On March 12, 2012, the Department of Health and Human Service (HHS) issued final and interim final rules governing the Establishment of Exchanges and Qualified Health Plans; and Exchange Standards for Employers under the Patient Protection and Affordable Care Act (ACA).
Under the Affordable Care Act (ACA) much of the expanded coverage will be provided through health insurers offering products on the new health benefit exchanges (exchanges). By compensating issuers for the risks related to the individuals they enroll, provisions related to reinsurance, risk corridors and risk adjustment are designed to lessen the financial risk issuers and exchanges will face under the ACA.
Predicting the Effects of the Affordable Care Act: A Comparative Analysis of Health Policy Microsimulation Models
Microsimulation models were utilized throughout the legislative process that led to the passage of the Affordable Care Act, and these models continue to play a prominent role in understanding the likely effects of federal health care reform provisions on insurance coverage and cost at both the national level and, increasingly, within individual states.
This slide deck prepared by State Health Access Data Assistance Center (SHADAC) for the Minnesota Health Services Research Conference, provides an overview of the SHADAC Projection Model and highlights its goals and basic structure.
The coverage expansions in the Affordable Care Act (ACA) could have profound impacts on American Indian and Alaskan Native (AI/AN) populations.
The Affordable Care Act offers numerous opportunities to stabilize coverage and care for beneficiaries as their incomes fluctuate, and states can reduce the impact of churn between coverage programs with design and purchasing strategies that promote seamlessness.
This document, produced by Wakely Consulting, is intended to provide a high level overview of the business functions that must be established, the type of work that must be undertaken, and a relative timeline and chronological order for establishing the Maryland Health Benefit Exchange.
Parallel with the release of the issue brief of the same name, Ross Winkelman and colleagues from Wakely Consulting led a webinar explaining what decisions states need to make over the next two years to ensure a robust risk adjustment and reinsurance program.
Laying the IT Foundation for 2014: Developing Infrastructure for Improved Eligibility and Enrollment Systems
One of the biggest challenges – and opportunities – for states as they strive to implement the Affordable Care Act’s (ACA) coverage expansions is the size and scope of technology solutions required to support exchanges in making eligibility determinations and enrolling consumers in coverage.
Under the Affordable Care Act (ACA) much of the expanded coverage will be provided through health insurers offering products on the new health insurance exchanges. To ensure robust markets, exchanges must have in place processes for mitigating the financial risk to insurers associated with enrolling individuals with diverse health care needs.