Health Reform Hub

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Proposed Medicaid Expansion in Indiana through HIP 2.0

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In August 2014, Indiana submitted to the Centers for Medicare and Medicaid Services (CMS) a proposal to amend and renew its current its 1115 waiver, "Healthy Indiana Plan." The proposal, which is now open for public comment and subject to CMS approval, seeks to implement the Affordable Care Act's Medicaid expansion in a way that requires waivers of existing federal law.



HHS Announces Navigator Grantees

HHS has announced $60 million in grants to Health Insurance Navigator programs in federally-facilitated and state-partnership marketplaces. Grantees include AUCD network members in Arkansas and North Dakota.



GAO: HHS's Approval Process for Arkansas Medicaid Expansion Raises Cost Concerns

In approving Arkansas's Medicaid Section 1115 demonstration, the Department of Health and Human Services (HHS) gave the state the authority to test whether providing premium assistance to purchase private coverage offered on the health insurance exchange will improve access to care for individuals newly eligible for Medicaid as a result of the ACA. In this review, the Government Accountability Office found that the "private option" Medicaid expansion may not meet cost neutrality requirements of demonstration waivers.



Virginia's Proposed Medicaid 1115 Waiver

Center for Health Care Strategies calls it a "Step Forward for People with Mental Illness"

Virginia Governor Terry McAuliffe has announced that Virginia's Medicaid agency will initiate an 1115 demonstration wavier request to create a benefit package for people with serious mental illness to have access to both behavioral and primary health services.



Analysis of 2015 Premium Changes in the ACA's Health Insurance Marketplaces

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With the second open enrollment period of the health insurance marketplaces approaching, this analysis provides an initial look at premium changes for marketplace plans for individuals in 15 states and the District of Columbia that have publicly released comprehensive data on rates or rate filings for all insurers.



Community Health Centers: A 2012 Profile and Spotlight on Implications of State Medicaid Expansion Decisions

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In 2012, nearly 1,200 federally funded community health centers were providing access to care for a predominantly low-income population in medically underserved areas across the country. As health insurance coverage expands under the Affordable Care Act (ACA) and the demand for primary care increases, the role of health centers is likely to increase, and the ACA's large investment in the health center program provides new resources to help meet growing needs. This brief provides a pre-ACA snapshot of health centers that can help in understanding the impact of state decisions about the ACA Medicaid expansion on health centers as health reform unfolds in the coming years.



The Top 5 States Most Likely to Expand Medicaid Next

Governing magazine explores which states will implement the ACA's Medicaid expansion next.



UPDATED: Status of State Action on the Medicaid Expansion Decision

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A central goal of the Affordable Care Act (ACA) is to significantly reduce the number of uninsured by providing a continuum of affordable coverage options through Medicaid and the Health Insurance Marketplaces. The ACA expands Medicaid coverage for most low-income adults to 138% of the federal poverty level (FPL). Following the June 2012 Supreme Court decision, states face a decision about whether to adopt the Medicaid expansion. This table shows the status of those decisions.



Engaging Medicare-Medicaid Enrollees: Insights from Three Financial Alignment Demonstration States

States are enrolling Medicare-Medicaid enrollees in financial alignment demonstrations sponsored by the Centers for Medicare & Medicaid Services. Since dual eligible individuals can opt out of the demonstrations, state policymakers are eager to engage individuals and retain them once enrolled. Doing so will ensure that dually eligible individuals have access to high-quality, integrated services. This webinar explored the lessons learned by three states that have implemented capitated integration models: Massachusetts, Ohio, and Virginia.



Descriptive Study of Three Disability Competent Managed Care Plans for Medicaid Enrollees

This report describes the organizational features of three disability competent health systems: Commonwealth Care Alliance in Massachusetts; Community Health Partnership) in Wisconsin; and Independence Care System in New York City. These programs integrate health and social services to deliver patient-centered care to Medicaid and Medicare beneficiaries with particularly complex chronic care needs. To provide program operators with useful information about these programs, the report details how staff deliver services and coordinate care for people with disabilities.



UPDATED: CMS Releases Final Rule on Home and Community Based Services

On January 10 the Centers for Medicare and Medicaid Services issued a regulation that greatly strengthens access to community-based services in the Medicaid program. On March 20, CMS released a toolkit of materials for states and stakeholders.



Approved Demonstrations Offer Lessons for States Seeking to Expand Medicaid Through Waivers

New report from CBPP explains the twenty-six states and the District of Columbia that are now implementing health reform's Medicaid expansion. Arkansas, Iowa, and Michigan have expanded through federally approved Medicaid demonstration projects. Waivers provide states additional flexibility in how they operate their Medicaid programs.



Assister Recertification Bulletin

CMS released an assister bulletin that provides guidance on training, certification, and recertification requirements for Navigators, CACs, and non-Navigator assistance personnel in the Federally-facilitated Marketplaces. We recommend assisters review the bulletin, which also includes frequently asked questions.



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.

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