Health Reform Hub

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

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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.



Wisconsin's BadgerCare Program and the ACA

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This brief provides an overview and history of the BadgerCare Plus and how the waiver relates to the ACA.



Implementing Health Reform: Medicaid Asset Rules and the Affordable Care Act

On February 23, 2014, the Centers on Medicare and Medicaid Services released a State Medicaid Directors Letter analyzing the application of Medicaid liens, estate recoveries, transfer-of-asset rules, and post-eligibility income rules to individuals who become eligible for Medicaid because of their modified-adjusted gross income (MAGI). This Health Affairs blog post explains the context and content of the letter.



Medicaid Director Letter on Asset Recovery Rules for Medicaid Expansion Groups

Medicaid asset recovery state options that pre-dated the ACA have gained attention recently as individuals enroll in the Medicaid Expansion. This Medicaid Director letter from the Centers for Medicare and Medicaid Services (CMS) explains how the asset recovery rules apply.



Integrating Physical and Behavioral Health Care: Promising Medicaid Models

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Many individuals receiving care for behavioral health conditions also have physical health conditions that require medical attention, and the inverse is also true. Unfortunately, our physical and behavioral health care systems tend to operate independently, without coordination between them, and gaps in care, inappropriate care, and increased costs can result. This brief examines five promising approaches currently underway in Medicaid to better integrate physical and behavioral health care.



Alternative Medicaid Expansion Models: Exploring State Options

This brief from the Center for Health Care Strategies (CHCS) outlines key program design features of alternative Medicaid expansion models. The brief also describes the premium assistance models that Arkansas, Iowa, and Pennsylvania developed to use Medicaid funds to purchase private health insurance, as well as Michigan's proposal to expand Medicaid using a health savings account approach.



Updated Health Reform Indicators: Marketplace and Medicaid/CHIP Enrollment

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The latest data from the Kaiser Family Foundation on Marketplace and Medicaid/CHIP enrollment.



When Does Medicaid Coverage Amount to Minimum Essential Coverage Under the Affordable Care Act?

An Update on from Health Reform GPS

This implementation brief from Health Reform GPS explains the proposed rule which would add further clarification to the circumstances in which would classify Medicaid as minimum essential coverage.



The ACA and Recent Section 1115 Medicaid Demonstration Waivers

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An Issue Brief from the Kaiser Family Foundation

This issue brief focuses on the use of 1115 Medicaid demonstration waivers in implementing the Medicaid expansion.



Promoting Integrated Care for Dual Eligibles (PRIDE)

The Center for Health Care Strategies (CHCS) has announced Promoting Integrated Care for Dual Eligibles (PRIDE), a consortium of high-performing health care organizations committed to serving individuals dually eligible for Medicare and Medicaid. Through support from The Commonwealth Fund, CHCS is convening this consortium to identify and test innovative strategies to provide high quality care for these beneficiaries.



The Uninsured at the Starting Line: Findings from the 2013 Kaiser Survey of Low Income Americans and the ACA

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This report presents data on the population targeted for coverage expansions under the Affordable Care Act (ACA), and aims to help policymakers target early efforts and evaluate the ACA's longer-term effects. The report is based on a new series of comprehensive surveys of the low and moderate income population that provides data on these groups' experience with health coverage, current patterns of care, and family situation.



Medicaid Accountable Care Organization Program Design Characteristics

Accountable care organizations (ACO) offer an innovative way to transform the current care delivery system and maximize quality and efficiency of care. With support from The Commonwealth Fund, the Center for Health Care Strategies (CHCS) worked with several states through Advancing Medicaid Accountable Care Organizations: A Learning Collaborative to accelerate ACO program implementation. This technical assistance tool presents key features and requirements for ACO programs in six of the participating states: Maine, Massachusetts, Minnesota, New Jersey, Oregon, and Vermont.



HHS Releases Findings on Delivery System Reforms

Today, the Centers for Medicare & Medicaid Services (CMS) released findings on a number of its initiatives to reform the health care delivery system. These include interim financial results for select Medicare Accountable Care Organization (ACO) initiatives, an in-depth savings analysis for Pioneer ACOs, results from the Physician Group Practice demonstration, and expanded participation in the Bundled Payments for Care Improvement Initiative. Savings from both the Medicare ACOs and Pioneer ACOs exceed $380 million.



Minimizing Care Gaps For Individuals Churning between Marketplace and Medicaid

The Affordable Care Act (ACA) has created new health insurance coverage opportunities for millions of low-income Americans. Many of these individuals, however, are likely to "churn" in and out of eligibility for Medicaid and marketplace coverage due to fluctuating income and changing family circumstances. This brief, made possible by the Robert Wood Johnson Foundation, outlines key steps that states can take to reduce the potential gaps in coverage caused by churn.



Fact Sheet: Comparing Health Plans' Benefits and Coverage Summaries

From the National Disability Navigator Resource Collaborative

This fact sheet from the NDNRC is intended to help Navigators answer specific questions that people with disabilities might ask about benefits and coverage available through the Health Insurance Marketplace.

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