New on the Web 77 (February 2011)
From the Center for American Progress: “Health Care Reform without the Individual Mandate”
From the Centers for Medicare and Medicaid Services (CMS) and Mathematica: “Money Follows the Person Demonstration Program: A Profile of Participants”
From the Commonwealth Fund: “Securing a Healthy Future: The Commonwealth Fund State Scorecard on Child Health System Performance, 2011”
From HealthCare.gov: “The Affordable Care Act’s Prevention and Public Health Fund in Your State”
From the Kaiser Commission on Medicaid and the Uninsured: “A Challenge for States: Assuring Timely Access to Optimal Long-Term Services and Supports in the Community,” “Medicaid Home- and Community-Based Service Programs: Data Update,” “Money Follows the Person: A 2010 Snapshot”
From the Kaiser Family Foundation: “Opportunities for Long-Term Services and Supports in Health Reform,” “Medicaid’s New ‘Health Home’ Option,” “The Role of Medicare for the People Dually Eligible for Medicare and Medicaid”
From Mathematica: “Healthy Indiana Plan: Lessons for Health Reform,” “Money Follows the Person Demonstration: Overview of State Grantee Progress, January-June 2010”
From the National Academy of Social Insurance: “Designing an Exchange: A Toolkit for State Policymakers,” “Governance Issues for Health Insurance Exchanges”
From the National Health Law Program (NHeLP): “Short Papers on Health Reform”
From the Robert Wood Johnson Foundation and the Urban Institute: “Employer-Sponsored Insurance under Health Reform: Reports of Its Demise Are Premature”
From the Center for American Progress:
Health Care Reform without the Individual Mandate discusses what will happen to the health reform law if the mandate is repealed and explores alternatives to the mandate. The brief considers the two most popular alternatives and estimates their impact on insurance coverage, public-sector costs, and insurance prices. (February 2011)
From the Centers for Medicare and Medicaid Services (CMS) and Mathematica:
Money Follows the Person Demonstration Program: A Profile of Participants profiles participants who transitioned from institutions to qualified home- or community-based residences from the start of the program through June 2010. The brief describes their demographic characteristics, the types of institutions in which they lived before their transition, and their community living arrangements. (January 2011)
From the Commonwealth Fund:
Securing a Healthy Future: The Commonwealth Fund State Scorecard on Child Health Systems Performance, 2011 shows that federal action to extend insurance to children has made a critical difference in reducing the number of uninsured children across states, especially during the recent recession. The report also finds that where children live, and their parents’ incomes, significantly affect their access to affordable care. (February 2011)
From HealthCare.gov:
The Affordable Care Act’s Prevention and Public Health Fund in Your State is a series of fact sheets that describe how much money has been allocated to each state through the Prevention and Public Health Fund and the specific programs and projects that are being funded. (February 2011)
From the Kaiser Commission on Medicaid and the Uninsured:
A Challenge for States: Assuring Timely Access to Optimal Long-Term Services and Supports in the Community highlights two important aspects of operations in states that affect access to long-term care in the community: efforts to provide accurate and timely information to consumers, and procedures to make Medicaid eligibility determinations quickly and efficiently. One key finding is that single entry point agencies and “no wrong door” approaches are most effective when consumers are provided with complete information in the first point of contact. (February 2011)
Medicaid Home- and Community-Based Service Programs: Data Update presents a summary of the main trends that have emerged from the three main Medicaid home- and community-based services programs and looks at findings on the policies used in the three programs, including eligibility criteria, service and waiting list data, and provider reimbursement rates. (February 2011)
Money Follows the Person: A 2010 Snapshot looks at findings from a recent survey of states about the current status of their Money Follows the Person programs, including trends in enrollment, services, and per capita spending. As of July 2010, nearly 9,000 individuals have been transitioned back to the community, and another 4,000 are currently in progress. (February 2011)
From the Kaiser Family Foundation:
Opportunities for Long-Term Services and Supports in Health Reform is a briefing that featured a panel discussion on Medicaid’s role, as well as Kaiser’s latest data on long-term services and supports for seniors and people with disabilities. (February 2011)
Medicaid’s New “Health Home” Option discusses a provision of the Affordable Care Act that encourages states to provide home health services to the chronically ill. The health home option became available to states on January 1, 2011, and it includes a temporary 90 percent federal match to help states pay for the new services. (January 2011)
The Role of Medicare for the People Dually Eligible for Medicare and Medicaid looks at characteristics of the dual eligible population, examines Medicare and Medicaid spending for dual eligibles, reviews provision in the Affordable Care Act that pertain to the care of and spending for dual eligibles, and considers key issues for the future. (January 2011)
From Mathematica:
Healthy Indiana Plan: Lessons for Health Reform describes Indiana’s coverage option for low-income, working adults. The brief discusses the plan’s innovative features and assesses early experiences with enrollment and cost-sharing, providing useful insight to policy makers who are considering options for expanding coverage under the Affordable Care Act. (January 2011)
Money Follows the Person Demonstration: Overview of State Grantee Progress, January-June 2010 describes states’ progress on key program performance indicators, summarizes initial information on grantees’ use of rebalancing funds through 2009, and looks at the major accomplishments and challenges in implementing the demonstration during the six-month reporting period. (January 2011)
From the National Academy of Social Insurance:
Designing an Exchange: A Toolkit for State Policymakers builds on the National Association of Insurance Commissioners’ (NAIC) model exchange act in order to provide technical assistance to state policy makers who are interested in a broader range of policy options for designing an exchange. The toolkit includes legislative language with alternatives and additions to the NAIC model act, as well as explanations of key issues and concerns in designing an exchange. (January 2011)
Governance Issues for Health Insurance Exchanges discusses the options that are available to states to structure their exchanges: through a state government agency (either existing or newly created), a nonprofit entity established by the state, a multi-state exchange, or a federally operated exchange. The brief also outlines the issues and challenges that states are likely to face in developing their exchanges. (January 2011)
From the National Health Law Program (NHeLP):
Short Papers on Health Reform is a series of pieces that explain several provisions in the law, including those pertaining to language access, consumer assistance programs that will help individuals understand their insurance options and rights, and essential benefits for children in the exchanges. (January 2011)
From the Robert Wood Johnson Foundation and the Urban Institute:
Employer-Sponsored Insurance under Health Reform: Reports of Its Demise Are Premature estimates how the Affordable Care Act will affect job-based coverage and employer health care costs. The findings show little overall effect on job-based insurance. (January 2011)
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