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Real Stories, Real Reforms

September 30, 2013 | Issue Brief

This report documents eight families' efforts to navigate the health insurance system and demonstrates how the ACA has already begun improving peoples' coverage options and access to care.

Moving to High Quality, Adequate Coverage: State Implementation of New Essential Health Benefit Requirements

August 14, 2013 | Report

This report looks at how insurance companies and state governments in various states are dealing with the new regulations and highlights the struggles and successes they have experienced to date.

Insurer Participation and Competition in Health Insurance Exchanges

July 12, 2013 | Issue Brief

There will likely be a considerable competition in many states’ insurance exchanges, leading to reasonably priced premiums, with lower premiums for those people ineligible for subsidies and lower subsidy costs to the government for those who are.

The Affordable Care Act: Improving Incentives for Entrepreneurship and Self-Employment

May 31, 2013 | Issue Brief

The Affordable Care Act is expected to increase the rate of self-employment among Americans because health insurance will no longer be exclusively tied to employment.

Factors Affecting Self-Funding by Small Employers

April 4, 2013 | Issue Brief

Will employers move to self-funded health insurance because of provisions in the Affordable Care Act?

Selling Health Insurance Across State Lines

October 1, 2012 | Issue Brief

Brief examines the sale of private health insurance across state lines and its impact on choice and affordability.

Early Market Reforms

September 1, 2012 | Report

This report examines early market reforms in 10 study states.

Rate Review: Monitoring State Implementation of the Affordable Care Act in 10 States

September 1, 2012 | Report

This report finds that although there was significant variation, all 10 states have taken action to improve their rate review process and ensure that insurers’ proposed rates are justified.

Plan Management

May 1, 2012 | Report

This paper funded by the Robert Wood Johnson Foundation, and authored by a joint team from Georgetown University's Health Policy institute and the National Academy of Social Insurance, provides insight for state and federal officials considering how they will assume responsibility for managing health plans once health insurance exchanges are established.

Rhode Island Site Visit Report

February 1, 2012 | Report

Rhode Island has completed many essential steps toward implementing an operational health insurance exchange, and in November 2011 was the first in the nation to receive a level two establishment award following its successful bids for a planning grant.

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