Marketplace
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HHS Shares Info on Small Group Plans
By Joe Touschner It’s a busy month on the essential health benefits front! As we’ve noted, one option for states under the proposed approach for state-defined EHB packages is to use one of the state’s three largest small group plans as a benchmark. It’s been difficult to evaluate this proposal because we didn’t know which…
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CCF Shares Comments on the Essential Health Benefits Bulletin
By Joe Touschner We have been offering our insights on essential health benefits through a series of blog posts. This post is to alert you that Georgetown CCF has drafted a letter in response to the Bulletin issued by HHS in December. We raise a number of concerns with the Bulletin’s approach to essential health…
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Secrets to Success: Four States at the Forefront of Children’s Health Coverage Gains
By Jocelyn Guyer There are people in my family who think I am unduly obsessed with Tom Brady. They might even accuse me of co-authoring a paper on states at the forefront of covering our nation’s children that features Massachusetts just so I could say “Just as Tom Brady is in a league of his…
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Performing Under Pressure: Annual Findings of a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP, 2011-2012
Amid ongoing state budget pressures, a requirement in the Affordable Care Act (ACA) that states maintain eligibility in Medicaid and CHIP was central in preserving coverage during 2011. In addition, more than half of states (29) made improvements in their programs. Most of these improvements involved greater use of technology to boost program efficiency and…
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Medicaid and CHIP – Performing Under Pressure
By Martha Heberlein and Tricia Brooks For those of you who have been anxiously awaiting (and you can count us, too!) the release of the annual survey on Medicaid and CHIP, today is your lucky day. In partnership with the Kaiser Commission on Medicaid and the Uninsured, we released “Performing Under Pressure: Annual Findings of…
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Essential Health Benefits: What Does the CHIP Experience Show Us?
So my previous blog on this topic talked about how the CHIP/Essential Health Benefits analogy has its limits – still it is interesting to look at the choices that states have made for their benefits packages in separate state CHIP programs. According to data collected and released by NASHP from mid-2008, the most popular choice…
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Medicaid Constitutional Challenge Based on ‘More Rhetoric Than Fact”
We haven’t heard much about what Politico has dubbed the “sleeper issue” of the Supreme Court case because it is the least likely to be found unconstitutional. This week, Attorney Paul Clement tried to stoke a little life into the sleeper issue by tying it to the more controversial mandate provision. In the brief he filed…
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NASHP and Children’s Dental Health Project Issue Report
By Leigha Basini, National Academy for State Health Policy The new year brings many new things: new discussions about CCIIO’s newly released Essential Health Benefits (EHB) Bulletin and benefit provisions in the seemingly still new Affordable Care Act. But state CHIP directors may also be thinking about a slightly older benefit provision–the CHIPRA dental mandate. NASHP,…
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Essential Health Benefits: A Child’s Perspective
As soon as rumors started flying about what would be in the essential health benefits guidelines I thought hmmmm that sounds a lot like CHIP. At first blush the new guidance does sound like the CHIP model – indeed the guidance says as much (p. 8). But as HHS officials and others have pointed out,…
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HHS Suggests States Will Have Choices on Essential Health Benefits
By Joe Touschner For nearly a year now, we’ve been tracking the process of defining the essential health benefits. The EHB package will define the minimum set of benefits to be covered by insurance plans in the individual and small group markets as well as benchmark Medicaid plans and Basic Health Programs. On Friday afternoon,…
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Improving Coverage for Children Under Health Reform Will Require Maintaining Current Eligibility Standards For Medicaid and CHIP
When the Affordable Care Act of 2010 is fully implemented, it will extend health insurance coverage to many adult Americans who currently lack it. It is not known, however, how the health reform legislation will affect children and parents who would otherwise be uninsured. Based on this analysis, health reform has the potential to cut…
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ACA Should Bring Insured Rate for Children Up to 95%
Ever since the Affordable Care Act passed, people have been calling us to ask “What does the law mean for kids and their families?” To my great dismay, we were completely unable to answer this question even though we are, after all, the “Center for Children and Families.” The only thing we could accurately say…
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More Options for Eligibility Determination Potentially Crack the Seamless System
This week, CMS released a Q & A on State-Exchange Implementation with new information on several topics, which are described below. Of concern and worth highlighting is the disappointing departure from the proposed rules by now allowing states that choose not to implement a state-based exchange to retain control over Medicaid and CHIP eligibility. The Notice…
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A Compass for America’s Health Care Navigators
By Suzie Shupe, California Coverage & Health Initiatives The Affordable Care Act’s (ACA) health insurance exchange marketplaces offer the promise of connecting millions of uninsured Americans with the health coverage and care they need. And by strengthening Medicaid, millions more will be able to get care. It is an historic opportunity, but also an unprecedented…
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Health Insurance Premium Increases Outpace Wages
Employer-based health insurance costs have increased three times faster than wages since the beginning of the decade. About 62% of those under age 65 live in a state where average health insurance premiums exceed 20% of the median income. In 2010, the average total premium for a family of four was $13,871, an increase of…
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Fuzzy Math: Treasury Department says kids don’t count when determining whether family insurance is affordable?
By Kristen Golden Testa, The Children’s Partnership Since when is 14,000 no different than 5,000? When the U.S. Treasury Department estimates the affordability of a family’s health insurance. If it goes uncorrected, their fuzzy math may deny affordable health coverage to 270,000 Californians–122,000 of whom are children. While premiums continue to rise across the board,…
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Public Health Insurance as Poverty Reducer?
By Martha Heberlein I wanted to share an interesting tidbit that I couldn’t squeeze into my earlier blog on the supplemental poverty measure (SPM). As I mentioned, one of the new parameters included in the SPM is out-of-pocket spending on medical expenses. Well, if you look at those in poverty under the two definitions, it’s…
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Using Mobile Phones to Help Families Access Vital Medicaid Coverage
By Lisa Han, The Childrens Partnership Recent data shows that people of color and low-income populations are adopting mobile technology at a rapid pace and are increasingly using mobile tools to access the Internet. These tools enable new ways of interacting with the government and enrolling in public services. Instead of standing in line at…
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Expanding Access to Care for Young Adults Through the Right Outreach and Enrollment Strategies
By Brian Burrell, Young Invincibles The Affordable Care Act (ACA) marked a historic expansion of access to health care for many people, and the federal and state exchanges will be a large part of that reform. Ideally, low- and middle-income consumers will buy insurance with subsidies through online health benefit exchanges, where they can compare…
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Talking Enrollment in the Windy City
By Jenny Sullivan, Enroll America My colleague Ani and I had the pleasure of attending the Second National Children’s Health Insurance Summit earlier this month in Chicago. The gathering, hosted by the Centers for Medicare and Medicaid Services (CMS), was the official kick-off for the second round of outreach and enrollment grants that CMS awarded to 39…