Reports & Analysis

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Medicaid Supplemental Payments: Where Do They Fit in Payment Reform?

Aug 2011

Supplemental payments are a critical source of revenue to hospitals, especially safety-net hospitals. Yet because they are often disconnected from the specific services provided to specific patients, and thereby delinked from the efficiency or quality of the care provided, supplemental payments may in fact run counter to broader value-based purchasing efforts.

 

The ACA's MLR and Consequences for Consumers and Brokers

Aug 2011

This report by the National Association of Insurance and Financial Advisors states that more than one-tenth of health insurance agents reported that they have stopped selling and servicing health care policies for individuals, and nearly 30 percent foresee doing so in the future due to the medical loss ratio requirement in the health care reform law that limits how much insurance companies can spend on administrative expenses.

 

Mapping Premium Variation in the Individual Market

Aug 2011

This Kaiser Family Foundation analysis found that monthly premiums per person ranged from $136 in Alabama to more than $400 in Vermont and Massachusetts, for a national average of $215.

 

California's Health Benefit Exchange: The Future Envisioned

Aug 2011

California HealthCare Foundation (CHCF) has outlined three approaches to help inform California's Health Benefit Exchange (CHBE) in early strategic and operational decisions.

 

Milliman-Social Security and Modified Adjustment Gross Income: Estimated Impact to Medicaid Enrollment Under ACA

Aug 2011

According to a report by Milliman, about 2.3 million individuals who receive Social Security benefits will also be eligible to receive Medicaid beginning in 2014 because of an income exclusion for Social Security under the health reform law.

 

Georgia Employer Survey

Aug 2011

The Georgia Health Policy Center released results from the 2011 Georgia Employer Survey showing that less than half of small firms (2 to 500 employees) in Georgia offer employer-sponsored coverage.

 

Relative Affordability of Health Insurance Premiums under CHIP Expansion Programs and the ACA

Aug 2011

In this brief sponsored by the Robert Wood Johnson Foundation, the authors examine premium-contribution requirements for children's and family health insurance coverage through a combination of Children's Health Insurance Program (CHIP) and employer-sponsored insurance in Pennsylvania, Illinois, and Washington.

 

SHADAC-Modified Adjusted Gross Income and Medicaid Eligibility Systems

Aug 2011

This SHARE note discusses the implications of the Affordable Care Act's (ACA) new Medicaid income definition, Modified Adjusted Gross Income (MAGI), or state Medicaid eligibility systems.

 

CC-Assessing Consumer Protections in the July 2011 HHS Exchange Regulations

Aug 2011

This document highlights 10 important priorities for consumers and outlines key areas that require stronger protections or clarification in the federal regulations on state health insurance exchanges.

 

CMWF-U.S. Physician Practices Spend Nearly Four Times as Much Money Interacting with Health Plans & Payers

Aug 2011

U.S. health care practices spend nearly $83,000 annually per physician on administrative costs, nearly four times as much as Canadian practices.

 
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