In the absence of federal legislation, states are actively seeking tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states to stabilize their health insurance marketplace. SHVS is tracking state activity and has many resources, including a template, for states interested in pursuing a Section 1332 waiver.
On Tuesday, August 27 at 2:30 p.m. ET State Health and Value Strategies will host the third webinar in a series on health equity and Medicaid managed. The five-part series will assist states interested in addressing disparities in health outcomes among Medicaid managed care beneficiaries as a step towards achieving health equity. The third webinar, Evidence-Based Strategies for Reducing Health Disparities, will identify evidence-based interventions that states can use to address disparities in their Medicaid managed care programs. During the webinar, Dr. Marshall Chin, Co-Director of Advancing Health Equity: Leading Care, Payment and Systems Transformation at the University of Chicago, will provide an overview of approaches for reducing disparities, drawing from a review of over 400 disparity intervention studies and from his program’s experience providing technical assistance to health care organizations. The webinar will also provide a roadmap to guide the work of Medicaid managed care programs to reduce disparities in care and elucidate the role of consumers in those interventions.
On Friday, June 21 at 1:00 p.m. ET State Health and Value Strategies hosted a webinar for state officials with technical experts to discuss the implications of the health reimbursement arrangements (HRA) rule and possible state responses. The webinar featured Jason Levitis, who led ACA implementation at the U.S. Treasury Department, as well as experts from Georgetown University’s Center on Health Insurance Reforms and from Manatt Health. The U.S. Departments of Health and Human Services, Labor, and Treasury released final regulations easing the rules governing HRA and other account-based, tax-preferred health care on June 13. The final rule represents the third of the three policy changes initiated by the October 12, 2017 Executive Order, which also called for easing the rules on short-term limited-duration coverage and association health plans. Like those changes, the HRA rule could have profound implications for health insurance markets, consumers, and Marketplaces. The rule is effective in 2020, which raises important considerations about Marketplace readiness and potential tax consequences for individuals.