Predicting the Effects of the Affordable Care Act: A Comparative Analysis of Health Policy Microsimulation Models
Microsimulation models were utilized throughout the legislative process that led to the passage of the Affordable Care Act, and these models continue to play a prominent role in understanding the likely effects of federal health care reform provisions on insurance coverage and cost at both the national level and, increasingly, within individual states.
Modeling the Impacts of the ACA on Health Insurance Coverage: A New Tool for States
This slide deck prepared by State Health Access Data Assistance Center (SHADAC) for the Minnesota Health Services Research Conference, provides an overview of the SHADAC Projection Model and highlights its goals and basic structure.
Health Reform: What the Affordable Care Act Means for American Indian/Alaska Native Populations
The coverage expansions in the Affordable Care Act (ACA) could have profound impacts on American Indian and Alaskan Native (AI/AN) populations.
Strategies for Building Seamless Health Systems for Low-Income Populations
The Affordable Care Act offers numerous opportunities to stabilize coverage and care for beneficiaries as their incomes fluctuate, and states can reduce the impact of churn between coverage programs with design and purchasing strategies that promote seamlessness.
Blueprint for Exchange Business Operations: Maryland Health Benefit Exchange
This document, produced by Wakely Consulting, is intended to provide a high level overview of the business functions that must be established, the type of work that must be undertaken, and a relative timeline and chronological order for establishing the Maryland Health Benefit Exchange.
Risk Adjustment and Reinsurance: A Work Plan for State Officials Webinar
Parallel with the release of the issue brief of the same name, Ross Winkelman and colleagues from Wakely Consulting led a webinar explaining what decisions states need to make over the next two years to ensure a robust risk adjustment and reinsurance program.
Laying the IT Foundation for 2014: Developing Infrastructure for Improved Eligibility and Enrollment Systems
One of the biggest challenges – and opportunities – for states as they strive to implement the Affordable Care Act’s (ACA) coverage expansions is the size and scope of technology solutions required to support exchanges in making eligibility determinations and enrolling consumers in coverage.
Risk Adjustment and Reinsurance: A Work Plan for State Officials
Under the Affordable Care Act (ACA) much of the expanded coverage will be provided through health insurers offering products on the new health insurance exchanges. To ensure robust markets, exchanges must have in place processes for mitigating the financial risk to insurers associated with enrolling individuals with diverse health care needs.
Federally-Facilitated Exchanges and the Continuum of State Options
The Affordable Care Act allows states to create their own state-based health insurance exchanges or to allow a federally facilitated exchange to operate in the state. Proposed rules from the Department of Health and Human Services (HHS) also allow a partnership model where the federal and state governments share in the execution of exchange functions.
Medicaid Managed Care: How States’ Experience Can Inform Exchange Qualified Health Plan Standards
State Affordable Insurance Exchanges (exchanges) are at the core of the coverage reform in the Affordable Care Act (ACA). The exchanges establish a marketplace in which individuals and small employers can compare and select among affordable, quality health insurance options.

