Purchasing Coverage for Medicaid Beneficiaries in the Exchange: A Review of Premium Assistance Options
This brief prepared by Manatt Health Solutions examines some of the legal, policy and operational issues states should contemplate while considering the possibility of using “premium assistance” to purchase coverage for Medicaid-eligible adults in the Exchange.
Estimated Financial Effects of Expanding Oregon’s Medicaid Program under the Affordable Care Act (2014-2020)
This analysis estimates the potential costs and benefits of Medicaid expansion for the State of Oregon. It assesses the effect on state general funds, other state funds and the overall impact on health care expenditures.
Wakely Consulting Group has prepared this policy brief to aid state Exchanges in their contracting strategies with qualified health plans (QHPs). Section I of this brief describes many of the types of decisions that Exchanges should consider in preparing to launch a clean, effective QHP solicitation process.
How Can Insurance Exchanges Strategically Approach the Selection and Management of Qualified Health Plans?
The ‘How Can Insurance Exchanges Strategically Approach the Selection and Management of Qualified Health Plans?’ took place on Thursday, February 14 at 2:00 pm ET, and was facilitated by Wakely Consulting Group.
This issue brief, prepared by Manatt Health Solutions, summarizes federal policy guidance and outlines requirements, options and key considerations for State-based Exchanges (SBEs) on Exchange premium collection functionality.
The Qualified Health Plan (QHP) Issuer Certification Checklist is a document developed by Georgetown University’s Health Policy Institute that insurance regulators (and/or Exchanges) can use or modify for use in reviewing applications filed by issuers for approval as QHP issuers.
The Operationalizing Oversight of ACA Insurance Market Reforms webinar took place on January 28, 2013. Click the blue “download” box to the left to retrieve the slides and a recording of the webinar can be found here.
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).
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.