This report presents findings from an analysis of the Medicare Part D marketplace in 2013 and changes in drug coverage and costs since 2006. It presents key findings related to Medicare drug plan availability, enrollment, premiums, low-income subsidies, the coverage gap, benefit design, cost sharing, formularies, and utilization management, based on data from CMS for all plans participating in Part D. The analysis was conducted jointly by researchers at Georgetown University, the Kaiser Family Foundation and the National Opinion Research Center at the University of Chicago.
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After more than three years of political controversy and legal challenges, the major coverage provisions of the 2010 Affordable Care Act are set to take effect January 1 — yet polling finds roughly half of Americans say they don’t know enough about the health reform law to understand how it will affect their families. With new state health insurance marketplaces set to enroll people in coverage starting October 1, local and national print, online, television and radio news outlets will play a critical role in educating their audiences about the law’s new realities.
As part of its Media Fellowships Program, the Kaiser Family Foundation presents a series of free, interactive webinars exclusively for journalists to address key aspects of the the Affordable Care Act, its implications for consumers, and strategies for connecting the dots for different audiences.
As part of the “Covering Health Reform” series, this webinar will touch on some of the major questions as people start using ACA coverage and the end of open enrollment period approaches March 31. Most of the hour will be devoted to a question and answer session with the participating audience.
Congressional debates about the Medicare Sustainable Growth Rate (SGR), a payment formula that lawmakers have overridden repeatedly to avoid big payment cuts to doctors, raise questions about whether physicians are willing to care for Medicare patients. This issue brief examines the evidence on Medicare patients’ access to physicians to determine the extent to which these concerns are supported by findings from multiple patient surveys, physician surveys, published studies, and new physician data from Medicare.
This issue brief dissects the issues raised by the legal challenges to the Affordable Care Act’s requirement that private insurance plans include contraception as part of their coverage of preventive services for women. Over 40 for-profit corporations and over 40 nonprofit corporations have filed lawsuits claiming that the requirement to provide their employees with contraceptives violates their religious rights. On November 26, 2013, the Supreme Court agreed to hear two cases filed by for-profit corporations, Hobby Lobby and Conestoga Wood Specialties, that claim that this requirement violates their religious rights. At the crux of these cases is a question that the Supreme Court has not previously addressed: Do for-profit corporations have religious protections under the 1993 Religious Freedom Restoration Act and the First Amendment? The brief provides background on how the ACA’s contraceptive requirement works, summarizes some of the legal challenges brought by for-profit and non-profit organizations and discusses the implications of potential rulings by the Supreme Court.
State Demonstration Proposals to Integrate Care and Align Financing and/or Administration for Dual Eligible Beneficiaries
This map shows the current status of the state demonstration proposals to integrate care and align financing for beneficiaries eligible for both Medicare and Medicaid. Over 9.6 million seniors and younger people with significant disabilities are dually eligible for both programs, and as many as 2 million of them may be included in the demonstrations.
Updated as of November 26, 2013 Establishing the Marketplace On September 30, 2010, former Governor Arnold Schwarzenegger (R) signed into law two complementary bills, AB 1602 and SB 900, to establish the California Health Benefit Exchange. California was the first state in the nation to pass legislation creating a health…
This graphing tool allows users to explore trends in workplace-sponsored health insurance premiums and worker contributions over time for different categories of employers based on results from the annual Employer Health Benefits Survey. Breakouts are available by firm size, region and industry, as well as for firms with relatively few or many part-time workers, higher- or lower-wage workers, and older or younger workers.
In November 2013, the Foundation invited a group of journalists with a strong focus on health policy and state health reform to participate in a week-long fellowship program focused on how the Affordable Care Act is shaping Florida’s health care environment. The site visits in Miami gave journalists the opportunity…