As the scope of State Medicaid agencies becomes wider and more complex, states are increasingly turning to managed care organizations (MCOs) to cover Medicaid enrollees, including those with complex needs. This shift from a fee-for-service, volume-based payment model requires states to effectively manage MCOs and other vendors. With states facing tight budgets, limited staff, and […]
Author Archive for: sarabeth-zemel
About Sarabeth Zemel
Sarabeth Zemel joined NASHP in 2008, and works on coverage and access issues, including state implementation of health reform, health insurance exchanges, and Medicaid coverage for juvenile justice-involved youth. She currently serves as the project director of State Refor(u)m, a NASHP-led online learning network for health reform implementation. Prior to joining NASHP, Sarabeth worked at the U.S. Government Accountability Office (GAO), working on projects related to Medicare payment issues and workforce supply. She has previously worked as a health policy analyst at Families USA, focusing on Medicaid issues, and as a state policy analyst at the National Mental Health Association. Sarabeth holds a BA in anthropology from the University of Washington and a JD from Seattle University School of Law.
Entries by Sarabeth Zemel
In the five years since the passage of the Affordable Care Act (ACA), 17 states and the District of Columbia have created health insurance exchanges and 30 states and the District have expanded their Medicaid programs to cover low-income populations. More than 16 million people are newly insured under the law. In addition to expanding health coverage, […]
Under the Affordable Care Act (ACA), many individuals involved in the criminal justice system are now eligible for Medicaid, including many young, low-income males who did not previously qualify.
As states and juvenile justice stakeholders work to facilitate health coverage and access for system-involved youth, they can draw upon the experiences of their counterparts across the country to improve eligibility, enrollment, and outreach processes. Medicaid eligibility strategies in several states have already facilitated seamless coverage for juvenile justice-involved youth, and consumer assistance programs created […]
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 […]
The year has flown by for state officials planning and developing health insurance exchanges. It’s also been an active year for policy analysts, researchers, and consultants supporting state efforts. At State Refor(u)m, we’ve compiled some of the most popular, helpful, and possibly overlooked resources on the site to help you find what you need. Since […]
In March 2011, state officials and consumer advocates from nine southern states came together to discuss health reform implementation and ways to work together. The meeting was convened by NASHP, in collaboration with Community Catalyst, and funded by the Public Welfare Foundation. This paper highlights themes from this meeting, including lessons learned in building stronger […]
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 […]
One issue that states will need to confront in the future is how to reconcile state benefit mandates with new federal benefit requirements. Some states have already begun to consider the role of benefit mandates post health reform: Maryland’s Health Reform Coordinating Council has identified some key steps they will need to take once federal […]