuers in the Federally Facilitated Marketplace: Network Adequacy and Inclusion of Essential Community Providers

Summary and Analysis from Health Reform GPS

On February 4, 2014, the Centers for Medicare and Medicaid Services (CMS) issued a Draft Letter to Issuers in the Federally-facilitated Marketplace (FFM). Comments were due by February 25, to be followed by a revised letter. This update from Health Reform GPS reviews key provisions of the Letter and identifies key issues to watch in the final revised letter.

 
 

2/25/2014

Webinar Archive: The ACA and What it Means for Black Americans

Website  from http://kff.org

This webinar from the Kaiser Family Foundation provided an update on insurance enrollment efforts in different states and on what we knew about enrollment to date in the Marketplaces and Medicaid. The webinar also discussed how state Medicaid expansion decisions were expected to affect Blacks in the U.S. Presenters included Director of State Health Reform Jennifer Tolbert; Director of the Disparities Policy Project Samantha Artiga; and Senior Policy Analyst Jessica Stephens.

 
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