Implementation Briefs
Employer Wellness Programs
Posted on August 16, 2010
One objective of the insurance reform provisions of the health reform law was to continue the policy begun under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to encourage individuals and their families to be more engaged in their health care and to adopt healthier lifestyles.
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Bundled Payments – Medicaid Demonstration Project
Posted on July 7, 2010
The health reform law requires the Secretary of HHS to establish a Medicaid demonstration project “to evaluate integrated care around a hospitalization.” Specifically, this project aims “to evaluate the use of bundled payments for the provision of integrated care for a Medicaid beneficiary . . . with respect to an episode of care that includes a hospitalization . . . and for concurrent physicians services provided during a hospitalization.”
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Comparative Clinical Effectiveness Research
Posted on July 1, 2010
The recently enacted Patient Protection and Affordable Care Act (PPACA) builds on federal efforts to support and direct research comparing patient treatments.
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Medicaid Accountable Care Organization Demonstration Project
Posted on June 27, 2010
The law introduces ACOs on a voluntary basis by directing the Secretary of Health and Human Services to establish a “Pediatric Accountable Care Organization Demonstration Project.” This demonstration project would authorize a participating state to allow certain qualified Medicaid providers to organize themselves into an ACO for the purposes of receiving incentive payments “in the same manner as an accountable care organization is recognized and provided with incentive payments” under the health reform law’s Medicare ACO pilot program. The Medicaid ACO demonstration, akin to the Medicare ACO pilot, is aimed at reducing expenditure growth and improving health outcomes.
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Medicaid and CHIP – Outreach and Enrollment
Posted on June 21, 2010
This brief provides an in-depth look at the outreach and enrollment provisions in the Patient Protection and Affordable Care Act affecting Medicaid and CHIP.
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Abortion Coverage
Posted on June 6, 2010
The health reform law establishes restrictions on abortion coverage in the case of individual and group health plans sold in state exchanges.
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Medicare Prescription Drug Coverage: Discount and Rebate Program and Aid to Low-Income Beneficiaries
Posted on May 27, 2010
The new health reform law phases out the coverage gap under Medicare Part D byreducing over time the amount of cost sharing incurred by beneficiaries for both generic and brand name drugs in the coverage gap. The law also establishes a “coverage gap discount program” as a condition of Part D program participation for pharmaceutical manufacturers.
Tax Credits for Small Employers
Posted on May 26, 2010
The Act provides a small-employer tax credit available in two phases: the 2010-2013 time period, and the time period that begins with the establishment of state health insurance exchanges in 2014 and beyond.
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Strengthening Public Health Surveillance Systems: Epidemiology-Laboratory Capacity Grants
Posted on May 25, 2010
The health reform law amends the Public Health Service Act by establishing an Epidemiology and Laboratory Capacity Grant Program to award grants to state, local, and tribal health departments, and academic centers that assist such agencies.
Fraud and Abuse: Revisions to Anti-Kickback Statute
Posted on May 20, 2010
The health reform law revises the anti-kickback statute to broaden the reach of the law and enhance enforcement.
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Most Popular Content
- Contraception Coverage under the ACA’s Preventive Services Coverage Requirements, and Employer Implementation: An Update posted on April 20, 2012
- Update: Essential Health Benefits FAQs posted on May 9, 2012
- Update: Exchanges Establishment and Eligibility Final Rule posted on April 10, 2012
- State Health Insurance Exchange Navigators posted on February 28, 2011
- Update on the Final Rule: Standards Related to Reinsurance, Risk Corridors and Risk Adjustment posted on April 4, 2012
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