Resources from the Federal Government

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Income, Poverty, and Health Insurance Coverage in the United States: 2011

Sep 2012

The U.S. Census Bureau announced that in 2011 the number of people without health insurance coverage declined from 50.0 million in 2010 to 48.6 million in 2011, as did the percentage without coverage - from 16.3 percent in 2010 to 15.7 percent in 2011.


2012 Annual Rate Review Report

Sep 2012

The United States Department of Health and Human Services released a 2012 Annual Rate Review report highlighting that the ACA rate review and Medical Loss Ratio (MLR) provisions have saved an estimated $1 billion for consumers.


EHB Final Data Collection Rule

Jul 2012

The final rule outlines the data health plans must provide to determine whether they meet essential health benefit standards, and establishes a process for recognizing entities to certify qualified health plans.


Checklist for High-Value Health Care

Jun 2012

The Institute of Medicine (IOM) and 11 health systems have developed a checklist to help health systems provide high-value health care — better results with lower costs


Bulletin on the Transitional Reinsurance Program

Jun 2012

The U.S. Department of Health and Human Services has issued a bulletin laying out how it will run the risk adjustment program in states that do not choose to run it themselves.


Proposed Rule on EHB Data and Plan Accreditation

Jun 2012

This proposed rule addresses what data health insurers must provide to enable regulators to set essential health benefit standards and outlines a process for accrediting qualified health plans.


General Guidance on Federally-facilitated Exchanges

May 2012

This guidance outlines the Department of Health and Human Services’ (HHS) approach to implementing a Federally-facilitated Exchange (FFE) in any state where a state-based Exchange is not operating.


Medical Loss Ratio Requirements under the ACA-Final Rule

May 2012

The U.S. Department of Health and Human Services has issued a final rule on how insurers must notify customers that they failed to meet the ACA’s medical loss ratio requirements.


Understanding Participation Rates in Medicaid: Implications for the Affordable Care Act

May 2012

This brief reviews current research on current Medicaid participation rates and participation rates after reform implementation.


Minimum Value of an Employer-Sponsored Health Plan

Apr 2012

This notice from the Internal Revenue Service (IRS) describes and requests comments on several possible approaches to determining whether health coverage under an eligible employer-sponsored plan provides minimum value.

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