Outside of open enrollment, consumers still have the opportunity to enroll in qualified health plans when they experience certain life changes, such as marriage or a permanent move to an area with new coverage options. These opportunities to enroll outside of open enrollment are called special enrollment periods, or SEPs.
There is a growing childhood epidemic in this country: Tooth decay is now the most common chronic illness among children. The effects of this epidemic are wide-ranging. Children lose 51 million school hours each year due to dental-related illness. And a study in southern California found that untreated dental disease may also interfere with children’s ability to learn: The study found that children with reported tooth pain were four times more likely than their peers to have lower than average grades.
Explains how accountable care organizations give financial incentives to health care providers to work as a team to deliver high-quality care;discusses challenges states face when implementing ACOs in Medicaid.
The Affordable Care Act includes considerable funding to enable real people to improve the health of their communities—and the deadline to apply is just around the corner. The Affordable Care Act set aside more than $100 million in Community Transformation Grants that are now available for states, local governments, tribes, territories, and nonprofits to create or enhance projects that will, in HHS Secretary Kathleen Sebelius’s words, “empower local communities with resources, information, and flexibility to help make their residents healthier.”
In his address to Congress last night, President Donald Trump repeated the falsehood that the Affordable Care Act is “failing” in Kentucky.
Kentucky is an Affordable Care Act success story.
The Supreme Court ruling on the Affordable Care Act was a huge victory for the health care justice movement. Now that the law has been ruled constitutional, we can move forward with implementation and make accessible, affordable health care a reality for millions of Americans. But our work won't end there.
This month, Minnesota will be the first state to submit its blueprint for a Basic Health program to the federal government for approval. This is the final blog in our series encouraging states to consider Basic Health as a strategy for providing health coverage to low-income residents.
Here, state advocates share the main factors that contributed to their success in moving Basic Health forward in Minnesota and New York.
States are leading the way in improving how health care is paid for and delivered. Consumer advocates are integral to these reform efforts. Their participation can help ensure that reforms protect and improve consumers' access to high-quality care. While advocates often find it difficult to get involved in these discussions, the State Innovation Model (SIM) grant program gives consumer advocates an opportunity to weigh in on reforms in their states.
A growing number of states are using the waiver process to make fundamental changes to the Medicaid program. Many of these waivers set a dangerous precedent for the Medicaid program and affect the entire country, as other states seek to follow along adding features to their Medicaid programs that hurt the ability of people with low incomes to get the care they need.
We are facing an extraordinary volume of potentially harmful Medicaid waivers that are under review at the Centers for Medicare and Medicaid Services (CMS). While comment periods seemingly just closed for a slew of states (Arkansas, Indiana, Kentucky, Wisconsin, Iowa), two radical Section 1115 adult coverage waivers have now opened for federal comments: Maine and Utah.
Learn how to encourage adoption of value-based insurance design (VBID) in our health insurance system. This guide explains options at both the federal and state level. Around the country, advocates working to improve the health outcomes and value that our health care system delivers are exploring ways to implement VBID.