The unwinding related section 1902(e)(14) strategies newly available to Medicaid and CHIP agencies can provide significant relief to states facing pending eligibility and enrollment actions and processing delays, workforce and systems limitations, and other operational challenges. Ensuring eligible individuals do not lose coverage for procedural or administrative reasons and supporting those who are ineligible for Medicaid/CHIP transition to Marketplace coverage will be paramount for all states as they begin to resume normal operations when the federal public health emergency (PHE) ends. This expert perspective outlines the time-limited targeted enrollment flexibilities that CMS has availed to states through section 1902(e)(14) waiver authority and discusses considerations beyond the strategies described in federal guidance and supplemental resources.
Predicting the Effects of the Affordable Care Act: A Comparative Analysis of Health Policy Microsimulation Models
Jean M. Abraham, Ph.D., University of Minnesota
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 brief examines five major federal health policy simulation models. Components of these models vary, and the similarities and differences between the models have important consequences for states as they evaluate model outputs and/or contract options for state specific policy microsimulations. The issue brief explains the basics of microsimulation modeling so that policymakers and analysts are better able to assess modeling outputs and make informed decisions when contracting with a microsimulation vendor. A related webinar provided an overview of the five major models, discussed how one state has utilized microsimulation modeling and highlighted questions states should consider when contracting for or using modeling outputs. An archived replay of the webinar is available here.