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The Henry J. Kaiser Family Foundation

Transparency and Complexity

This fall a new rule takes effect requiring all private health plans to offer a uniform, simple to read, summary of benefits and coverage (SBC).  The SBC will provide consumers with standardized information about how plans cover essential health benefits and what coverage limits and cost sharing applies. The SBC…

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The Henry J. Kaiser Family Foundation

A Primer on Dually Eligible Beneficiaries

The nine million dually eligible beneficiaries are generally poorer and sicker than other Medicare beneficiaries, tend to use more health care services, and thus account for a disproportionate share of Medicare and Medicaid spending. Because they often have complex medical and long-term care needs, and must navigate both Medicaid and…

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The Henry J. Kaiser Family Foundation

Medicaid Innovations: Can Managed Care Cut Costs and Improve Value?

A number of states have expressed interest in expanding managed care approaches within their Medicaid programs. While managed care may present an opportunity for better delivery of care, it presents challenges within certain populations and geographic areas. How many states are planning Medicaid managed care expansions? What impact would these…

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The Henry J. Kaiser Family Foundation

Program Integrity: Preventing Health Care Fraud and Abuse

Headlines regularly call attention to pockets of fraudulent activity in the health care arena – scams that amount to millions and potentially billions of dollars. The stories typically focus on catching the crooks but not so much on efforts to prevent fraud, waste and abuse in health care programs. Both…

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The Henry J. Kaiser Family Foundation

The Alphabet Soup of Care Delivery Transformation

Both the private and public sectors are testing various care delivery transformation models to improve quality, reduce morbidity and mortality, and contain the costs of treatment. The Alliance for Health Reform and WellPoint, Inc. hosted a September 10 briefing to discuss delivery system innovations, Medicare care coordination, and low-spending health…

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The Henry J. Kaiser Family Foundation

A Dose of Reality in the Virtual World of Health IT

The Alliance for Health Reform hosted a September 28 briefing to discuss electronic health records (EHRs), and the progress of the Health Information Technology for Economic and Clinical Health (HITECH) Act. Speakers explored such questions as: How does health information technology fit in the strategy for health care delivery transformation?…

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The Henry J. Kaiser Family Foundation

Filling the Gaps: Dental Care, Coverage and Access

While the Affordable Care Act is expected to expand public and private coverage for children when it takes effect in 2014, significant gaps will remain, especially for low-income adults age 21 and older. This June 19, 2012, a public forum at the Foundation’s Washington, D.C. offices examined the gaps and…

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Medicaid 101: What You Need to Know

The Alliance for Health Reform and the Kaiser Family Foundation present a briefing to discuss the basics of Medicaid and its role in the health care system. Speakers address questions on how the program is administered, how much it costs and how it is financed, as well as how the…

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The Henry J. Kaiser Family Foundation

Investing in Health IT: What the U.S. and Other Countries Are Learning

Recent legislation, including the stimulus package and the new health reform law, invests substantial funds in health information technology which can help prevent medical errors and improve the quality and value of care. However, questions have been raised about the cost of implementation and personal privacy considerations. This briefing addressed…

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The Henry J. Kaiser Family Foundation

50 Million Uninsured: The Faces Behind the Headlines

Almost 50 million Americans lacked health insurance in 2010 — about a million more than in 2009. Who are the uninsured? Why do so many Americans lack coverage? What are the trends in coverage among different segments of the population? What do these trends mean for the health care system…

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