All Articles In 'Tag Archives: 'ACA''
Health Care Costs: Slowdown in Growth is Because of Economy, Not Obamacare
Growth in health care spending has slowed recently. Why? Supporters of the Affordable Care Act (ACA) – aka Obamacare – says its due to the controversial law, although most of the ACA’s provisions are yet to [...]
Medicaid Expansion Through Health Insurance Marketplaces: Unresolved Questions
The Centers for Medicare and Medicaid Services (CMS) has answered some questions about how Arkansas’s creative plan to expand Medicaid under the Affordable Care Act (ACA). The plan, which Gov. Mike Beebe put forward, would use [...]
Employer Mandate and Penalties Under the Affordable Care Act: Understanding the New $130 Billion Tax
Under the new employer mandate imposed by the Affordable Care Act (ACA), employers will pay about $130 billion in penalties over the next 10 years. The ACA employer mandate is highly complex and employers have many [...]
Impact of ACA on Employer-Sponsored Insurance: Costs, Taxes, and Enrollment Effects
Employer-sponsored insurance (ESI) has been central to the U.S. health care system. The Affordable Care Act (ACA) adds many requirements and imposes many costs on employers that could change how – and if – they offer [...]
Impact of ACA on Health Premiums and Enrollment: Society of Actuaries Estimates of Health Reform Law
Love it or hate it, the Affordable Care Act is unprecedented in size, scope, complexity, and uncertainty. To project its impact, numerous policy, economic, competitive, and behavioral factors must be considered and assumptions made. From an [...]
Medicaid Expansion and Hospitals: Hospital Medicaid Revenue to Outpace Crowd-Out Losses
The Affordable Care Act (ACA) created a trade-off for providers, particularly hospitals: On the one hand, Medicare fee-for-service hospital payments will be cut by $260 billion over 10 years. Some people newly eligible for Medicaid will [...]
Medicaid Expansion Via Health Insurance Exchanges: CMS Answers on Premium Assistance and Waivers
Some states have expressed interest in using premium assistance to expand Medicaid eligibility under the Affordable Care Act (ACA). Instead of serving the new ACA Medicaid expansion population through the Medicaid delivery system (through Medicaid health [...]
Strategic Approach to Qualified Health Plans in Health Insurance Exchanges: Selecting and Managing QHPs
The qualified health plan contracting process in Health Insurance Exchanges present many opportunities and challenges for states and the Centers for Medicare and Medicaid Services (CMS). Success in implementing the Exchanges – one of the Affordable [...]
Medicare-Medicaid Dual Eligibles: Measuring Quality of Special Needs Plans and State Demonstrations
Medicare-Medicaid dual eligibles are often held up as a prime case for the need for better care management to reduce health costs and spending while improving quality. But doing so can be challenging. Most dual eligibles [...]
22 Proven Patient Safety Strategies
Poor quality of care and preventable medical errors are a major cause of high costs and patient suffering. The opportunities for improvement are considerable. In addition, as states and health plans gear up for Health Insurance [...]
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