- ACA Implementation & State Health Reform
- Coverage and Access
- Federal/State Issues
- Medicaid and CHIP
- Population and Public Health
- Providers and Services
- Acute Care
- Assisted Living
- Behavioral Health
- Case Management
- Child Development Services
- Chronic Care Management
- Community Health Centers
- Developmental Screening
- Early Childhood Services
- Emergency Care
- EPSDT
- Family Planning
- Federally Qualified Health Centers
- Home & Community Based Services
- Hospitals
- Long Term Services & Supports
- Medical Homes & Health Homes
- Mental Health
- Nursing Homes
- Oral Health
- Preventive Care
- Primary Care
- Safety Net Providers
- Quality, Cost, and Health System Performance
- ACOs
- Adverse Event Reporting
- Care Transitions
- Comparative Effectiveness
- Cost Sharing
- Delivery System Reform
- Fraud and Abuse
- Health Care Workforce
- Health Information Technology
- Managed Care
- Medical Homes & Health Homes
- Medical Malpractice
- Patient Safety
- Payment Reform
- Performance Measurement
- Provider Payment Policy
- Quality Oversight
- Specific Populations
- Adolescents
- Childless Adults
- Children
- Children with Special Health Care Needs
- Dual Eligibles
- Elders
- Families
- Low Income People
- Parents
- People with Chronic Conditions
- People with Developmental Disabilities
- Transitional Youth
- Vulnerable Populations
- Young Adults
- Youth
- Youth in Foster Care System
- Youth in Juvenile Justice System
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Building a Consumer-Oriented Health Insurance Exchange: Key Issues
As states develop insurance exchanges, their decisions have profound implications for consumers. This report covers three main areas where consumers intersect with the exchange. First are ways consumers participate in exchange governance, such as directly serving on exchange governing boards. Second is consumer input into exchange policy and implementation decisions, and the various avenues states are using to gather this input, such as workgroups, town hall meeting participation, and surveys. Third is the early planning for the consumer-serving functions of the exchange, such as navigator programs and the web portal.
March 2012» -
Medicaid's Role in the Health Benefit Exchange: A Road Map for States
State Medicaid programs are well positioned to serve multiple roles in the development and administration of state Health Benefit Exchanges being implemented under the Affordable Care Act (ACA). Looking ahead to 2014, Medicaid will be both an option in the continuum of health insurance coverage and an essential partner in developing, governing, and operating each state’s new health benefit exchange. This paper highlights opportunities for states to support and expand Medicaid’s current role in planning new state Exchanges in eligibility, enrollment and outreach; health plan standards and requirements; benefit package design; and infrastructure: governance, operations and finance.
March 2011» -
Health Insurance Exchange Basics
State health insurance exchanges are a key feature of the Affordable Care Act. This brief sets forth the major requirements for exchanges as described in the federal law. These requirements fall into four categories: administration and governance, insurance plan oversight, interactions with consumers, and information transfer and availability.
The Affordable Care Act requires the Secretary of the Department of Health and Human Services to issue regulations in several critical areas relevant to the exchange. States should anticipate future guidance and regulation by the federal government and be prepared to take these regulations into account in their planning.
February 2011» -
Electronic Release of Clinical Laboratory Results: A Review of State and Federal Policy
State and national initiatives to promote health information exchange (HIE) are gaining momentum in the wake of the American Recovery and Reinvestment Act of 2009 (ARRA), which provides over $40 billion to promote health information technology. States face particular challenges in promoting HIE for clinical laboratory results. This paper is intended to provide policymakers with useful background on: • Policy issues related to sharing lab results with providers and patients; • The pertinent laws and how they are interpreted by various states; • How the Clinical Laboratory Improvement Amendments (CLIA) and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) laws relate to each other; and • Opportunities for reviewing, reinterpreting, and updating laws to fit with new electronic health information infrastructures and policies. The California HealthCare Foundation provided generous support for the development of this paper.January 2010» -
What a Difference a Dollar Makes: Affordability Lessons Learned from Children's Coverage
Presented by the National Academy for State Health Policy with the support of the David and Lucile Packard Foundation.
Monday, June 20, 201112:30 pm - 2:00 pmEDTStates are responsible for on-the-ground implementation of the Affordable Care Act (ACA), including expanding coverage options through Exchanges, Medicaid and other health insurance programs. This webinar considers different ways policymakers define affordability and draws on lessons from the Children's Health Insurance Program (CHIP), which can serve as a model for states as they implement affordability provisions in ACA. It also looks at the impact on families when coverage is not affordable and considerations for families in purchasing decisions.
Speakers:
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Peter V. Lee
Peter V. Lee, JD, is the Executive Director of the California Health Benefit Exchange (the Exchange), where he oversees the planning, development and ongoing administration and evaluation of the Exchange. The Exchange was established by the State of California to support the dramatic expansion of coverage enabled by the Affordable Care Act. Before joining the Exchange, Mr. Lee was the Deputy Director for the Center for Medicare and Medicaid Innovation at the Centers for Medicare and Medicaid Services in Washington, DC. where he helped establish the new Center which is testing new payment and delivery system reforms that can promote that delivery of higher-quality, more affordable health care. Also, while serving the Obama Administration, Mr. Lee was the Director of Delivery System Reform for the Office of Health Reform for the Health and Human Services, where he coordinated delivery reform efforts for Secretary Sebelius and assisted in the preparation of the National Quality Strategy. Mr.
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Richard Fiore
Prior to being named by Governor Robert Bentley as the Executive Director of Alabama’s Health Insurance Exchange, Richard Fiore has served in a variety of leadership roles in both the private and public sectors.
His experience includes working with local, state and federal programs and information systems across many domains ranging from Human Services to Juvenile Justice to Defense, the Courts and Homeland Security. System and program integration and collaboration as well as information quality, national standards, analysis and presentation are frequent themes in tasks he has been tasked to design, implement and maintain. Richard’s work in the private sector includes systems and software development and analyses, configuration management, business development, election ballot security and analysis, data migration and project and contract management.
He is also a former president of Alabama’s Chapter of the GMIS, an international organization dedicated to providing collaboration among public-sector technology leaders.
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Medicaid's Role(s) in the Health Benefits Exchange: A Roadmap for States
Thursday, March 31, 20113:00 am - 4:00 amESTThis webinar outlines the multiple roles of the Medicaid program in the development and administration of state Health Benefit Exchanges being implemented under the Affordable Care Act (ACA). With ACA’s enactment, Medicaid has completed its transition from a program linked to welfare to a major health insurer, becoming a lynchpin of the nation’s health insurance infrastructure. Looking ahead to 2014, Medicaid will be both an option in the continuum of health insurance coverage and an essential partner in developing, governing, and operating each state’s new health benefit exchange.
