Consumer Assistance Resource Guide: Immigrant Eligibility
Early evidence from across the nation suggests that consumer assisters are playing a vital role in helping people enroll in the new coverage options made possible by the Affordable Care Act. The following resource guide on Immigrant Eligibility is part of a Consumer Assistance Resource Guide series developed to help consumer assisters answer some of the most common eligibility and enrollment questions.
Consumer Assistance Resource Guide: Household Composition Eligibility Rules
arly evidence from across the nation suggests that consumer assisters are playing a vital role in helping people enroll in the new coverage options made possible by the Affordable Care Act. The following resource guide on Household Composition Eligibility Rules is part of a Consumer Assistance Resource Guide series developed to help consumer assisters answer some of the most common eligibility and enrollment questions.
Consumer Assistance Resource Guide: Minimum Essential Coverage
Early evidence from across the nation suggests that consumer assisters are playing a vital role in helping people enroll in the new coverage options made possible by the Affordable Care Act. The following resource guide on Minimum Essential Coverage is part of a Consumer Assistance Resource Guide series developed to help consumer assisters answer some of the most common eligibility and enrollment questions.
Implications of Health Reform for American Indian and Alaska Native Populations
The Affordable Care Act (ACA) has important implications for American Indians and Alaska Natives (AI/AN), including the expansion of Medicaid coverage to nearly 400,000 currently uninsured AI/AN individuals.
Establishing Performance Standards for Hospital-based Presumptive Eligibility
The Affordable Care Act (ACA) allows hospitals to use preliminary information to enroll people who appear eligible for Medicaid into coverage on a temporary basis. The goal of this “presumptive eligibility” (PE) option for hospitals is to quickly and efficiently enroll eligible people into Medicaid while insuring immediate health care costs are covered.
All-Payer Claims Database Small Group Convening
The State Network hosted a Small Group Convening in New Orleans, LA on January 23-24, 2014, bringing together state officials and technical experts to discuss All-Payer Claims Databases and rate review.
Integrating Physical and Behavioral Health: Strategies for Overcoming Legal Barriers to Health Information Exchange
This brief explores the strategies states use to address barriers that impede data-sharing efforts among providers to integrate physical and behavioral health care. The webinar presentation on this issue brief is also available for download.
Reducing Overuse and Misuse: State Strategies to Improve Quality and Cost of Health Care
This issue brief focuses specifically on the key purchasing strategies that state Medicaid agencies and state employee health benefit purchasers can implement in order to reduce the overuse and misuse of health care services, and improve the quality and reduce the cost of care. A webinar presentation on the subject is also available for download.
Realizing the Potential of All-Payer Claims Databases: Creating the Reporting Plan
This paper examines the critical components of states’ APCD reporting efforts to date and suggests essential steps to creating credible and robust analytics. Drawn from interviews with APCD leaders, state-specific documents, and the experience of the authors, this paper is intended to help states with functioning and developing APCDs identify the building blocks necessary to create and evolve a comprehensive analytic program. This information may also be useful to those charged with designing APCD outputs, such as datasets and reports.
The Basics of All-Payer Claims Databases: A Primer for States
The purpose of this paper is to assist states embarking on APCD initiatives by highlighting key considerations for building statewide APCDs and potential solutions based on experiences in early-adopting APCD states.