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Measuring Marketplace Enrollment Relative to Projections

April 3, 2014  /  Public Health*

Analysis of the success of state marketplaces utilizing Federal and State-run Exchanges.

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Medicaid Expansion Impact: A state-by-state Analysis

December 31, 2013  /  Medicaid*

How States Stand to Gain or Lose Federal Funds by Opting In or Out of the Medicaid Expansion.

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Premium Content: Medicaid Expansion Analysis

November 22, 2013  /  Medicaid*, Premium Content

Much media and policy attention is currently focused on getting the “young invincibles” to purchase coverage in the new health insurance exchanges that are being built as part of the Affordable Care Act (ACA).  Much less attention has been given to the fact that young adults constitute 52 percent of the uninsured who could become […]

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Premium Content: ACO impact on Private Insurance Costs

August 28, 2013  /  Emerging Healthcare Models*, Premium Content

This analysis of a commercial private payer contract provides some surprising results.

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Premium Content: Impact of State Medicaid Expansion Decisions

July 28, 2013  /  Medicaid*, Premium Content

One of the major vehicles in the Affordable Care Act (ACA) to increase health insurance coverage is an expansion of Medicaid to adults with incomes at or below 138% of the federal poverty level (FPL). While the expansion was intended to be implemented in all states, as a result of the Supreme Court decision on […]

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Premium Content: Current Status of Medicaid Expansion

July 28, 2013  /  Medicaid*, Premium Content

As states wrap up legislative sessions and make decisions about whether to implement the Medicaid expansion included in the Affordable Care Act (ACA), this new analysis highlights the implications of these decisions for coverage, state finances and providers. http://kaiserfamilyfoundation.files.wordpress.com/2013/07/8457-the-cost-of-not-expanding-medicaid3.pdf

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Premium Content: State Exchanges

July 10, 2013  /  Premium Content, State Exchanges*

The Affordable Care Act requires the establishment of new health insurance marketplaces—known as individual exchanges and Small Business Health Options (SHOP) exchanges—in each state. This report discusses the complex decisions that states are facing about how to design their exchanges in ways that reflect the unique needs of their consumers and insurance market. http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2013/Jul/1696_Dash_key_design_decisions_state_based_exchanges.pdf   […]

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Premium Content: Medicaid Expansion

June 14, 2013  /  Medicaid*, Premium Content

The choice to expand Medicaid is a challenging one that must consider many factors.  This analysis outlines the framework that states are using for this analysis and the drivers of this key decision. http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2013/rwjf406481

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Premium Content: State Managed Medicaid Assessment

May 31, 2013  /  Medicaid*, Premium Content

This brief discusses how eight states are altering their Medicaid managed care programs as they move into the home stretch of implementing the ACA. http://www.urban.org/UploadedPDF/412826-Are-State-Medicaid-Managed-Care-Programs-Ready-for-2014.pdf

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Premium Content: Medicare Advantage Plans’ Reimbursement Challenges

May 11, 2013  /  Medicare*, Premium Content

The Affordable Care Act has altered payment policy for private Medicare Advantage (MA) plans because there is wide variation  in MA plan costs relative to traditional Medicare. http://www.commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/2013/May/1688_Gold_making_sense_change_MA_plan_payment_ib_v2.pdf

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