Reports & Analysis

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Business Plan of Operations: New York Health Benefit Exchange

Jun 2012

This Wakely Consulting Group report provides New York State with an overview of the business functions that are needed for a Health Benefit Exchange as well as the types of work exchange staff must undertake and a timeline for setting up the Exchange.

 

The Role of Producers and Other Third Party Assistors in New York’s Individual and SHOP Exchanges

Jun 2012

This Wakely Consulting Group report explores the significant role third party intermediaries have in New York’s health insurance market and recommends models for incorporating and compensating these intermediaries under health reform.

 

Risk Adjustment and Reinsurance Under the ACA: New York State Recommendations

Jun 2012

This report by Wakely Consulting Group examines New York’s options and makes recommendations for its risk adjustment approach under health reform.

 

Government Spending for Health Entitlement Programs

Jun 2012

This data brief closely examines the budgetary implications of government spending on health entitlement programs.

 

Toolkit on Coordinating Health Reform and Human Services

Jun 2012

This toolkit from the Center on Budget a Policy Priorities is designed to help states think about leveraging resources across human service programs throughout health reform implementation.

 

Protecting High-Risk, High-Cost Patients

Jun 2012

This report by the Urban Institute examines the health care reform law's ability to protect all individuals who purchase insurance through the small group and nongroup markets, especially those who have many health needs, and therefore high costs.

 

Churning Under the ACA and State Policy Options for Mitigation

Jun 2012

This brief by the Urban Institute explains how states could systematically fight churning between systems of coverage, including through Medicaid premium assistance and the Basic Health Program, and describes how states could limit the harm experienced by families in transition. 

 

Federal Requirements and State Flexibilities for Verifying Eligibility Criteria

Jun 2012

This brief prepared by Manatt Health Solutions summarizes some of the key verification requirements, with an emphasis on financial eligibility.

 

Multi-State Health Plans

Jun 2012

This summary from HealthReform GPS outlines issues around multi-state plans (MSPs) that will be offered on health insurance exchanges.

 

Checklist for High-Value Health Care

Jun 2012

The Institute of Medicine (IOM) and 11 health systems have developed a checklist to help health systems provide high-value health care — better results with lower costs

 
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