- 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
- Child Development Services
- Chronic Care Management
- Community Health Centers
- Developmental Screening
- Early Childhood Services
- EPSDT
- Family Planning
- Federally Qualified Health Centers
- Home & Community Based Services
- 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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Health Insurance Fraud: An Overview
Fraud is an unfortunate but real part of the health care landscape. As health reform legislation takes shape anti-fraud provisions will be critical. This means considering steps to strengthen the reach and scope of the HIPAA insurance fraud provisions of 1996, requiring anti-fraud compliance procedures for all insurers participating in a reformed health care system, and sufficiently funding federal and state agencies to ensure that cases of fraud are quickly detected and addressed.June 2009» -
A New Approach To The State-Federal Relationship In Health
The dynamics of this important relationship must change, even before major reform proposals are put forward or enacted. Federal health policy making is too often shaped by mistrust of states on fiscal and programmatic matters. The current approach of micromanaging state decisions undermines the dynamism necessary to administer and improve Medicaid. The new Obama administration should commit to healing the state-federal relationship through greater policy transparency and by developing a robust, performance-oriented approach to Medicaid program oversight. The administration should undertake additional joint federal-state efforts to address other health policy priorities. These steps would lay a stronger platform on which efforts for comprehensive health reform can be built. [Health Affairs 28, no. 2 (2009): w188–w193]January 2009 -
Revisiting Pay or Play: How States Could Expand Employer-Based Coverage Within ERISA Constraints
This issue brief is designed to help policy makers design a state pay or play law to withstand an ERISA preemption challenge. The paper briefly outlines why ERISA raises problems for this type of state health policy initiative and how recent Supreme Court decisions have reduced ERISA’s preemptive impacts.May 2002» -
ERISA Preemption Manual for State Health Policy Makers: Update – January 2001
The report continues the dialogue begun in the ERISA Preemption Manual.January 2001» -
ERISA Preemption Manual for State Health Policy Makers
The manual offers detailed analysis and source materials related to the federal Employee Retirement Income Security Act of 1974 (ERISA) and its implications for state health care initiatives. State efforts to expand health care coverage and regulate insurance markets are affected by ERISA’s national standards for employee benefit plans. Though court decisions have narrowed the scope of ERISA, the reach of this federal law remains extensive. Published in conjunction with the Alpha Center and State Coverage Initiatives.
January 2000»
