As part of a series on “Helping Consumers Understand the Marketplaces,” Manatt Health Solutions led a webinar reviewing a primer on the reconciliation of advance premium tax credits (APTC), explaining how reconciliation will work when consumers file their taxes, and strategies consumers can use to minimize the risk of repayment.
This brief, prepared by the Georgetown University Health Policy Institute, explores some of the discrepancies that can arise with varying network adequacy standards and provides examples of how some states have resolved such issues. Network adequacy refers to a health plan’s ability to deliver the benefits promised by providing reasonable access to a sufficient number of in-network primary care and specialty physicians, as well as all health care services included under the terms of the contract.
The Oregon Health Policy Board met on August 6, 2013 to present updates on the 2013 legislative recap, the Coordinated Care Model Alignment workgroup, Health System Transformation Quarterly Report, and rate review and transparency opportunities.
The following brief, prepared by experts at the University of Minnesota, provides background on data collected by the National Association of Insurance Commissioners (NAIC), including new types of data being collected for health reform monitoring purposes.
The State Coverage Initiatives program, in coordination with the State Network, hosted a webinar Tuesday, July 23 from 1:30 – 3:00 p.m. EDT to discuss Small Business Health Option Programs (SHOP) notices and appeals. Sharon Woda and Adam Block from Manatt Health Solutions, and Lisa Sbrana and Kelly Smith from the New York Health Benefit Exchange (NYHBE) facilitated this event.
Impact of National Health Reform and State-Based Exchanges on the Level of Competition in the Nongroup Market
This brief, prepared by Wakely Consulting Group, analyzes health plan participation in 10 state-based exchanges to provide an early indicator of the level of competition that market reforms and state-based exchanges are generating. In sum, carrier participation increased by 35 percent (52 to 70 issuers) when comparing the number of issuers applying to nongroup exchanges versus the number in the pre-reform base year.
Wakely Consulting Group has prepared this policy brief to aid state Exchanges in their contracting strategies with qualified health plans (QHPs). Section I of this brief describes many of the types of decisions that Exchanges should consider in preparing to launch a clean, effective QHP solicitation process.
How Can Insurance Exchanges Strategically Approach the Selection and Management of Qualified Health Plans?
The ‘How Can Insurance Exchanges Strategically Approach the Selection and Management of Qualified Health Plans?’ took place on Thursday, February 14 at 2:00 pm ET, and was facilitated by Wakely Consulting Group.
The Qualified Health Plan (QHP) Issuer Certification Checklist is a document developed by Georgetown University’s Health Policy Institute that insurance regulators (and/or Exchanges) can use or modify for use in reviewing applications filed by issuers for approval as QHP issuers.
The Operationalizing Oversight of ACA Insurance Market Reforms webinar took place on January 28, 2013. Click the blue “download” box to the left to retrieve the slides and a recording of the webinar can be found here.