Financing Medicaid Coverage Under Health Reform: What is in the Law and the New FMAP Rules May 9, 2013 Issue Brief This brief examines the ACA law and new regulations related to the match rates for coverage under the ACA for Medicaid and Children’s Health Insurance Program.
JAMA Forum: ACA Implementation Starts to Get Real May 8, 2013 Perspective Larry Levitt’s latest post on ACA implementation is now available on the JAMA Forum.
JAMA Forum: Great Expectations and the Affordable Care Act February 20, 2013 Perspective “Great Expectations and the Affordable Care Act,” Larry Levitt’s February 2013 post for The JAMA Forum, is now available online.
Key Lessons from Medicaid and CHIP for Outreach and Enrollment Under the Affordable Care Act June 4, 2013 Issue Brief The Affordable Care Act (ACA) will significantly increase coverage options through an expansion of Medicaid and the creation of new health insurance exchange marketplaces. However, effective outreach and enrollment efforts will be key to ensuring that new coverage opportunities translate into increased coverage. Based on a review of existing research,…
Beyond Rebates: How Much Are Consumers Saving from the ACA’s Medical Loss Ratio Provision? June 6, 2013 Perspective The Medical Loss Ratio (MLR) provision of the Affordable Care Act (ACA) saved consumers an estimated $2.1 billion last year, in the form of lower premiums and rebates, according to a new analysis by the Kaiser Family Foundation. Under health reform, insurers must issue consumer rebates if they fail to spend a certain portion of premium income on health care claims and quality improvement expenses, thereby limiting what they may spend on administrative expenses or keep as profits.
State and Local Coverage Changes Under Full Implementation of the Affordable Care Act July 31, 2013 Report This brief highlights estimates from the Urban Institute’s ACS-HIPSM on the magnitude and composition of Medicaid enrollees and the uninsured after full implementation of the Affordable Care Act (ACA), including the Medicaid expansion. Both state and local level estimates highlight the geographic variation.
Quality of Care in Community Health Centers and Factors Associated with Performance June 10, 2013 Issue Brief This study examines quality among health centers relative to Medicaid managed care organizations (MCOs). Chronic care quality among health centers is high; gaps in women’s preventive care are a concern. Lower-performing health centers have very high uninsured and homeless rates. The expansion of Medicaid and private insurance under the ACA may foster gains in health center quality performance.
Covering The ACA May Be Almost As Hard As Implementing It June 4, 2013 Perspective This Pulling It Together was adapted from a column I published earlier this week in Politico, with a new introduction added. You can read the original Politico column here. The implementation of the ACA is news and the public will demand information about it. Journalists and news organizations have an obligation…
Projecting Medicare Advantage Enrollment: Expect the Unexpected? June 12, 2013 Perspective This Policy Insight explores possible explanations for the continued rise in Medicare Advantage enrollment between 2010 and 2013 in spite of a projected decrease following payment changes in the Affordable Care Act (ACA).
Kaiser Health Tracking Poll: June 2013 June 19, 2013 Poll Finding As the country gears up for implementation of the major provisions of the Affordable Care Act (ACA), June’s Kaiser Health Tracking Poll takes a step back and examines views on health insurance more broadly among some key subgroups, including young adults, the uninsured, and those with pre-existing conditions. The poll finds that the large majority of Americans want and value health insurance.