November 16th, 2012 is the deadline for submission of the Blueprint application that certifies states to operate a State Based Exchange (SBE) or State Partnership Exchange. In order to aid states in achieving SBE certification, Manatt Health Solutions with support from the State Network, developed this document which identifies critical SBE implementation tasks. The workplan is organized according to the major areas of Exchange certification articulated in the Draft Blueprint for Affordable State-based and State Partnership Insurance Exchanges released by the Department of Health and Human Services in May 2012. The document also reflects those tasks that are central to achieving certification of a Partnership Exchange in the areas of plan management and consumer assistance, based on the Blueprint guidance. Finally, the workplan notes where specific tasks are conditions for a state’s ability to obtain Exchange establishment funding.
This expert perspective reviews key considerations for states exploring Marketplace insurance subsidies and highlights the experiences in the five states that have established state-based subsidies that supplement the ACA’s premium tax credit and cost-sharing reductions.
The United States is in the midst of an unprecedented national effort to manufacture, distribute, and ultimately administer COVID-19 vaccines to all Americans. While the federal government is coordinating distribution of vaccines from manufacturers to states, individual states (and certain municipalities) are responsible for coordinating the various components of infrastructure and operational logistics needed to take the vaccine from federal distribution channels to the arms of Americans. This expert perspective outlines four recommendations for states to engage their managed care plans to assist in efforts to successfully and rapidly vaccinate the Medicaid population.