Reports & Analysis

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SCI-Global and Episodic Bundling: An Overview and Considerations for Medicaid

Apr 2011

This brief describes global and episodic bundling and outlines considerations for state Medicaid agencies when evaluating potential implementation, including the relevance of these strategies for Medicaid agencies employing managed care strategies.

 

SCI/SHADAC -- Health Insurance Exchanges - How Economic and Financial Modeling Can Support State Implementation

Nov 2010

This brief discusses the issues that states will face in making decisions about how to structure health insurance exchanges and health insurance markets.
 

 

Transforming Health Care: The Role of Health IT

Jan 2012

The Bipartisan Policy Center's Task Force on Delevery System Reform and Health IT report discusses barriers that hinder the adoption, use, and alignment health information technology.

 

Health Reform in Massachusetts as of Fall 2010: Getting Ready for the Affordable Care Act and Addressing Affordability

Jan 2012

This Blue Cross Blue Shield of Massachusetts Foundation report provides an update on trends in Massachusetts since fall 2006 and an overview of the circumstances of working-age adults in the state as of fall 2010 that provides a baseline for understanding changes under the ACA in Massachusetts.

 

Annual Findings of a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP,2011-12

Jan 2012

This report is the Kaiser Family Foundation's annual 50-state survey of Medicaid and CHIP eligibility rules; enrollment and renewal procedures; and cost-sharing practices.

 

Sustaining Support for Exchange Directors: Models, Options, and Lessons

Jan 2012

This report explores models of collaboration among state officials in order to inform exchange directors about options for sustainable ongoing support.

 

State Progress Toward Health Reform Implementation

Jan 2012

This issue brief examines whether there is a correlation between the progress that states have made toward establishing the health insurance exchanges called for under the Affordable Care Act (ACA), and the expected benefits for state residents.

 

State Requests for the Medical Loss Ratio (MLR) Adjustment

Jan 2012

This table is a one-stop resource that shows states' request for an adjustment to the MLR standard, a consumer protection provision under the ACA. The HHS Secretary may determine that a state meeting the 80% Medical Loss Ratio standard may destabilize the individual market. In order to qualify for this adjustment, a state must demonstrate that requiring insurers in its individual market to meet the 80% MLR has a likelihood of destabilizing the individual market and result in fewer choices for consumers.

 

Building a Relationship between Medicaid, the Exchange and the Individual Insurance Market

Jan 2012

This report offers states  insight on how to coordinate Medicaid and health insurance exchange markets.

 

Risk Adjustment for Dual Eligibles: Breaking New Ground in Massachusetts

Jan 2012

This report examines the critical need for risk adjustment in programs serving persons dually eligible for both Medicare and Medicaid and describes federal and state experience implementing risk adjustment models.

 
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