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.
The Affordable Care Act (ACA) created the Small Business Health Options Program (“SHOP”) to create new marketplaces for small employers (and employees) to shop for and purchase employer subsidized health insurance coverage. In addition to small business tax credits, the primary value proposition for the SHOP is to facilitate employee choice.
Chad Shearer, Deputy Director of the State Health Reform Assistance Network, presented at the National Association of Insurance Commissioners (NAIC) Western Zone Meeting held September 22, 2012 in San Antonio, TX. The presentation gave an overview of the State Network and tools developed by the program specifically for insurance regulators.
In order to assist states in accomplishing tasks related to insurance market reforms and certification and management of qualified health plans, the Georgetown University Health Policy Institute has developed a toolkit for insurance departments. Many Affordable Care Act (ACA) implementation issues fall squarely within existing state insurance regulatory functions.
Heather Howard, Director of the State Health Reform Assistance Network, and Mila Kofman, Research Professor at Georgetown University’s Health Policy Institute, presented at the National Association of Insurance Commissioners (NAIC) Summer National Meeting held from August 11-14, 2012 in Atlanta, GA.