Evolution of a Children s Health Insurance Program: Lessons From New York State s Child Health Plus
|
|
- Delilah Gibson
- 8 years ago
- Views:
Transcription
1 Evolution of a Children s Health Insurance Program: Lessons From New York State s Child Health Plus Sarah Trafton, JD ; Laura Pollard Shone, MSW*; Jack Zwanziger, PhD ; Dana B. Mukamel, PhD ; Andrew W. Dick, PhD ; Jane L. Holl, MD, MPH ; Lance E. Rodewald, MD*#; Richard F. Raubertas, PhD ; and Peter G. Szilagyi, MD, MPH* ABSTRACT. The State Children s Health Insurance Program (SCHIP) was passed by Congress in It provides almost $40 billion in federal block grant funding through the year 2007 for states to expand health insurance for children. States have the option of expanding their Medicaid programs, creating separate insurance programs, or developing combination plans using both Medicaid and the private insurance option. New York State s child health insurance plan, known by its marketing name Child Health Plus, was created by the New York Legislature in New York s program, along with similar ones from several other states, served as models for the federal legislation, especially for state health insurance plans offered through private insurers. New York s program provides useful data for successful implementation of SCHIP. Pediatrics 2000;105: ; SCHIP, children, uninsured, underinsured, health insurance, health policy, legislation. ABBREVIATIONS. SCHIP, State Children s Health Insurance Program; CHPlus, Child Health Plus; HCFA, Health Care Financing Administration; NYSDOH, New York State Department of Health; RFP, request for proposals. When Congress passed the State Children s Health Insurance Program (SCHIP), Title XXI of the Social Security Act, 1 in August 1997, it effectively shifted more responsibility for health care reform and resolution of the issue of children s access to health insurance to the states. The SCHIP legislation allows states some flexibility in the design of their programs. Thus, the states have become the primary breeding ground for new approaches to insuring children. Established SCHIPlike programs provide the opportunity to examine the effectiveness of a variety of approaches to improving access to high-quality health care for children. New York State s Child Health Plus program From the Departments of Community and Preventive Medicine, *Pediatrics, and Biostatistics, University of Rochester School of Medicine and Dentistry, Rochester, New York; Children s Memorial Hospital, Department of Pediatrics and Institute for Health Services Research and Policy Studies, Northwestern University, Chicago, Illinois; and #National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia. Received for publication Oct 25, 1999; accepted Dec 6, Address correspondence to Sarah Trafton, JD, Department of Community and Preventive Medicine, University of Rochester School of Medicine, Box 644, Strong Memorial Hospital, 601 Elmwood Ave, Rochester, NY sarah trafton@urmc.rochester.edu PEDIATRICS (ISSN ). Copyright 2000 by the American Academy of Pediatrics. (CHPlus) was created in ,3 This article describes the history and design of CHPlus, offering insight into one option available to states as they implement SCHIP that is, developing a new program to complement a state Medicaid plan. BACKGROUND SCHIP SCHIP provides states with $24 billion over 5 years and almost $40 billion through the year 2007 to expand health insurance for children. Title XXI allows states 3 options in implementing SCHIP: 1) expanding Medicaid, 2) creating a separate program that provides coverage through private insurers, or 3) a combination of the Medicaid and private insurer approaches. 4,5 Each option poses dilemmas for the states. Title XXI effectively established SCHIP as an entitlement for the states, but not for individuals. Medicaid, on the other hand, creates an entitlement for those children who meet eligibility requirements, and states choosing Medicaid expansion to implement SCHIP must meet Medicaid benefit and cost-sharing requirements. Although states building on Medicaid may find efficiencies in administration, the implementation of SCHIP based on Medicaid runs the risk that additional state funding may be necessary to match federal Medicaid funds once the federal SCHIP allotment is exhausted. Although, in theory, states can seek a Section 1115 Medicaid waiver from the Health Care Financing Administration (HCFA) to minimize this risk, HCFA has requested that states delay such requests pending greater experience with Title XXI. 6 A further potential drawback to implementing SCHIP by expanding Medicaid is the stigma associated with Medicaid as a welfare program. Many of SCHIP s beneficiaries will be from working families and such a stigma may discourage enrollment. Additionally, the Medicaid expansion option for SCHIP offers enrollees a single choice, while the private insurers model may offer enrollees a choice of plans. States choosing to implement SCHIP by creating a new program that uses plans offered by private insurers have greater flexibility. A state can fashion its own SCHIP eligibility requirements and benefit package as long as Title XXI requirements for targeting low-income children and limiting cost-sharing are met. A new program, however, may require a 692 PEDIATRICS Vol. 105 No. 3 March 2000
2 new infrastructure to support its implementation. If the costs for the new program exceed the federal SCHIP funds allotted to the state, the state may have an obligation to eligible children even after all Title XXI funds allotted to the state have been exhausted, necessitating either long waiting lists or additional state appropriations to meet demand. 4 SCHIP requires that states agree to maintain their Medicaid programs at June 1997 levels. States also must maintain other state spending on children s health insurance at 1996 levels. 1 These provisions are included in SCHIP to prevent states from shifting state expenses onto programs for which federal funds are available. At the same time, states as well as HCFA are concerned that SCHIP may encourage families of children covered by private health insurance to switch to publicly funded programs, a phenomenon typically called crowd out. SCHIP is likely to be watched closely for its effects on sources of coverage for eligible children. New York State s CHPlus New York State s child health insurance program, known by its marketing name CHPlus, was created by state legislation in 1990, 2 one of a series of state initiatives addressing lack of health insurance. 7 The overall goal for CHPlus was to provide comprehensive outpatient health care services to low-income children. Legislative objectives for the program are to: 1) provide primary and preventive health insurance coverage to low-income children by removing financial barriers to purchasing such coverage through an individual subsidy program; 2) increase eligible children s access to primary and preventive health care services; 3) improve the health status of children participating in the program, and 4) reduce and target outpatient bad debt and charity care expenditures more efficiently in New York State. 8 Funding for CHPlus Like programs before it, CHPlus funds come from New York s Statewide Bad Debt and Charity Care Pool. An initial annual appropriation of $20 million from the pool covered subsidized insurance for eligible children, as well as marketing and outreach activities. 2 Enrollment fees and premiums paid on behalf of children not eligible for full subsidy (initially $25 per child per year, with $100 maximum per family per year) provide additional funding. Subsequent legislation has authorized additional funds from the Statewide Bad Debt and Charity Care Pool to cover the administrative costs incurred by the New York State Department of Health (NYSDOH) related to the program as well as age eligibility and benefit expansions (see Table 1). Eligibility for CHPlus Subsidy Eligibility for CHPlus is based on 4 criteria: 1) the child s age, 2) residence, 3) household income, and 4) health insurance or Medicaid status. In the original legislation, CHPlus was available only to children 13 years old 2 ; the maximum age of eligibility increased over several years until 1997 when it was increased to children under 19 years old. Additionally, children must be residents of New York State, must reside in a household having a net income at or below 222% of the nonfarm federal poverty level, must be ineligible for Medicaid, and must not have equivalent health care coverage. Eligible children receive state subsidy of part or all of the cost of the health insurance premium. Children from families whose income is below 160% of the gross federal poverty level and who meet the other eligibility criteria, receive full subsidy. Children who are otherwise eligible whose family incomes are between 160% and 222% of the gross federal poverty level are eligible for partial subsidy of premiums. Children who are not Medicaid-eligible, have no equivalent health coverage, but whose household income exceeds income eligibility level, can purchase CHPlus for a premium cost set by the Commissioner of Health. New York State designed CHPlus with several ways to deter crowd out. Most important was requiring that children be uninsured or without equivalent coverage by other health insurance. Equivalent coverage for CHPlus purposes is defined as coverage for primary health care services provided in a physician s office or other outpatient sites, which is consistent with the CHPlus benefit package. 2 Even if such insurance plans do not include prescription drug or preventive care services, they are considered equivalent coverage for purposes of this definition. Statutory criteria stipulate that any child eligible for Medicaid is not eligible for CHPlus. Early in CHPlus, insurers interpreted this to mean that children not actually enrolled in Medicaid could be enrolled in CHPlus if they met income eligibility requirements. Over time, however, insurer scrutiny of Medicaid eligibility has tightened. Because concurrent enrollment of a child in both Medicaid and CHPlus is not allowed, insurers must assess CHPlus applicants for Medicaid eligibility based on household income. Insurers refer children apparently eligible for Medicaid to the appropriate local County Department of Social Services. Households with a CHPlus-enrolled child may qualify for Medicaid via spending down (ie, paying for medical expenses, including CHPlus-related costs, to reduce their income) to Medicaid eligibility. Benefit Package Children who are eligible for CHPlus receive a standard health insurance benefit package. Until December 31, 1996, benefits covered were outpatient visits, including routine well-child visits, laboratory tests, diagnostic radiographs, prescription drugs, emergency department services, and outpatient alcohol and substance abuse services (Table 2). Beginning in 1997, CHPlus added coverage for inpatient care. Insurer Selection Process In September 1990, organizations meeting the statutory criteria for CHPlus sponsors were invited by the NYSDOH to submit proposals to implement CHPlus; 1600 qualifying organizations received the request for proposals (RFP) for this noncompetitive submission. 8 The NYSDOH received only 9 proposals representing SUPPLEMENT 693
3 TABLE 1. Child Health Plus Legislative History (New York State Legislature) Year Statute Applicability Funds 1990 Chapters 922/923, Laws of 1990 Amends Article 25 of Public Health Law, adds Sections 2521, 2511, to create Child Health Insurance Program (CHPlus) 1990 Public Health Law 2807-al-aa(19)(b)(1) Annual appropriation from Statewide Bad Debt and Charity Care Pool to cover CHPlus 1991 Chapter 50, Laws of 1991 Appropriation to New York State Department of Health for administrative costs of CHPlus 1992 Chapter 797, Laws of 1992 Authorization to New York State Department of Health to use previous year s unexpended funds for CHPlus 1993 Public Health Law 2511(14), as amended 1993 Chapter 731, Laws of 1993 [NYPHRM-V] 1994 Chapter 170, Laws of 1994 [Amends Public Health Law 2510(4)] 1996 (NY) Health Care Reform Act of New York Public Health Law 2110(7) as amended by Chapter _, Laws of 1998; signed 9/24/98. press/sept24_1_98.htm Allows pooled funds from previous years to expand scope of thirds party evaluation of CHPlus. Based on this, New York State Department of Health released a Request for Proposals for CHPlus evaluation, awarded to University of Rochester. The statewide evaluation methodology builds on the approach used by the same researchers to evaluate CHPlus in 5 upstate counties, funded by the David and Lucile Packard Foundation. Appropriation for CHPlus Extends eligibility to 13-year-olds in 1994 and to 14-year-olds in 1995; provides new funds to cover these additional children in CHPlus Continues CHPlus through December 31, 1999; extends age to 17 for January 1, 1996 December 31, 1996; effective January 1, 1997, up to age 19 years, and inpatient care is added as benefit. Increases CHPlus-covered services to include dental care, speech and hearing services, vision care, inpatient mental health, alcohol and substance abuse services, durable medical equipment, and hearing devices; raises eligibility to 230% federal poverty level; after January 1, 2000, 250% federal poverty level; See: governor/press/june htm $20M annual appropriation from Statewide Bad Debt and Charity Care Pool to fund CHPlus $22M through December 31, 1993 $ total funds for New York State Department of Health-funded evaluation. $35M for 1993, $55M for 1994, and $65M for 1995 Adds $5M ($60M total) for 1994, and adds $12M ($77M total) for 1995 $109M: January 1, 1997 December 31, 1997; $150M: January 1, 1998 December 31, 1998; $207M: January 1, 1999 December 31, insurers in response to the RFP. Only not-for-profit insurers (ie, Blue Cross/Blue Shield), health maintenance organizations, and comprehensive health services plan providers submitted proposals. None was received from commercial insurers despite attempts by the NYSDOH and the New York State Insurance Department to encourage them. 8 There was wide variation in the premiums requested in insurers proposals for CHPlus. During the review process, the NYSDOH and the New York State Insurance Department worked with insurers to modify premiums, while at the same time, maintain the fiscal viability of the program. NYSDOH established a risk-sharing arrangement to protect insurers from major financial risk while ensuring the appropriate use of state funds. The risk-sharing between the state and insurers covers medical expenses only. Finally, proposed marketing plans were examined for cost, effectiveness, and interaction with community-based networks to ensure strong grassroots outreach and sensitivity to different communities. 8 CHPlus Evaluation An important element of CHPlus was a requirement in the original legislation for a comprehensive evaluation of the implementation and effectiveness of CHPlus by an outside person or party (ie, not a state employee, official, or agency). 2,3 Questions to be addressed in the evaluation included the effects of CHPlus on access to, utilization of, and quality of care, health status, emergency department use, and community-based and statewide outreach and education efforts related to program enrollment. 2 A RFP from the NYSDOH in May 1993 resulted in a contract with the University of Rochester s Child Health Studies Group for the evaluation, and results of the statewide evaluation are published elsewhere. 3,9 This supplement to Pediatrics summarizes a separate study, performed in the 6-county region in upstate New York, and funded by The David and Lucile Packard Foundation and the Monroe Plan for Medical Care. The statewide CHPlus evaluation used methods similar to those used in this study. 10 Enrollment in CHPlus Enrollment in CHPlus started slowly. In 1989, the rate of New York State children without health insurance was estimated to be 8.7%; 19.2% more received Medicaid; the rate of those without insurance increased to 10.7% by ,9 The CHPlus legislation 694 SUPPLEMENT
4 TABLE 2. Well-child care Immunizations Original Child Health Plus Benefit Package (Before 1996 Expansion) Radiograph and laboratory tests Outpatient surgery Diagnosis and treatment of accident, injury, and illness Emergency care Prescription drugs Includes well-baby care, check-ups and physical examinations following American Academy of Pediatrics Guidelines. Follows New York State Department of Health Immunization Guidelines for Health Care Providers. 17 Prescribed ambulatory clinical laboratory tests and diagnostic radiographs. Performed within a provider s office and in a hospital-based or freestanding ambulatory surgery center. Includes wound dressings and casts to immobilize fractures, injections and medications provided at the time of office visit. For sudden and unexpected illnesses and accidental injuries. The medical condition must be of such a nature that failure to render immediate care could reasonably result in deterioration where the patient s life would be in jeopardy. Accidents must be treated within 72 hours of injury. Certified and licensed facilities must be used. 8 $1 to $3 copayment may be charged per prescription. Prescriptions must be medically necessary and may be limited to generic medications where medically acceptable. All medications used for preventive and therapeutic purposes will be covered. Treatment for alcoholism and substance abuse Services must be provided by certified and/or licensed professionals. At least 60 outpatient visits per year must be covered. A minimum of 20 of the 60 visits may be used for family therapy visits related to the alcohol and substance abuse problem. Short-term therapeutic services such as chemotherapy, hemodialysis, radiation therapy, occupational therapy, and physical therapy Injections and medications provided at the time of therapy will also be covered. These therapies must be medically necessary and under the supervision or referral of a licensed physician. No procedures or services considered experimental will be reimbursed. Occupational and physical therapy services are limited nature. projected enrolled children in the first year; in fact, by the end of 1991, children had been enrolled. 3,9 Slow enrollment was in large part attributable to enrollment caps maintained by insurers as they projected the number of enrollees available funds would support. 3 With more funds and expanded age eligibility, enrollment growth increased somewhat, reaching children by By August 30, 1997, enrollment statewide exceeded children, 11 and after the major expansion in 1997, enrollment has doubled. CHPlus and SCHIP CHPlus is the basis for New York State s SCHIP submission to the HCFA. Under Title XXI requirements, New York State s CHPlus as well as similar programs in Florida and Pennsylvania are eligible to be those states SCHIP plans. Technically the Title XXI requirements are for these states to maintain their state-only programs. 1 CHPlus meets many of the minimum SCHIP requirements, including age and income eligibility. Additionally, New York State has chosen to use its allotment of federal SCHIP funds, an estimated $256 million annually, to expand CHPlus beyond the SCHIP s family income requirement of 200% of the federal poverty level, to include children in families whose income is up to 250% of the federal poverty level by July 1, On April 1, 1998, CHPlus was approved by the HCFA as New York State s SCHIP submission. 13 DISCUSSION There is much to learn from New York State s experience with CHPlus. Although the evaluation described here examined the early years of CHPlus, it appears that New York State s partnership with private insurers has been a successful means of insuring uninsured children. Using private insurers to handle much of the program s implementation removes the burden of instituting a new program from public resources. In New York State, advocacy from physicians played an important role in shaping CHPlus. Through the involvement of the American Academy of Pediatrics Division II (New York) in the Campaign for Healthy Children, physicians were instrumental in the passage of the initial CHPlus legislation in 1990, and in the major expansion and revision in In 1998, pediatricians and other physicians have been instrumental in convincing Governor Pataki and the New York State legislature to agree to expand CHPlus beyond the scope of the program as submitted to HCFA for SCHIP approval. 14 The original CHPlus benefit package did not include routine hearing, vision, and dental care, which parents reported were among the most problematic gaps in CHPlus coverage for families and children. 3 Extensive advocacy efforts by pediatricians and child advocacy groups successfully encouraged the state legislature and Governor Pataki to expand the benefit package to include emergency, preventive, and routine dental care; speech and hearing services; emergency, preventive and routine vision care; inpatient mental health alcohol and substance abuse services; and durable medical equipment, hearing devices, wheelchairs and leg braces. These benefits as well as a raise in family income levels for CHPlus eligibility became effective on January 1, Physicians, especially pediatricians, have had an important role with respect to the evaluation of CHPlus, and can have a critical role in the evaluation of SCHIP programs. Under the provisions of Title XXI, Section 2108, federal law requires states to evaluate various aspects of their SCHIP plans. Requirements include assessing the numbers of covered children; the effectiveness of the state s plan in such SUPPLEMENT 695
5 areas as demographics of children served, and quality, amount, and level of assistance; and coordination with other public and private programs for children. 1 States could meet these evaluation requirements although a number of approaches. Physicians would add credibility to those asking states to evaluate their SCHIP plans with rigorous, scientific methodology, conducted by an independent, third party. 16 REFERENCES 1. Balanced Budget Act of 1997, Public Law , Subtitle J State Children s Health Insurance Program 2. New York State Public Health Law, Article 25, Title I-A, Child Health Insurance Plan (Chapters 922 and 923 of the Laws of 1990), as amended 3. Szilagyi PG, Zwanziger J, Rodewald LE, et al. Evaluation of Child Health Plus in New York State. Albany, NY: Department of Pediatrics, University of Rochester; Rosenbaum S, Johnson K, Sonosky C, Markus A, DeGraw C. The children s hour: the State Children s Health Insurance Program. Health Aff (Millwood). 1998;17: Robert Wood Johnson Foundation. Expanding health insurance for children: Congress passes bucks to the states. Advances. 1997;4: Center for Health Policy Research. Implementing Title XXI: states face choices. Health Policy Child Health. 1997;4:4 7. Holl JL, Dick AW, Shone LP, et al. A profile of the population enrolled in New York State s Child Health Plus. Pediatrics. 2000;105(suppl): New York State Department of Health. Child Health Plus Health Plan for Kids: Annual Report New York, NY: New York State Department of Health; 1991:5 9. Szilagyi PG, Zwanziger J, Rodewald LE, et al. Evaluation of a state health insurance program for low-income children: implications for State Child Health Insurance Programs. Pediatrics. 2000;105: Szilagyi PG, Shone LP, Holl JL, et al. Evaluation of New York State s Child Health Plus: methods. Pediatrics. 2000;105(suppl): New York State Department of Health. State Child Health Plan under Title XXI of the Social Security Act, State Children s Health Insurance Program. New York submission to the Health Care Financing Administration George Pataki, Governor. Child Health Plus Program reaches milestone. Press release, July 22, july htm 13. Health Care Financing Administration, HCFA Press Office. HHS approves New York plan to insure more children. Press release, April 1, George Pataki, Governor. Child Health Plus expansion means healthier kids. Press release, June 18, june htm 15. George Pataki, Governor. Governor Pataki signs expanded Child Health Plus legislation: nation s largest best health insurance program for children gets even better. Press release, September 24, htm 16. Szilagyi PG, Holl JL, Rodewald LE, et al. Evaluation of children s health insurance: from New York State s Child Health Plus to SCHIP. Pediatrics 2000;105(suppl): SUPPLEMENT
6 Evolution of a Children's Health Insurance Program: Lessons From New York State's Child Health Plus Sarah Trafton, Laura Pollard Shone, Jack Zwanziger, Dana B. Mukamel, Andrew W. Dick, Jane L. Holl, Lance E. Rodewald, Richard F. Raubertas and Peter G. Szilagyi Pediatrics 2000;105;692 Updated Information & Services References Citations Subspecialty Collections Permissions & Licensing Reprints including high resolution figures, can be found at: /content/105/supplement_e1/692.full.html This article cites 6 articles, 5 of which can be accessed free at: /content/105/supplement_e1/692.full.html#ref-list-1 This article has been cited by 7 HighWire-hosted articles: /content/105/supplement_e1/692.full.html#related-urls This article, along with others on similar topics, appears in the following collection(s): Advocacy /cgi/collection/advocacy_sub Child Health Financing /cgi/collection/child_health_financing_sub Information about reproducing this article in parts (figures, tables) or in its entirety can be found online at: /site/misc/permissions.xhtml Information about ordering reprints can be found online: /site/misc/reprints.xhtml PEDIATRICS is the official journal of the American Academy of Pediatrics. A monthly publication, it has been published continuously since PEDIATRICS is owned, published, and trademarked by the American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, Illinois, Copyright 2000 by the American Academy of Pediatrics. All rights reserved. Print ISSN: Online ISSN:
7 Evolution of a Children's Health Insurance Program: Lessons From New York State's Child Health Plus Sarah Trafton, Laura Pollard Shone, Jack Zwanziger, Dana B. Mukamel, Andrew W. Dick, Jane L. Holl, Lance E. Rodewald, Richard F. Raubertas and Peter G. Szilagyi Pediatrics 2000;105;692 The online version of this article, along with updated information and services, is located on the World Wide Web at: /content/105/supplement_e1/692.full.html PEDIATRICS is the official journal of the American Academy of Pediatrics. A monthly publication, it has been published continuously since PEDIATRICS is owned, published, and trademarked by the American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, Illinois, Copyright 2000 by the American Academy of Pediatrics. All rights reserved. Print ISSN: Online ISSN:
AMERICAN ACADEMY OF PEDIATRICS. Committee on Child Health Financing
AMERICAN ACADEMY OF PEDIATRICS Committee on Child Health Financing Implementation Principles and Strategies for Title XXI (State Children s Health Insurance Program) ABSTRACT. A major provision of the
More informationEvaluation of Children s Health Insurance: From New York State s Child Health Plus to SCHIP
Evaluation of Children s Health Insurance: From New York State s Child Health Plus to SCHIP Peter G. Szilagyi, MD, MPH* Jane L. Holl, MD, MPH ; Lance E. Rodewald, MD*#; Laura Pollard Shone, MSW*; Jack
More informationNC Health Choice. Publication date: September 1999 OVERVIEW. What is it?
NC Health Choice Publication date: September 1999 OVERVIEW What is it? NC Health Choice is a free or reduced cost health insurance program for uninsured children birth through age 18. Who is it for? Children
More informationNC HEALTH CHOICE FOR CHILDREN
CHAPTER 13 NC HEALTH CHOICE FOR CHILDREN What is it? Who is it for? NC Health Choice is a free or reduced-cost health insurance program for uninsured children from birth through age 18. NC Health Choice
More informationCHILDREN S HEALTH INSURANCE. Information on Coverage of Services, Costs to Consumers, and Access to Care in CHIP and Other Sources of Insurance
United States Government Accountability Office Report to the Chairman, Subcommittee on Health Care, Committee on Finance, U.S. Senate November 2013 CHILDREN S HEALTH INSURANCE Information on Coverage of
More informationEvery New Hampshire Resident Qualifies For Health Insurance. About NHHP. Eligibility
About NHHP New Hampshire Health Plan (NHHP) is a non-profit organization formed by the New Hampshire legislature. NHHP provides health coverage to New Hampshire residents who otherwise may have trouble
More informationNEW YORK STATE OFFICE OF THE STATE COMPTROLLER
NEW YORK STATE OFFICE OF THE STATE COMPTROLLER H. Carl McCall STATE COMPTROLLER DEPARTMENT OF HEALTH MANAGEMENT OF CHILD HEALTH PLUS B 2000-S-28 DIVISION OF MANAGEMENT AUDIT AND STATE FINANCIAL SERVICES
More informationBetween 7 million and 10 million children in the United States lack
152 REVISITING THE ISSUES The State Children s Health Insurance Program (CHIP) Eugene M. Lewit Eugene M. Lewit, Ph.D., is director of research and grants for economics at The David and Lucile Packard Foundation.
More informationConnecticut Data as of July 2003
Mental Health and Substance Abuse Services in Medicaid and SCHIP in Connecticut As of July 2003, 378,961 people were covered under Connecticut Medicaid/SCHIP programs. There were 364,692 enrolled in the
More informationRandall Chun, Legislative Analyst Updated: January 2016. MinnesotaCare
INFORMATION BRIEF Research Department Minnesota House of Representatives 600 State Office Building St. Paul, MN 55155 Randall Chun, Legislative Analyst is administered by the Minnesota Department of Human
More informationMental Health and Substance Abuse Services in Medicaid and SCHIP in Colorado
Mental Health and Substance Abuse Services in Medicaid and SCHIP in Colorado As of July 2003, 377,123 people were covered under Colorado s Medicaid and SCHIP programs. There were 330,499 enrolled in the
More informationRandall Chun, Legislative Analyst 651-296-8639 Updated: October 2007. MinnesotaCare
INFORMATION BRIEF Research Department Minnesota House of Representatives 600 State Office Building St. Paul, MN 55155 Randall Chun, Legislative Analyst 651-296-8639 Updated: October 2007 MinnesotaCare
More informationInformational Series. Community TM. Glossary of Health Insurance & Medical Terminology. (855) 624-6463 HealthOptions.
Informational Series Glossary of Health Insurance & Medical Terminology How to use this glossary This glossary has many commonly used terms, but isn t a full list. These glossary terms and definitions
More informationNational Training Program
National Training Program Module 12 Medicaid and the Children s Health Insurance Program Session Objectives This session will help you Describe eligibility, benefits, and administration of Medicaid Define
More informationCOMMON PATHWAYS TO ELIGIBILITY
IN THIS FACT SHEET: PENNSYLVANIA MEDICAID, SCHIP, AND STATE-FUNDED HEALTH PROGRAMS AUGUST 2008 An Overview of Pennsylvania s Publicly Funded Insurance Programs This summary is intended to assist professionals
More informationSENATE BUDGET AND APPROPRIATIONS COMMITTEE STATEMENT TO SENATE COMMITTEE SUBSTITUTE FOR. SENATE, No. 2236 STATE OF NEW JERSEY DATED: JUNE 23, 2005
SENATE BUDGET AND APPROPRIATIONS COMMITTEE STATEMENT TO SENATE COMMITTEE SUBSTITUTE FOR SENATE, No. 2236 STATE OF NEW JERSEY DATED: JUNE 23, 2005 The Senate Budget and Appropriations Committee reports
More informationNorth Carolina Medicaid for Children/SCHIP Eligibility Expansion
North Carolina Medicaid for Children/SCHIP Eligibility Expansion Summary On July 31, 2007, Governor Mike Easley signed into law NC Kids Care. NC Kids Care is a new publicly subsidized insurance program
More informationHEALTH INSURANCE CONNECTORS SHOULD BE DESIGNED TO SUPPLEMENT PUBLIC COVERAGE, NOT REPLACE IT By Judith Solomon
820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org January 29, 2007 HEALTH INSURANCE CONNECTORS SHOULD BE DESIGNED TO SUPPLEMENT PUBLIC
More informationResources and Services Directory for Head Injury and Other Conditions
Resources and Services Directory for Head Injury and Other Conditions Section 2: Accessing and Paying for TBI and Related Services 1000 NE 10 TH ST. OKC, OK 73117 TEL 405.271-3430 OR 800.522.0204 (OK only)
More informationPLAN DESIGN AND BENEFITS - New York Open Access EPO 1-10/10
PLAN FEATURES Deductible (per calendar year) $1,000 Individual $3,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Member cost sharing for certain services,
More informationCovering all Florida s Children with Health Insurance
Introduction Florida ranks at the bottom among the 50 states and the District of Columbia in covering children with health insurance. Only the State of Texas is behind Florida. 1 An estimated one in five
More informationMaryland Data as of July 2003. Mental Health and Substance Abuse Services in Medicaid and SCHIP in Maryland
Mental Health and Substance Abuse Services in Medicaid and SCHIP in Maryland As of July 2003, 638,662 people were covered under Maryland's Medicaid/SCHIP programs. There were 525,080 enrolled in the Medicaid
More informationMAWD or Marketplace?
MAWD or Marketplace? What Pennsylvanians with Disabilities Need to Know About Choosing Health Insurance Coverage Summary Choosing health insurance coverage that best meets one s needs is important, especially
More informationMaryland Medicaid Program. Aaron Larrimore Medicaid Department of Health and Mental Hygiene May 15, 2012
Maryland Medicaid Program Aaron Larrimore Medicaid Department of Health and Mental Hygiene May 15, 2012 1 Maryland Medicaid In Maryland, Medicaid is also called Medical Assistance or MA. MA is a joint
More informationINDIGENT CARE PROGRAMS IN SELECTED STATES WITHOUT COPN PROGRAMS Arizona
INDIGENT CARE PROGRAMS IN SELECTED STATES WITHOUT COPN PROGRAMS Arizona The Arizona Health Care Cost Containment System (AHCCCS) is a comprehensive, statewide managed care program which combines state
More informationThe Healthy Michigan Plan Handbook
The Healthy Michigan Plan Handbook Introduction The Healthy Michigan Plan is a health care program through the Michigan Department of Community Health (MDCH). The Healthy Michigan Plan provides health
More informationCHAPTER 272. C.30:4I-1 Short title. 1. This act shall be known and may be cited as the "Children's Health Care Coverage Act."
CHAPTER 272 AN ACT establishing the Children's Health Care Coverage Program, amending P.L.1968, c.413 and supplementing Title 30 of the Revised Statutes. BE IT ENACTED by the Senate and General Assembly
More informationRyan White Program Services Definitions
Ryan White Program Services Definitions CORE SERVICES Service categories: a. Outpatient/Ambulatory medical care (health services) is the provision of professional diagnostic and therapeutic services rendered
More informationEssential Contractual Language for Medical Necessity in Children
Organizational Principles to Guide and Define the Child Health Care System and/or Improve the Health of all Children POLICY STATEMENT Essential Contractual Language for Medical Necessity in Children abstract
More informationHealth Care Utilization and Costs of Full-Pay and Subsidized Enrollees in the Florida KidCare Program: MediKids
Health Care Utilization and Costs of Full-Pay and Subsidized Enrollees in the Florida KidCare Program: MediKids Prepared for the Florida Healthy Kids Corporation Prepared by Jill Boylston Herndon, Ph.D.
More information11 LC 28 5349 A BILL TO BE ENTITLED AN ACT
Senate Bill 215 By: Senator Hill of the 32nd A BILL TO BE ENTITLED AN ACT 1 2 3 4 5 6 7 8 9 To amend Title 49 of the Official Code of Georgia Annotated, relating to social services, so as to convert Medicaid
More informationMedicare Since early in this century, health care issues have continued to escalate in importance for our Nation. Beginning in 1915, various efforts
Medicare Since early in this century, health care issues have continued to escalate in importance for our Nation. Beginning in 1915, various efforts to establish government health insurance programs have
More informationMedicare. Medicare Overview. Medicare Part D Prescription Plans. Medicare
58 requires enrollment as soon as a retiree, spouse or dependent of a retiree is eligible for. Parts A & B MUST be elected. Overview There are three parts to : Hospital Insurance (also called Part A. Your
More informationIMPROVING CHILDREN S HEALTH: A Chartbook About the Roles of Medicaid and SCHIP by Leighton Ku and Sashi Nimalendran
Summary IMPROVING CHILDREN S HEALTH: A Chartbook About the Roles of Medicaid and SCHIP by Leighton Ku and Sashi Nimalendran This chartbook summarizes numerous recent research findings about children who
More informationHealth Reform and the AAP: What the New Law Means for Children and Pediatricians
Health Reform and the AAP: What the New Law Means for Children and Pediatricians Throughout the health reform process, the American Academy of Pediatrics has focused on three fundamental priorities for
More informationDifferences that Make a Difference: A Comparison of Federal Medicaid and SCHIP Benefit Standards
Differences that Make a Difference: A Comparison of Federal Medicaid and SCHIP Benefit Standards Cindy Mann, JD Executive Director Center for Children and Families Georgetown University Health Policy Institute
More informationPresented to: 2007 Kansas Legislature. February 1, 2007
MARCIA J. NIELSEN, PhD, MPH Executive Director ANDREW ALLISON, PhD Deputy Director SCOTT BRUNNER Chief Financial Officer Report on: Massachusetts Commonwealth Health Insurance Connector Program Presented
More informationFidelis Care NY State of Health: The Official Health Plan Marketplace Standard Products
PRODUCT INFORMATION Fidelis Care NY State of Health: The Official Health Plan Marketplace Standard Products NY State of Health: The Official Health Plan Marketplace (the Marketplace) is an online insurance
More informationHealth Care Expansion and Reform in Pennsylvania: What Is Driving It, What Are the Proposals, and What Can Be Learned from Other State Initiatives?
Health Care Expansion and Reform in Pennsylvania: What Is Driving It, What Are the Proposals, and What Can Be Learned from Other State Initiatives? This document presents a summary of Health Care Expansion
More informationSummary of the Major Provisions in the Patient Protection and Affordable Health Care Act
Summary of the Major Provisions in the Patient Protection and Affordable Care Act Updated 10/22/10 On March 23, 2010, President Barack Obama signed into law comprehensive health care reform legislation,
More informationA Healthy Florida Works Program. Policy Proposal. The smart choice for individuals and businesses in Florida
A Healthy Florida Works Program Policy Proposal The smart choice for individuals and businesses in Florida TABLE OF CONTENTS Introduction Executive Summary Program Description 3 5 6 Coverage Population
More informationHow Health Reform Will Help Children with Mental Health Needs
How Health Reform Will Help Children with Mental Health Needs The new health care reform law, called the Affordable Care Act (or ACA), will give children who have mental health needs better access to the
More informationNew York Small Group Indemnity Aetna Life Insurance Company Plan Effective Date: 10/01/2010. PLAN DESIGN AND BENEFITS - NY Indemnity 1-10/10*
PLAN FEATURES Deductible (per calendar year) $2,500 Individual $7,500 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Member cost sharing for certain services,
More informationOctober 1, 2007. Medicaid State Children s Health Insurance Program (Title XXI) Draft Recommended Alternatives Report.
October 1, 2007 Medicaid State Children s Health Insurance Program (Title XXI) Draft Recommended Alternatives Report Contents 1. Executive Summary... 1 Project Overview... 1 Title XXI Background... 1
More informationHouse Insurance Committee Hearing Children s Health Insurance Program (CHIP)
House Insurance Committee Hearing Children s Health Insurance Program (CHIP) Thursday, September 11, 2003 Patricia Stromberg, Deputy Insurance Commissioner Pennsylvania Insurance Department Commonwealth
More informationHealth Insurance Marketplaces
Health Insurance Marketplaces 2013 Zywave, Inc. All rights reserved. Presented by Employer Flexible What is Health Care Reform? The Affordable Care Act (ACA) was enacted in March 2010. Biggest overhaul
More informationAn Overview of Wisconsin s Medical Assistance, BadgerCare, and SeniorCare Programs
An Overview of Wisconsin s Medical Assistance, BadgerCare, and SeniorCare Programs Prepared by Marlia Moore and Charles Morgan Wisconsin Legislative Fiscal Bureau Medical Assistance W i sconsin s medical
More informationACHA Medicaid Advocacy Primer 1 : A Proposal for Providing Medicaid Eligible Students with an Option for Student Health Insurance Coverage
MAY 2013 ACHA Medicaid Advocacy Primer 1 : A Proposal for Providing Medicaid Eligible Students with an Option for Student Health Insurance Coverage Background American College Health Association began
More informationNew York DISCOs: Managed care plans for people with developmental disabilities - Critical factors for financial viability
New York DISCOs: Managed care plans for people with developmental disabilities - Critical factors for financial viability Melissa Fredericks, FSA, MAAA Rob Parke, FIA, ASA, MAAA Jane Suh The model for
More informationSummary of Federal SCHIP Reauthorization, Economic Stimulus, and Health Care Reform Bills and Proposals
Summary of Federal SCHIP Reauthorization, Economic Stimulus, and Health Care Reform Bills and Proposals I. Children s Health Insurance Program (CHIP) Reauthorization Act of 2009 A. Funding for CHIP. The
More informationSenate Bill No. 2 CHAPTER 673
Senate Bill No. 2 CHAPTER 673 An act to amend Section 6254 of the Government Code, to add Article 3.11 (commencing with Section 1357.20) to Chapter 2.2 of Division 2 of the Health and Safety Code, to add
More informationSenate-Passed Bill (Patient Protection and Affordable Care Act H.R. 3590)**
Prevention and Screening Services Cost-sharing Eliminates cost sharing requirements for requirements for all preventive services (including prevention and colorectal cancer screening) that have a screening
More informationFUNDAMENTALS OF HEALTH INSURANCE: What Health Insurance Products Are Available?
http://www.naic.org/ FUNDAMENTALS OF HEALTH INSURANCE: PURPOSE The purpose of this session is to acquaint the participants with the basic principles of health insurance, areas of health insurance regulation
More informationAn Internist s Practical Guide to Understanding Health System Reform
An Internist s Practical Guide to Understanding Health System Reform Prepared by: ACP s Division of Governmental Affairs and Public Policy Updated October 2013 How to cite this guide: American College
More informationThe Healthy Michigan Plan Handbook
The Healthy Michigan Plan Handbook Introduction The Healthy Michigan Plan is a health care program through the Michigan Department of Community Health (MDCH). Eligibility for this program will be determined
More informationHEALTH POLICY AFFORDABLE CARE ACT AND STATE MEDICAID CHANGES. NEW Members Conference of the Illinois General Assembly November 27-28, 2012
HEALTH POLICY AFFORDABLE CARE ACT AND STATE MEDICAID CHANGES NEW Members Conference of the Illinois General Assembly November 27-28, 2012 Robert Kaestner, PhD Institute of Government and Public Affairs,
More informationACP Analysis of the Essential Health Benefits Bulletin, Issued by the HHS Center for Consumer Information and Insurance Oversight (CCIIO)
ACP Analysis of the Essential Health Benefits Bulletin, Issued by the HHS Center for Consumer Information and Insurance Oversight (CCIIO) Introduction and background: Summarizes the essential benefit package
More informationOVERVIEW OF KENTUCKY Outreach MEDICAID AND KCHIP
OVERVIEW OF KENTUCKY Outreach MEDICAID AND KCHIP Lisa Lee Director, Medicaid Division of Provider Operations Program Director, Kentucky Children s Health Insurance Program (KCHIP) September 2011 Background
More informationSTATE CONSIDERATIONS ON ADOPTING HEALTH REFORM S BASIC HEALTH OPTION Federal Guidance Needed for States to Fully Assess Option by January Angeles
820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org March 13, 2012 STATE CONSIDERATIONS ON ADOPTING HEALTH REFORM S BASIC HEALTH OPTION
More informationKansas Health Policy Forums
Forum Brief 2004 Kansas Health Policy Forums The Medicare Reform Act: What Are the Consequences for Kansas? Thursday, March 18, 2004 Noon 2:30 Lunch provided 212 SW Eighth Avenue, Topeka, KS Lower Level
More informationHealth Partners Plans Provider Manual Health Partners Plans Medicare Benefits Summary
5 Health Partners Plans Provider Manual Health Partners Plans Medicare Benefits Summary Purpose: This chapter provides a benefit summary for Health Partners Plans Medicare members, by plan. Topics: Health
More informationCONNECTICUT TITLE XXI STATE PLAN
CONNECTICUT TITLE XXI STATE PLAN 0BFACT SHEET 11BName of Plan: HUSKY Plan Date Plan Submitted: January 15, 1998 Date Plan Approved: April 27, 1998 Effective Date: October 1, 1997 (HUSKY A) (ended 0/1/02)
More informationSupplemental Medical Plan Your Kaiser Foundation Health Plan (KFHP) or Kaiser Employee Medical Health Plan (KEMHP) provides
Supplemental Medical Plan Your Kaiser Foundation Health Plan (KFHP) or Kaiser Employee Medical Health Plan (KEMHP) provides basic medical coverage. The Supplemental Medical Plan covers certain medical
More informationIndiana Coalition for Human Services ICHS) Comments on the Healthy Indiana Plan (HIP) 2.0 Waiver Application (submitted 9/20/14)
Indiana Coalition for Human Services ICHS) Comments on the Healthy Indiana Plan (HIP) 2.0 Waiver Application (submitted 9/20/14) Indiana Coalition for Human Services (ICHS) appreciates the opportunity
More informationMedicaid Topics Impact of Medicare Dual Eligibles Stephen Wilhide, Consultant
Medicaid Topics Impact of Medicare Dual Eligibles Stephen Wilhide, Consultant Issue Summary The term dual eligible refers to the almost 7.5 milion low-income older individuals or younger persons with disabilities
More informationHEALTH REFORM and VACCINES: Review of Federal Legislation
HEALTH REFORM and VACCINES: Review of Federal Legislation The Patient Protection and Affordable Care Act (PPACA) And The Health Care and Education Reconciliation Act Alexandra Stewart June 2, 2012 1 Presentation
More informationGAO MEDICARE ADVANTAGE. Relationship between Benefit Package Designs and Plans Average Beneficiary Health Status. Report to Congressional Requesters
GAO United States Government Accountability Office Report to Congressional Requesters April 2010 MEDICARE ADVANTAGE Relationship between Benefit Package Designs and Plans Average Beneficiary Health Status
More informationFRAMEWORK FOR THE ANNUAL REPORT OF THE STATE CHILDREN S HEALTH INSURANCE PLANS UNDER TITLE XXI OF THE SOCIAL SECURITY ACT
FRAMEWORK FOR THE ANNUAL REPORT OF THE STATE CHILDREN S HEALTH INSURANCE PLANS UNDER TITLE XXI OF THE SOCIAL SECURITY ACT Preamble Section 2108(a) of the Act provides that the State and Territories must
More informationFederal Health Reform FAQs
Federal Health Reform FAQs Individuals 1. What is an exchange? An exchange, as created under the Affordable Care Act (ACA), is a place where consumers can purchase subsidized health insurance coverage.
More informationHEALTHY INDIANA PLAN FREQUENTLY ASKED QUESTIONS (FAQs)
HEALTHY INDIANA PLAN FREQUENTLY ASKED QUESTIONS (FAQs) Eligibility Who is eligible for The Healthy Indiana Plan? The Healthy Indiana Plan (HIP) will provide health insurance for uninsured adult Hoosiers
More informationTitle 22: HEALTH AND WELFARE
Title 22: HEALTH AND WELFARE Chapter 416-A: DENTAL SERVICES HEADING: PL 1999, c. 401, Pt, MM, 1 (new) Table of Contents Subtitle 2. HEALTH... Part 4. HOSPITALS AND MEDICAL CARE... Section 2127. ORAL HEALTH
More informationYOUR BENEFITS. handbook. GE Pensioner Health Care Options at Age 65 (includes the Elfun Medical Benefits Plan) Effective January 1, 2008
handbook YOUR BENEFITS GE Pensioner Health Care Options at Age 65 (includes the Elfun Medical Benefits Plan) Effective January 1, 2008 IMPORTANT INFORMATION ABOUT THIS HANDBOOK This handbook summarizes
More informationFlorida Medicaid and Implementation of SB 2654
Florida Medicaid and Implementation of SB 2654 Shachi Mankodi Counsel to the Chief of Staff Florida Agency for Health Care Administration Autism Compact Presentation September 18, 2008 Overview What is
More informationPresentation for Licensed Producers The Affordable Care Act
Presentation for Licensed Producers The Affordable Care Act Bruce Donaldson, CHC Producer & Stakeholder Specialist Arkansas Insurance Department Affordable Care Act The ACA was passed by Congress and signed
More informationPolicy Statement Principles of Health Care Financing
Organizational Principles to Guide and Define the Child Health Care System and/or Improve the Health of all Children Policy Statement Principles of Health Care Financing abstract The American Academy of
More informationJoint Select Committee on Health Care Reform
LD 1611 An Act To Provide Affordable Health Insurance to Small Businesses and Individuals and To Control Health Care Costs PUBLIC 469 Sponsor(s) Committee Report Amendments Adopted O'NEIL OTP-AM H-565
More informationNational Benefit Fund
1199SEIU National Benefit Fund June 2015 SUMMARY PLAN DESCRIPTION Section VI Retiree Health Benefits A. Retiree Health Benefits B. Using Your Benefits Wisely C. If You Retire at or after Age 65 and Live
More informationStrategies For Improving Access To Mental Health Services In SCHIP Programs
May 2006 Strategies For Improving Access To Mental Health Services In SCHIP Programs Prepared by: Jennifer May Children and adolescents experience substantial barriers to obtaining needed mental health
More informationMaryland Medicaid Program
Maryland Medicaid Program Maryland s Pharmacy Discount Waiver Tuesday, November 19, 2002 Debbie I. Chang Deputy Secretary for Health Care Financing Maryland Department of Health and Mental Hygiene Overview
More informationFlorida Data as of July 2003. Mental Health and Substance Abuse Services in Medicaid and SCHIP in Florida
Mental Health and Substance Abuse Services in Medicaid and SCHIP in Florida As of July 2003 2,441,266 people were covered under Florida's Medicaid and SCHIP programs. There were 2,113,820 enrolled in the
More informationCoventry Health and Life Insurance Company PPO Schedule of Benefits
State(s) of Issue: Oklahoma PPO Plan: OI08C30050 30 Coventry Health and Life Insurance Company PPO Schedule of Benefits Covered Services Contract Year Deductible For All Eligible Expenses (unless otherwise
More informationand the uninsured June 2005 Medicaid: An Overview of Spending on Mandatory vs. Optional Populations and Services
I S S U E kaiser commission on medicaid and the uninsured June 2005 P A P E R Medicaid: An Overview of Spending on vs. Optional Populations and Services Medicaid is a federal-state program that provides
More informationNYC Community Plan SM New York
NYC Community Plan SM New York For businesses with 2 50 eligible employees Available for residents who live or work and access health care in the five boroughs of New York City Plans effective November
More informationHealth Insurance for all Children Building on Innovations in California s Diverse Communities
Health Insurance for all Children Building on Innovations in California s Diverse Communities Peter V. Long, MHS Senior Program Officer Overview of Children s Coverage 60 52.1 Percent Insured 30 29.4 8.3
More informationMontana s New Healthcare Plan. February 11, 2016
Montana s New Healthcare Plan February 11, 2016 Health care matters State Medicaid expansions to low-income adults are associated with significant reductions in death and improvements in access, particularly
More informationConsumer Guide to. Health Insurance. Oregon Insurance Division
Consumer Guide to Health Insurance Oregon Insurance Division The Department of Consumer and Business Services, Oregon s largest business regulatory and consumer protection agency, produced this guide.
More informationOverVIEW of Your Eligibility Class by determineing Benefits
OVERVIEW OF YOUR BENEFITS IMPORTANT PHONE NUMBERS Benefit Fund s Member Services Department (646) 473-9200 For answers to questions about your eligibility or prescription drug benefit. You can also visit
More informationAPPENDIX C Description of CHIP Benefits
Inpatient General Acute and Inpatient Rehabilitation Hospital Unlimited. Includes: Hospital-provided physician services Semi-private room and board (or private if medically necessary as certified by attending)
More informationHealth Partners Plans Provider Manual Health Partners Medicare Benefits Summary
5 Health Partners Plans Provider Manual Health Partners Medicare Benefits Summary Purpose: This chapter provides a benefit summary for Health Partners Medicare members, by plan. Topics: Health Partners
More informationStatewide Medicaid Managed Care Managed Medical Assistance Program Update
Statewide Medicaid Managed Care Managed Medical Assistance Program Update Beth Kidder Assistant Deputy Secretary for Medicaid Operations Agency for Health Care Administration Presented to the KidCare Coordinating
More informationPreliminary Health Insurance Landscape Analysis
Preliminary Health Insurance Landscape Analysis Prior to addressing some of the issues listed under Section 3.1 3.5 of the HRSA State Planning Grant report template, here is some of the information available
More informationHealth Coverage and Concerns Facing Older Women
Health Coverage and Concerns Facing Older Women Alina Salganicoff, Ph.D. Vice President and Director Women s Health Policy Kaiser Family Foundation Figure 1 Women comprise the majority of Medicare enrollment
More informationHB 686-FN-A - AS INTRODUCED. establishing a single payer health care system and making an appropriation therefor.
0 SESSION -0 0/0 HOUSE BILL AN ACT -FN-A establishing a single payer health care system and making an appropriation therefor. SPONSORS: Rep. McNamara, Hills ; Rep. Suzanne Smith, Graf ; Rep. Moody, Rock
More informationState of Arkansas Department of Insurance
State of Arkansas Department of Insurance Consideration of the Basic Health Plan in Arkansas May 31, 2012 Purpose The Arkansas Insurance Department requested that PCG develop a report describing the potential
More informationAffordable Care Act Health Insurance Exchanges Jim Wotring & Gary Macbeth
Affordable Care Act Health Insurance Exchanges Jim Wotring & Gary Macbeth National Technical Assistance Center for Children s Mental Health, Georgetown University What We Are Talking About Today Exchanges
More informationSchedule of Benefits Summary. Health Plan. Out-of-network Provider
Schedule of Benefits Summary University Name: University of Nebraska - Student Plan Health Plan : 2014/2015 Academic Year (see attached) Payment for Services Covered Services are reimbursed based on the
More informationTHE A,B,C,D S OF MEDICARE
THE A,B,C,D S OF MEDICARE An important resource for understanding your healthcare in retirement What you need to know for 2014 How Medicare works What Medicare covers How much Medicare costs INTRODUCTION
More informationAn Overview of Medicaid in North Carolina *
An Overview of Medicaid in North Carolina * Lisa J. Berlin Center for Child and Family Policy Duke University Abstract: In North Carolina, as in other states, Medicaid cost containment is an increasingly
More informationWhat is the overall deductible? Are there other deductibles for specific services?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/cuhealthplan or by calling 1-800-735-6072.
More informationExamples of Consumer Incentives and Personal Responsibility Requirements in Medicaid
TECHNICAL ASSISTANCE TOOL Examples of Consumer Incentives and Personal Responsibility Requirements in Medicaid Many states are incorporating policies into their Medicaid programs that seek to enhance beneficiaries
More information