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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The Budget Trigger and Health Reform
PerspectiveNo doubt it will take some time to sort out how elements of the debt deal (formally "The Budget Control Act of 2011") will all work. Delving into the details of how it affects subsidies in the Affordable Care Act (ACA) to make insurance more affordable helps to illustrate how complex this business can be.
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July Kaiser Health Tracking Poll: Public Still Divided on ACA, Few Believe the Law Will Improve Consumer Protections
PerspectiveOverall public opinion on the health reform law remains unchanged this month, with 42 percent of Americans holding a favorable view and 43 percent an unfavorable view.
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Medigap Reforms: Potential Effects of Benefit Restrictions on Medicare Spending and Beneficiary Costs
ReportAs part of several debt-reduction and Medicare-reform proposals, some policymakers propose to prohibit Medicare supplemental insurance policies (known as Medigap) from covering all of enrollees' out-of-pocket Medicare costs, which some believe leads to higher use of services and higher Medicare spending.
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How Much Skin in the Game is Enough? The Financial Burden of Health Spending for People on Medicare
ReportHow Much " Skin in the Game " is Enough? The Financial Burden of Health Spending for People on Medicare Medicare extends health security and financial protection to seniors and younger people with disabilities.
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Accountable Care Organizations: A New Paradigm for Health Care Delivery?
Event Date:EventThe health reform law of 2010 authorizes Medicare, beginning next year, to contract with accountable care organizations (ACOs) in a Medicare Shared Savings Program. ACOs provide financial incentives to improve the coordination and quality of care for Medicare beneficiaries, while reducing costs.
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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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What the Actuarial Values in the Affordable Care Act Mean
Issue BriefThe Patient Protection and Affordable Care Act (PPACA) establishes four levels of coverage based on the concept of "actuarial value," which represents the share of health care expenses the plan covers for a typical group of enrollees.
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Health Reform Hits Main Street
VideoThis short cartoon explains the problems with the current health care system, the health reform changes that are happening now, and the big changes coming in 2014 as part of the Affordable Care Act (ACA). You can view the video on our site and it is also available on YouTube.
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Family Health Premiums Rise 3 Percent to $13,770 in 2010, But Workers’ Share Jumps 14 Percent as Firms Shift Cost Burden
News ReleaseAbout One In Four Covered Workers Now Face Annual Deductibles Of $1,000 Or More, Including Nearly Half Of Those Employed By Small Businesses WASHINGTON, D.C.