Financial Sustainability of Medicaid and Exchange Integrated Eligibility Systems: State Cost Allocation Methodologies
This brief and companion chart, prepared by Center for Health Care Strategies, reviews cost allocation methodologies states use to determine how exchange development expenses are charged to different agencies.
State Experiences with Express Lane Eligibility: Policy Considerations and Possibilities for the Future
The following document, prepared by the National Academy for State Health Policy, discusses the possible role of Express Lane Eligibility (ELE) in simplifying and streamlining enrollment into Medicaid and the Children’s Health Insurance Program (CHIP).
Design Considerations in Structuring Employee Choice for SHOP Exchange
The Affordable Care Act (ACA) created the Small Business Health Options Program (“SHOP”) to create new marketplaces for small employers (and employees) to shop for and purchase employer subsidized health insurance coverage. In addition to small business tax credits, the primary value proposition for the SHOP is to facilitate employee choice.
Top 10 Best Practices for State Health Reform Websites
Forum One Communications and GMMB have aided three State Network states in developing consumer-friendly websites aimed at tackling the difficult challenge of explaining the Affordable Care Act (ACA) provisions to consumers.
Exchange Implementation Workplan
November 16th, 2012 is the deadline for submission of the Blueprint application that certifies states to operate a State Based Exchange (SBE) or State Partnership Exchange. In order to aid states in achieving SBE certification, Manatt Health Solutions with support from the State Network, developed this document which identifies critical SBE implementation tasks.
Building On a Solid Foundation: Leveraging Current Programs and Infrastructure in Navigator Program Development
The Patient Protection and Affordable Care Act (ACA) establishes health benefits exchanges and requires them to create a navigator program to assist consumers and small businesses as they apply for and enroll in coverage.
Analysis of Eligibility Changes and Implications for Selected Medicaid and CHIP Eligibility Groups
The Patient Protection and Affordable Care Act (ACA) has prompted the Centers for Medicare and Medicaid Services (CMS) to promulgate Medicaid and CHIP eligibility rules designed to simplify and collapse Medicaid eligibility categories in preparation for the changes in Medicaid that will become effective under the ACA in 2014.
Predicting the Health Insurance Coverage Impacts of Complex Policy Changes: A New Tool for States
This brief, prepared by State Health Access Data Assistance Center (SHADAC), overviews the SHADAC Projection Model, a complex spreadsheet model that states can use to estimate the impacts of policy changes on health insurance coverage.
Managing State-Level ACA Implementation Through Interagency Collaboration
Managing State-Level ACA Implementation Through Interagency Collaboration” was developed by Shelly Ten Napel and the State Network team to describe the early lessons learned from state officials and technical experts related to the leadership and coordination strategies needed to successfully implement the Affordable Care Act (ACA) at the state level.
Overview of Final Regulations on Health Insurance Premium Tax Credit
On May 18, 2012, the Internal Revenue Service (IRS) finalized regulations related to health insurance premium tax credits authorized by the Affordable Care Act (ACA) for certain lower-income individuals who enroll in qualified health plans (QHPs) through Exchanges.