All Articles In 'Qualified Health Plans'
Health Reform Implementation: Milestones for State Implementation of Health Insurance Exchanges, Medicaid Expansion, and Health Insurance Market Reforms
Under the Affordable Care Act (ACA), states are responsible for implementing a complex array of health reforms, most notably Health Insurance Exchanges, Medicaid expansion, and health insurance market regulations. ACA presents states, particularly state Medicaid agencies [...]
Health Insurance Administrative Expenses: Details on Administrative Expenses of Health Plans in Large Group, Small Group, and Individual Markets
Health insurance plans are required to report their administrative expenses. For health plans in the for the large group, small group, and individual insured markets, an new report from Milliman details insurers’ administrative expenses in five [...]
Health Plans and Quality Improvement Reporting Under the Affordable Care Act: Recommendations for Implementing Reporting of Quality Improvement Strategies
The Affordable Care Act (ACA) requires the Centers for Medicare and Medicaid Services (CMS) issue employer group health plan quality improvement reporting requirements. Reports shall cover specified quality improvement activities regarding plan or coverage benefit and [...]
Essential Health Benefits: Preliminary Analysis of Essential Health Benefits and Potential Benchmark Health Benefit Plans for Virginia
The Patient Protection and Affordable Care Act (ACA) requires benefit plans offer a minimum set of essential health benefits. Those include ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use [...]
Health Insurance Exchanges: Options for Financing the Operating Cost of Exchange
A new report outlines the key principles and various options for funding the operating costs of Health Insurance Exchanges mandated under the Affordable Care Act. Nevada’s Silver State Health Insurance Exchange describes methods other states are [...]
Guaranteed Issue and Community Rating Reforms: Actuarial Analysis of Impact on Individual Health Insurance Markets
In previous research, Milliman, one of the nation’s top actuarial firms, provided an overview of the impact made by guaranteed issue and community rating reforms on the health insurance markets within eight states in the 1990s. Retained [...]
Individual Mandate: Projecting the Strength of the Individual Mandate on Health Insurance Participation
The Affordable Care Act (ACA) requires that most Americans have health insurance that meets minimum federal requirements. Under the controversial mandate, starting in 2014, most individuals under 65 must purchase minimum essential health insurance coverage or [...]
Health Coverage Expansion: Implications of ACA for American Indians and Alaskan Natives
As part of the Affordable Care Act (ACA), Medicaid coverage could be expanded to cover nearly 400,000 currently uninsured American Indians and Alaska Natives (AI/AN). This population, particularly sensitive to health disparities, suffers from elevated disease [...]
Health Reform: Toolkit on State Implementation, Outreach, Education, and Enrollment
As part of the Health Reform Toolkit Series, the Blue Cross Blue Shield of Massachusetts Foundation, the Robert Wood Johnson Foundation, and the Commonwealth Health Insurance Connector Authority have published Effective Education, Outreach, and Enrollment Approaches [...]
National Health Reform: HSC Reports on Premium Subsidies and Exchanges for the Uninsured
A new report examines individual eligibility for federal premium subsidies in Health Insurance Exchanges when employer-sponsored or public coverage is not available to them. Both federal premium subsidies and state or federally-run Health Insurance Exchanges are features starting in [...]
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