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, July 9 at 2:00 p.m. ET State Health and Value Strategies hosted the second webinar in a series on health equity through managed care organizations. 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 second webinar, Health Equity and Medicaid Managed Care: Data Collection and Measurement, explored how states can use data collection and measurement to support their efforts to advance health equity in Medicaid managed care. During the webinar, experts from Bailit Health reviewed the data elements that states and managed care organizations can use to assess disparities and how to utilize demographic data to measure health disparities in Medicaid managed care. Participants heard directly from two states that are currently measuring and evaluating health disparities in their Medicaid managed care programs, and learned how they are using that information to advance health equity.
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.