The State Network 1332 Waivers Affinity Group continued with a presentation from the team at Manatt Health Solutions. This webinar included a review of the basics around 1332 waivers, including what is allowed to be waived and the guardrails that apply to waivers. Following recent joint agency guidance from the Department of Health and Human Services and the Department of the Treasury, the team at Manatt reviewed the ways in which the guardrails are further defined, and the standards that will apply to them.
The recently released Proposed Payment Notice for 2017 formalizes a fourth model of marketplace – State-Based Marketplace/Federal Platform. Along with State Based Marketplaces, State Partnership Marketplaces and the Federally Facilitated Marketplace, states have a range of choices for what their Marketplace looks like. A key question for states will be how these different models help to achieve coverage goals.
The State Network 1332 Waivers Affinity Group webinar series continued with a new presentation from the team at Manatt Health Solutions. This webinar focused on funding issues, and dove into the mechanics of repurposing existing federal subsidies under a different coverage affordability model.
Qualified Health Plan Review in Marketplaces with State Plan Management: An Analysis of the Division of Labor Between State Exchanges and Other State Agencies
States have implemented a variety of different methods to handle the review and certification of qualified health plans (QHPs). The Health Insurance Exchanges (HIX) Research Group at the Leonard Davis Institute of Health Economics at Wharton (LDI) recently collected data from 30 states, including those with State Based Marketplaces (SBMs), State Partnership Marketplaces (SPMs), Supported State Based Marketplaces (SSBMs), and Federally Facilitated Marketplaces (FFMs) with state plan management. This brief summarizes the findings within this dataset, which outlines the various plan management and certification functions assumed by different state agencies across these marketplace models.
The State Network 1332 Waivers Affinity Group continued in October with a new presentation from the team at Manatt Health Solutions. This ongoing series has included presentations providing an overview of the basics around these waivers, including statutory guardrails, discussions on what can and cannot be waived, and potential opportunities available to states through the waiver process, while this presentation focused more deeply on potential coordination between 1332 and 1115 waivers, including general guardrails and budget neutrality.
While millions of Americans have newly gained health insurance coverage under the Affordable Care Act (ACA), there is evidence that coverage alone does not necessarily translate into access to health care. This memo, prepared by the State Health Access Data Assistance Center (SHADAC), provides background information on health insurance literacy, summarizes the research around current consumer knowledge, and offers recommendations for marketplaces on how to build on it. Additionally, the State Network has compiled a library of health insurance literacy materials developed by four marketplaces.
The State Network 1332 Waivers Affinity Group continued with another presentation from the team at Manatt Health Solutions. Following prior presentations providing an overview of the basics around these waivers, including statutory guardrails, a discussion on what can and cannot be waived, and potential opportunities available to states through the waiver process, this presentation investigated more deeply the potential coordination between Section 1332 and Section 1115 waivers.
The State Network 1332 Waivers Affinity Group, hosted by Manatt Health Solutions, continued with a presentation on the process of applying for a 1332 waiver, as well as a discussion on the potential and limitations of these waivers for states relying on the federal marketplace. Previous installments of this webinar series included presentations on the basics of the waiver process and information on statutory guardrails, as well as a deeper analysis of specific examples of what can be waived through this process.
State action to prevent discriminatory benefit designs has been prompted, in part, by vital input from consumer advocacy organizations. Recognizing the important role that they can occupy in this process, the Georgetown University Health Policy Institute’s Center on Health Insurance Reforms sought to gather a directory of these organizations. Georgetown gathered those organizations willing to be made available to states as resources to insurance regulators in need of assistance with identifying discriminatory benefit designs or for other regulatory tasks that require expertise related to a certain disease group or consumer concern.
In order to ensure that Consumer Services Divisions within state insurance regulatory agencies are equipped with the necessary resources to assist consumers experiencing insurance problems, the State Health Reform Assistance Network (State Network) team at the Georgetown University Health Policy Institute has developed a toolkit intended as a guide for consumer service representatives (CSRs).