- 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
- Mental Health
- Nursing Homes
- Oral Health
- Preventive Care
- Primary Care
- Safety Net Providers
- Quality, Cost, and Health System Performance
- 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
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How CHIP Can Help Meet Child Specific Requirements and Needs in the Exchange: Considerations for Policymakers
There are compelling reasons to consider how the Children’s Health Insurance Program (CHIP) can be used as a resource to meet the child-specific exchange requirements of the Affordable Care Act (ACA). With support from the David and Lucile Packard Foundation, NASHP analyzed federal statutes, regulations, and guidance for CHIP and the exchange, and interviewed state and national experts to inform this work. The resulting brief offers options for using CHIP as a tool to inform exchange design and the companion piece compares selected CHIP and exchange requirements to highlight their alignment.
Issue Brief: Considerations for Policymakers
Compendium Document: Selected CHIP and Exchange Requirements: Alignment and ConsiderationsMarch 2013 -
Potential Roles for Safety Net Providers in Supporting Continuity Across Medicaid and Health Insurance Exchanges
One challenge states face in implementing the Affordable Care Act is smoothing transitions for individuals who may churn between Medicaid and health insurance exchanges. Many people who will become eligible for coverage already interact with safety net providers. This report explores potential roles safety net providers could play in bridging gaps in coverage and care between Medicaid and exchanges. The report was made possible through a cooperative agreement with the Health Resources and Services Administration. A companion webinar, Potential Roles for Safety Net Providers in Supporting Continuity Across Medicaid and Health Insurance Exchanges, presents findings from the report and related perspectives from state and local officials.
September 2012» -
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» - Submitted by webtemp on Wed, 05/01/2013 - 13:16
A Tale of Two Markets
By Alan Weil
May 1, 2013
Shortly after the ACA was enacted, there was a great deal of talk about how states could leverage their joint purchasing power in an expanded Medicaid program and a robust health insurance exchange to drive improvements in health care delivery, yielding better value. Analysts discussed how states could bring their experience with Medicaid Managed Care to the exchange and how states could link or integrate Medicaid and exchange operations and strategies. Somehow this notion has been lost in the intervening years as attention has shifted to more basic decisions, like whether or not to expand Medicaid, and myriad operational issues around bringing up the exchanges and modifying Medicaid eligibility systems.
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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 amESTRegister hereWebinar Presentation:View Webinar HereThis 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.
Speakers:
- Deborah Bachrach, Senior Counsel, Manatt Health Solutions
- Toby Douglas, Director, California Department of Health Care Services
- Dr. Gregg Pane, Director, Virginia Department of Medical Assistance Services
» - Submitted by webtemp on Thu, 04/04/2013 - 14:21
Children Need Exchange Coverage Too
April 2013
As state and federal government officials race to meet Affordable Care Act (ACA) implementation deadlines much of their attention has been focused on adults who will be newly eligible for health coverage. Health insurance exchanges (exchanges) or marketplaces need to be prepared to serve children’s needs as well. The Children’s Health Insurance Program (CHIP), an already established and tested program, could be used to help states meet ACA requirements for exchanges while establishing good coverage for children. A recent issue brief and compendium released by the National Academy for State Health Policy (NASHP) explores how CHIP could inform children’s coverage provided through exchanges.
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