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Halbig v Burwell: Potential Implications for ACA Coverage and Subsidies

July 18, 2014 Comments off

Halbig v Burwell: Potential Implications for ACA Coverage and Subsidies
Source: Robert Wood Johnson Foundation

A new report quantifies what’s at stake—in terms of health coverage and dollars—in the Halbig v. Burwell decision expected soon. Urban Institute researchers estimate that 7.3 million people, or about 62 percent of the 11.8 million people expected to enroll in federally facilitated marketplaces by 2016, could lose out on $36.1 billion in subsidies. Residents in Texas and Florida would lose the most, $5.6 billion and $4.8 billion respectively in subsidies at risk in this court decision.

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ACAView: Tracking the Impact of Health Care Reform: First Observations Around the Affordable Care Act

July 16, 2014 Comments off

ACAView: Tracking the Impact of Health Care Reform: First Observations Around the Affordable Care Act
Source: Robert Wood Johnson Foundation

ACAView is a joint initiative between the Robert Wood Johnson Foundation and athenahealth to measure the impact of the Affordable Care Act on providers, patients and physicians from 2014 through 2016.

This first comprehensive report analyzes the impact of the ACA through May 2014. The report focuses on the provider perspective, showcasing how the ACA affects the practice patterns and economics of physicians and other care team members around the country.

Key findings from the report include:

  • Influx in New Patient Volume Not Detected
  • Health Care Reform Widening the Medicaid Gap
  • No Increase in Chronic Disease Diagnoses Among New Patients

The Burden of Stress in America

July 8, 2014 Comments off

The Burden of Stress in America (PDF)
Source: NPR/Robert Wood Johnson Foundation/Harvard School of Public Health

The NPR/Robert Wood Johnson Foundation/Harvard School of Public Health Burden of Stress in America Survey was conducted from March 5 to April 8, 2014 with a sample of 2,505 respondents. The survey examines the role stress plays in different aspects of Americans’ lives, including the public’s personal experiences of stress in the past month and year, the perceived effects of their stress and causes of that stress, their methods of stress management and their general attitudes about effects of stress in people’s lives.

Deciphering the Data: Health Insurance Rates and Rate Review

June 24, 2014 Comments off

Deciphering the Data: Health Insurance Rates and Rate Review (PDF)
Source: Robert Wood Johnson Foundation

Health insurers participating in the new Marketplaces are filing rates for 2015 during the next few months. A few states have already released data on proposed rates. There is substantial economic, policy, and political interest in the magnitude of proposed rate changes. This brief provides background for understanding the economic drivers of proposed rates, state and federal rate review authority, the effects of rate changes on Marketplace enrollees and federal spending on premium credits, and the economic and political dynamics of the rate review and approval process.

County Health Rankings Show People Living in Least Healthy Counties Twice as Likely to Have Shorter Lives than People Living in Healthiest Counties

March 26, 2014 Comments off

County Health Rankings Show People Living in Least Healthy Counties Twice as Likely to Have Shorter Lives than People Living in Healthiest Counties
Source: Robert Wood Johnson Foundation

The fifth edition of the County Health Rankings released today continues to show us that where we live matters to our health. Large gaps remain between the least healthy counties and healthiest counties. For instance, the least healthy counties have twice the death rates and twice as many children living in poverty and teen births as the nation’s healthiest counties.

A collaboration between the Robert Wood Johnson Foundation (RWJF) and the University of Wisconsin Population Health Institute (UWPHI), the County Health Rankings allow each state to see how its counties compare on 29 factors that impact health, including smoking, high school graduation rates, unemployment, physical inactivity, and access to healthy foods. The Rankings are available at www.countyhealthrankings.org.

Navigator Resource Guide on Private Health Insurance Coverage & the Health Insurance Marketplace

March 12, 2014 Comments off

Navigator Resource Guide on Private Health Insurance Coverage & the Health Insurance Marketplace
Source: Georgetown University Center on Health Insurance Reform and Robert Wood Johnson Foundation

This guide is focused solely on the private insurance reforms of the Affordable Care Act, including the health insurance marketplaces, rating, benefit and cost standards, and premium tax credits. It is intended to supplement the Navigator training available from the U.S. Department of Health and Human Services. It is not intended to be a comprehensive, stand-alone resource for all the reforms of the Affordable Care Act.

This resource is organized into sections that address how individuals may present themselves to Navigators, based on their insurance status and coverage options.

► Section 1 covers enrollment issues for individuals, beginning with those who do not have coverage or an offer of group coverage, i.e., from an employer.

► Section 2 covers enrollment issues for individuals who have coverage or an offer of coverage—whether through an employer-sponsored plan, individual plan, high-risk pool, retiree plan, or student health plan—and want to understand their options, including eligibility for premium tax credits through the health insurance marketplace.

► Section 3 covers enrollment issues for small employers who want to understand and compare their coverage options for their employees.

► Section 4 covers post-enrollment issues, including questions that may arise as individuals use their coverage.

Information in this guide is current as of February 21, 2014. Future supplements will incorporate changes to federal rules. While we have made every effort to provide accurate information in this resource guide, navigators should contact their state’s marketplace, Department of Insurance, or Medicaid agency for guidance on specific circumstances.

New Brief on Data Collection and Use in Health Insurance Exchanges

February 7, 2014 Comments off

New Brief on Data Collection and Use in Health Insurance Exchanges
Source: George Washington University School of Public Health/Robert Wood Johnson Foundation

This brief, written by Taylor Burke, Lara Cartwright-Smith, and Sara Rosenbaum, discusses the new health insurance marketplaces created under the Affordable Care Act and associated structural and process-related regulations that aim to ensure the quality and value of plans sold. To qualify to be sold in these marketplaces, new plans must be certified as a “Qualified Health Plan” (QHP), meet quality accreditation standards, and implement a quality improvement strategy. These steps require the collection of information from insurers, which will result in the disclosure of information about health insurance policies, practices, cost, and quality. Learn more about QHP certification and accreditation and the impact these processes will have on the public availability of health plan performance data…

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