Managing Medicaid Pharmacy Benefits: Current Issues and Options
This report examines reimbursement, benefit management and cost sharing issues in Medicaid pharmacy programs.
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What is a Mini-Med Plan?
PerspectiveOne of the early insurance market changes in the Affordable Care Act (ACA) phases out caps that some insurance plans impose on the annual dollar amount of benefits they will cover. Plans issued or renewed after September 23, 2010 cannot have annual limits of less than $750,000, and the threshold goes up to $1.
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An Employer Health Benefits Balance Sheet
PerspectiveThere seems to be growing interest in the question of how many employers will keep offering coverage to their full-time employees once the Affordable Care Act (ACA) is fully implemented in 2014, or instead will choose to stop offering coverage and pay a penalty.
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Preventing Chronic Disease: The New Public Health
Event Date:EventThere is a groundswell of activity in local communities to support healthier lifestyles and help people make long-lasting and sustainable changes that can reduce their risk for chronic diseases. A number of provisions in the health reform law are aimed directly at improving population health by addressing conditions where Americans live, learn, work, and play.
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Federal Core Requirements And State Options In Medicaid: Current Policies And Key Issues
Fact SheetMedicaid is a jointly financed partnership between the federal government and states. The federal-state financing and administrative structure of Medicaid provides a framework of federal core requirements along with broad state options for program design and administration.
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Briefing – Medicare: A Primer
Event Date:EventThis briefing provided an overview of the Medicare program and its role in the health care system. Panelists discussed who is eligible for Medicare, what benefits are covered and how the program is administered. Medicare financing and the program's role in health reform was also explained.
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Medicaid: A Primer on the Federal-State Partnership
Event Date:EventThis briefing provided an overview of the Medicaid program and its role in the health care system. Panelists discussed who is eligible for Medicaid, what benefits are covered, how the program is administered. Medicaid financing and the program’s role in health reform was also explained.
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Boomers Come of Age: Covering Early Retirees and Other 50-64 Year-Olds
Event Date:EventThe Patient Protection and Affordable Care Act contains provisions that can help workers age 50-64 if they lose their jobs and their employer-sponsored health benefits, such as incentives for employers to maintain retiree benefits.
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Explaining Health Reform: Benefits and Cost-Sharing for Adult Medicaid Beneficiaries
Issue BriefThis brief provides details of the benefit and cost-sharing rules that will govern the coverage available under health reform to these newly eligible adults Medicaid beneficiaries, and it identifies key considerations for state policymakers making Medicaid benefit design choices.
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Medicare Part D 2010 Data Spotlight: Benefit Design and Cost Sharing
ReportThe Medicare Modernization Act established a defined standard drug benefit for Part D stand-alone Prescription Drug Plans (PDPs) and Medicare Advantage Prescription Drug (MA-PD) plans, while giving plans flexibility to offer alternative benefit designs. Only about one in 10 PDPs offer the standard benefit in 2010.