Health Reform Hub

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One Year into Duals Demo Enrollment-- Early Expectations Meet Reality

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In the latest post in the Policy Insights series from the Henry J. Kaiser Family Foundation, a new blog post highlights key challenges and trends emerging in states� demonstrations designed to better coordinate financing and health care services for millions of seniors and non-elderly people with significant disabilities who are dually eligible for both Medicaid and Medicare.



Data Matching FactSheet

The Health Insurance Marketplace is mailing final warning notices to some consumers who still have unresolved data matching issues with their Marketplace application. You can access the following factsheet for additional information.



Global Payments: A Key Step toward Totally Accountable Care

A blog post from the Center for Health Care Strategies, Inc. arguing in support of global payment models for health care.



Congress and States Work to Extend ACAs Medicaid Primary Care Bump

A blog post from the Georgetown University Health Policy Institute discusses the debate around the extension of the Medicaid payment rate increases for primary care services.



Medicaid Health Homes: A Profile of Newer Programs

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A new brief from the Henry J. Kaiser Foundation profiles health home programs in the nine states that have taken up the option in the intervening two years � Alabama, Idaho, Maine, Maryland, Ohio, South Dakota, Washington, Wisconsin, and Vermont



The Relationship between Medicare and the Health Insurance Marketplace

This page from contains a downloadable document listing frequently asked questions (FAQs) regarding the relationship between Medicare and the Health Insurance Marketplace. Topics include: general enrollment, End Stage Renal Disease (ERSD), and coordination of benefits.



Navigating the Health Insurance Landscape-What is Next for Navigators, InPerson Assisters and Brokers

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What has been the effect of navigator and other in-person assistance programs? Has the role of brokers changed? What are some of the key policy and financing questions for in-person assistance programs looking forward? Are the privacy concerns of citizens being addressed by proper and effective confidentiality policies? A panel of experts addressed these and related questions at an August 5, 2014, Kaiser Family Foundation and the Alliance for Health Reform briefing.



Key Attributes of High-Performing Integrated Health Plans for Medicare-Medicaid Enrollees

The Commonwealth Fund supported the creation of PRIDE (PRomoting Integrated Care for Dual Eligibles), which is bringing together leading health care organizations to identify and advance strategies for providing high-quality and cost-effective care for Medicare-Medicaid enrollees and other high-need populations.



CBPP Beyond the Basics Resource-- Health Care Assisters Guide to Tax Rules

The Center on Budget and Policy Priorities developed The Health Care Assisters Guide to Tax Rules to familiarize people who are helping consumers apply for Medicaid, CHIP and premium tax credits with the tax rules that are applied in determining eligibility for these programs.



Web Briefing-- What Worked, Whats Next, Strategies in Four States Leading ACA Enrollment Efforts

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On Monday, July 28, the Kaiser Family Foundation held an interactive web briefing to examine the experiences and lessons of four states, Colorado, Connecticut, Kentucky, and Washington, that each established state-based Marketplaces, expanded their Medicaid programs, and successfully enrolled eligible individuals into Medicaid and Marketplace coverage under the ACA. This briefing is based on a new issue brief released today by the Foundations Kaiser Commission on Medicaid and the Uninsured (KCMU).



The Stakes Beyond the Halbig Lawsuit

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In a column for The Wall Street Journals Think Tank, Drew Altman discusses if the legal court cases about whether the government can provide tax credits to people in the Affordable Care Acts federal health exchanges will be perceived by the American people as a legitimate legal question or as more inside-Washington politics.



Financial and Administrative Alignment Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS

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Using new authority in the Affordable Care Act, the Centers for Medicare and Medicaid Services (CMS) is launching demonstrations that seek to improve care and control costs for people who are dually eligible for Medicare and Medicaid. As of July 2014, CMS has finalized memoranda of understanding (MOUs) with 12 states to implement 13 demonstrations. This issue brief compares key provisions of the approved demonstrations.



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

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This map shows the current status of the state demonstration proposals to integrate care and align financing and/or administration for beneficiaries eligible for both Medicare and Medicaid.



Estimated Number of Individuals Eligible for Financial Assistance through the Marketplaces

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A new resource from the Henry J. Kaiser Family Foundation shows a state by state breakdown of the estimated number of individuals eligible for financial assistance through the new Health Insurance Marketplaces.



Brief Consumer Guide To Health Law Court Decisions

On Tuesday two U.S. appeals courts issued conflicting rulings on a subject that's important to millions of people: the availability of subsidies to help purchase coverage under the health-care law. Kaiser Health News' Mary Agnes Carey answers some frequently asked questions about those court decisions and how they impact consumers.

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