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.
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,…
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…
U.S. Funding for Global Health: The President’s FY 2014 Budget Request May 23, 2013 Fact Sheet This budget analysis reviews U.S. funding for global health programs included in the fiscal year 2014 Budget Request released on April 10, 2013.
Medicare’s Role for Older Women May 16, 2013 Fact Sheet This fact sheet, Medicare’s Role for Older Women, discusses the characteristics of female Medicare beneficiaries, their health care needs, the structure of Medicare including cost-sharing requirements, and anticipated changes due to health reform.
The Department of Defense’s Role in U.S. Global Health Policy and Programs: Briefing and Panel Discussion May 16, 2013 Event This event examines the role of the Department of Defense (DoD) in global health and how it intersects with the global health efforts of the U.S. government (USG) and other organizations.
Visualizing Health Policy: The Role of Medicaid and Medicare in Women’s Health Care May 14, 2013 Infographic This month’s Visualizing Health Policy infographic provides information about the role of Medicaid and Medicare in women’s health care: the proportion of US women who are covered by Medicaid and Medicare; how women comprise the majority of those covered by the Medicaid and Medicare programs and the majority of those receiving long-term services and supports (such as home health care); how women on Medicaid are poorer and sicker than women with private coverage; how Medicaid is a primary payer for women’s reproductive health services; and how women on Medicare spend more than their male counterparts on medical care and also have higher rates of health problems and social challenges.
Profiles of Medicaid Outreach and Enrollment Strategies: Helping Families Maintain Coverage in Michigan May 14, 2013 Issue Brief This brief provides insight into lessons learned from Medicaid and CHIP outreach and enrollment strategies by profiling a successful initiative of the Michigan Primary Care Association to facilitate coverage renewals through a systematic, technology-based reminder system coupled with one-on-one assistance. The brief is part of the “Getting Into Gear for…
Stop the Drop: Profiles of Innovative Medicaid Renewal Initiatives and Lessons for 2014 and Beyond May 14, 2013 Event Under the Affordable Care Act (ACA), there will be a new continuum of coverage options available beginning in 2014. While there currently is significant focus on enrolling eligible people into these new coverage options, it also is important to plan for how to keep eligible people enrolled in coverage over…