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.
The health reform debate is rounding the corner and barreling towards the finish line-signing the bill into law. However, before we reach this momentous end, there are a few more procedural hurdles to overcome. The most daunting of them will be merging the House and Senate bills into a single piece of legislation that will be able to receive a majority vote in both chambers and to be signed into law by President Obama.
This blog was originally posted on the Huffington Post.
There's encouraging news out of Atlanta today for all Americans. The third hearing before the court of appeals left me feeling optimistic about the future of the Affordable Care Act.
The Department of Health and Human Services announced late last week that 6.3 million Medicare beneficiaries have saved a total of $6.1 billion on their prescription drug coverage since the enactment of Affordable Care Act in 2010.
This blog was written by Health and Human Services Secretary Kathleen Sebelius and was originally posted on healthcare.gov
The Obama administration announced on Monday that 115,000 consumers will lose their health coverage under the Affordable Care Act on October 1 because they did not submit the proper paperwork proving their legal immigration or citizenship status.
An additional 363,000 consumers may see their financial assistance affected because they did not accurately report their income. More than eight in 10 people who applied for health coverage in the federally facilitated marketplace qualified to receive this financial assistance (also known as premium tax credits or premium subsidies).
A weight is lifted for Sudan, a bodybuilder, thanks to the Affordable Care Act’s marketplace insurance.
Sudan works as a personal trainer for members of the military and their families at an air force base in Georgia. She loves helping people get in shape and stay healthy, but for many years, Sudan felt that her own health was at risk.
Low- and Middle-Income Americans Will Receive Tax Credits to Help Pay for Health Insurance. Starting in 2014, Americans earning up to four times the federal poverty level (currently $47,100 for an individual and $94,200 for a family of four*) will be eligible for premium tax credits to help them buy health coverage in insurance marketplaces (also known as “exchanges”).