Health Reform Hub

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Those Long Lines to Enroll in the ACA

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On the last day of open enrollment for private insurance plans under Obamacare Twitter was full of powerful photographs of people waiting in long lines to sign up for coverage. The photos were a signal that the Administration was going to reach its goal of seven million exchange enrollees in year one; a remarkable comeback from the rollout woes of October and November. They also showed that people procrastinate, especially when it comes to insurance, just as they do when they file their taxes; about a quarter of all tax filings are made in the last two weeks before the deadline.



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

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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.



Everything you Need to Know about Obamacare

Vox Media explains the Affordable Care Act in 28 slides.



FAQs on ACOs: Accountable Care Organizations, Explained

ACOs have become one of the most talked about new ideas in the Affordable Care Act. Kaiser Health News explains what they are and how they work.



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.



The ACA and People with Developmental Disabilities

A Resource from the West Virginia DD Council

This easy-to-understand document provides an overview of what the ACA means for people with developmental disabilities.



How Will the Uninsured Fare Under the Affordable Care Act?

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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.



Medicaid Expansion Through Premium Assistance: Arkansas, Iowa, and Pennsylvania's Proposals Compared

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Arkansas, Iowa, and Pennsylvania have proposed implementing the Affordable Care Act's (ACA's) Medicaid expansion by using Medicaid funds as premium assistance to purchase coverage in Marketplace Qualified Health Plans (QHPs) for some or all newly eligible beneficiaries. This fact sheet compares the states' proposals.



The Coverage Gap: Uninsured Adults in States that Do Not Expand Medicaid

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This issue brief from the Kaiser Family Foundation explains the current state of uninsured adults in states that do not expand Medicaid under the ACA.



Announcement of Funding Opportunity for Cooperative Agreement: The Affordable Care Act and What it Means for People with Disabilities

The National Council on Disability has announced this funding opportunity for a research project regarding the Affordable Care Act and its impact on people with disabilities.



Obamacare: The Metrics in the News are Mostly Wrong

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In this post, Kaiser Family Foundation President Drew Altman explains why judging the success of the Affordable Care Act by total enrollment figures or young adult enrollment is "the equivalent of judging the local weather from national averages."



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.



Assessing Care Integration for Dual-Eligible Beneficiaries: A Review of Quality Measures Chosen by States in the Financial Alignment Initiative

The Affordable Care Act included a demonstration program to test ways to align financing and integrate care for people who are eligible for both Medicare and Medicaid. This brief from the Commonwealth Fund reviews the quality measures chosen by eight demonstration states. The authors find that while some quality domains are well represented, others are not. Quality-of-life measures are notably lacking, as are informative, standardized measures of long-term services and supports.



Seizing the Opportunity: Early Medicaid Health Home Lessons

Medicaid health homes, made possible through the Affordable Care Act, provide states with a mechanism to support better care management for people with complex health needs with the goal of improving health outcomes and curbing costs. As of March 2014, 15 states have 22 approved state plan amendments to implement Medicaid health homes. Six "early adopter" states - Iowa, Missouri, New York, North Carolina, Oregon, and Rhode Island - have collectively enrolled more than 875,000 Medicaid beneficiaries in health homes. This brief draws from the experiences of early health home adopter states to outline elements critical to implementation and sustainability of this new model. The brief informs other states looking to develop effective health home programs.



Details Matter! Advocates Library of Managed Long-Term Services and Supports Contract Provisions

A wave of Medicaid Managed Long Term Services (MLTSS) is currently sweeping the country and promising to impact the way care is delivered to millions of seniors and people with disabilities. Whether this impact is ultimately positive or negative will depend on the details of how these new systems are designed, implemented and held accountable. This new resource can help advocates ensure that states and plans get the details right.

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