Reports & Analysis

A study from the Health Care Reform Actuarial Working Group of the National Association of Insurance Commissioners looked at historical data from health insurers, underwriters and states to examine the effects of excluding brokers (or “producers”) from the administrative portion of the Medical Loss Ratio (MLR) calculations.

New findings from the 2010 Commonwealth Fund Biennial Health Insurance Survey indicate the need for covering more young adults.

A recent preliminary survey by HealthScape Advisors LLC showed that 46 percent of individual plans surveyed would likely have to give rebates to their policyholders if they do not change their spending patterns in 2011.

This issue discusses the responsibilities, opportunities, and challenges for state Medicaid agencies in implementing programs to encourage providers to adopt electronic health records, focusing on the Medicaid Electronic Health Record Incentive Program.

New Mexico' s telehealth Project ECHO (Extension for Community Health Care Outcomes) could become a national model for serving chronically ill patients in underserved areas.

May 20, 2011 the Alliance for Health Reform held a briefing on how to manage the "churning" of individuals in and out of public programs so that care is not interrupted.

Historically health care insurance programs have fallen short of enrollment goals. This issue brief outlines five strategies policymakers could utilize to ensure successful enrollment when the insurance coverage expands in 2014 under the ACA.

Analysis and presentation by Kansas City based Spencer Fane Britt & Browne LLP on how the state based exchanges will affect health insurance.

This technical assistance brief describes how states are using two types of practice-based supports – care managers and quality improvement experts – to help Medicaid primary care practices provide higher-quality, more patient-centered, and cost-effective care.