Posts for ACA Implementation

Medicaid and State Budgets: Same As It Ever Was?

Kaiser Family Foundation released a report last week, detailing results from a 50-state survey of Medicaid budgets. Kaiser’s results tell a classic story known as The Life and Times of a Countercyclical Program. Those of us who work in Medicaid policy hav

NAIC Commissioner’s Fall Back on Medical Loss Ratio

You know that expression, “Fool me once, shame on you. Fool me twice, shame on me”? Well, it came to mind this past week at the National Association of Insurance Commissioner’s (NAIC) fall meeting in Washington, DC. Just as in March, during the NAIC’s spr

The Insider: News Round Up

File Under: “…and don’t let the door hit you on the way out” Recently, two Florida insurers announced their intention to quit the non-group health insurance market in that state. The state of Florida is trying to use the exit to bolster its case for a wai

IOM releases its long awaited EHB Guidance: Tough Medicine

As the Institute of Medicine (IOM) unveiled its report on Essential Health Benefits (EHB) on Friday, there were few surprises.  The panel delivered a high level outline for selecting benefits with a strong recommendation that cost consciousness be its gui

New Steps in the Fight Against Childhood Obesity

In the United States, childhood obesity is an epidemic. Data from the Centers for Disease Control and Prevention (CDC) indicate that 17 percent of children between ages 2 to 19 are obese. CDC data also show that since 1980 the prevalence of obesity among

New Oral Health Study Reveals The Good, The Bad, and The Ugly Truth When It Comes To Dental Care

Oral health advocates are trained to reinforce that oral health is essential to overall health. The good news is that a poll released today by the W.K. Kellogg Foundation (conducted by Lake Research) found that 79 percent of survey respondents say that

Rate Review Round Two

Last month, we blogged about the start of the Affordable Care Act’s (ACA) rate review rules that oblige insurers asking for premium increases of 10 percent or more (for plans in the individual and small group markets) to publicly disclose and justify such

Health Exchanges: Federal, State, or a Partnership

Federal or state Exchange? The question of who should run the marketplace for individuals and small businesses to shop for and buy affordable, high quality insurance has been an ongoing debate in health reform circles for a number of years. And a main dec

Federal money well spent: grants to save money by promoting community health

All across the country, health officials are boasting about new federal grants, awarded yesterday, that will help them save money by improving the health of Americans. More than $100 million in Community Transformation Grants went to projects in 36 state