Reports & Analysis

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Medicaid Primary Care Rate Increase: Next Steps for State Implementation

Dec 2012

On November 1, 2012, the Centers for Medicare & Medicaid Services (CMS) released final regulations regarding a Medicaid primary care rate increase to Medicare levels for 2013 and 2014 – a provision that is intended to encourage greater provider participation in Medicaid. This technical assistance brief reviews the final regulatory language and identifies key questions and operational steps states should consider in implementing this provision.

 

The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis

Dec 2012

This analysis provides national as well as state-by-state estimates of the impact of ACA on federal and state Medicaid costs, Medicaid enrollment, and the number of uninsured. Overall state costs of implementing the Medicaid expansion would be modest compared to increases in federal funds, and some states are likely to see small net budget savings.  

 

Medicaid Primary Care Rate Increase Final Rule: Fast Facts

Dec 2012

This Policy Update provides a summary of the final regulation released by the Centers for Medicare and Medicaid Services governing the implementation of the Medicaid primary care rate increase to Medicare levels for 2013 and 2014. It highlights select provisions for states to consider when planning implementation.

 

Small Firm Self-Insurance Under the Affordable Care Act

Dec 2012

The ACA changes the small-group insurance market substantially beginning in 2014, but most changes do not apply to self-insured plans. This brief analyzes this exemption and the coverage decisions small-employers can make.

 

Medicaid Benchmark Benefits for the New Adult Group

Dec 2012

This memorandum, prepared by Manatt Health Solutions, reviews a State Medicaid Director Letter released by the Center for Medicaid and CHIP Services that provides additional guidance to states on Medicaid benchmark benefit coverage options for the new Medicaid adult group.

 

Proposed Rule: Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation

Dec 2012

In this brief, Manatt Health Solutions assesses the proposed rules that will determine the benefits and costs of plans that will be offered through health insurance exchanges (Qualified Health Plans or QHPs) and for many plans sold outside of exchanges starting in 2014.

 

Proposed HHS Insurance Market Rules Promise Considerable Change to Existing Industry Practices

Dec 2012

The U.S. Department of Health and Human Services (HHS) proposed regulations on November 20 that would implement the Affordable Care Act’s (ACA) dramatic reforms of the way health insurance is priced and sold in the individual and small group markets. This report analyzes the proposed rules and highlights areas in which HHS is seeking public comment.

 

Request for Information Seeks Public Comment Regarding Health Plan Quality Management in Exchanges

Dec 2012

Manatt Health Solutions has prepared a summary of the Department of Health and Human Services' Request for Information that identifies the quality-related provisions of the Affordable Care Act (ACA) pertaining to exchanges and solicits public comment on 15 questions.

 

HHS Proposes Payment Model, Rules for Insurers Designed to Improve Affordability of Health Insurance in Exchanges

Dec 2012

This brief reports on the key provisions of HHS's Notice of Benefit and Payment Parameters for 2014. This proposed rule covers topics including the federal risk adjustment model, reinsurance parameters, cost-sharing reduction payment methodology, and user fees for insurers offering QHPs in federal exchanges.

 

Office of Personnel Management Releases Proposed Rules to Govern Selection and Operation of Multi-State Plans Under the ACA

Dec 2012

On November 30 the U.S. Office of Personnel Management (OPM) released its proposed rules for the Multi-State Plan Program (MSPP) of the Affordable Care Act (ACA). This brief prepared by Manatt Health Solutions provides an overview of the key provisions of the proposed rule.

 
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