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.
Risk Adjustment and Reinsurance: A Work Plan for State Officials
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.
Federally-Facilitated Exchanges and the Continuum of State Options
The Affordable Care Act allows states to create their own state-based health insurance exchanges or to allow a federally facilitated exchange to operate in the state. Proposed rules from the Department of Health and Human Services (HHS) also allow a partnership model where the federal and state governments share in the execution of exchange functions.
Medicaid Managed Care: How States’ Experience Can Inform Exchange Qualified Health Plan Standards
State Affordable Insurance Exchanges (exchanges) are at the core of the coverage reform in the Affordable Care Act (ACA). The exchanges establish a marketplace in which individuals and small employers can compare and select among affordable, quality health insurance options.
Basic Health Plan: Is it an option for your State?
The Affordable Care Act (ACA) provides subsidized coverage options for individuals up to 400 percent of the Federal Poverty Level.
HHS Proposed Rules on Exchange Implementation Requirements
Health insurance exchanges are the vehicle through which millions of Americans will gain access to coverage beginning in 2014. The U.S. Department of Health and Human Services (HHS) released its initial proposed rules on exchange implementation on July 11, 2011.
Analysis of HHS Proposed Rules On Reinsurance, Risk Corridors and Risk Adjustment
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.
Overview and Analysis of Proposed Exchange, Medicaid and IRS Regulations Issued on August 12, 2011
On August 12, 2011, the U.S. Department of Health and Human Services issued two sets of proposed rules focus on Medicaid and Children’s Health Insurance Program (CHIP) eligibility and enrollment procedures, as well as eligibility for exchanges, insurance affordability programs and Qualified Health Plans.
Ten Considerations for States in Linking Medicaid and the Health Benefit Exchanges
An estimated 27 million people will gain coverage through Medicaid or private qualified health plans via the new health insurance exchanges once the Affordable Care Act (ACA) is fully implemented in 2014. It is estimated that a significant percentage of those obtaining coverage will have income fluctuations that will change their eligibility status between public and private coverage options offered through the exchanges.
Analysis of HHS Proposed Rules On Reinsurance, Risk Corridors and Risk Adjustment
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.