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Affordable Care Act (ACA)

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ACA Implications for State Network Adequacy Standards

August 1, 2013 | Issue Brief

This brief, prepared by the Georgetown University Health Policy Institute, explores some of the discrepancies that can arise with varying network adequacy standards and provides examples of how some states have resolved such issues.

The Financial Benefit to Hospitals from State Expansion of Medicaid

March 19, 2013 | Issue Brief

Do hospitals stand to gain more revenue under the Affordable Care Act's expansion in Medicaid enrollees, despite lower reimbursement rates that private insurance?

State Estimates of the Low-Income Uninsured Not Eligible for the ACA Medicaid Expansion

March 14, 2013 | Issue Brief

A significant number of low-income uninsured adults may be excluded from the Medicaid expansion due to their immigration status after the Affordable Care Act takes effect.

Design Considerations in Structuring Employee Choice for SHOP Exchange

December 1, 2012 | Issue Brief

This brief highlights the design approaches of the small business health options program (SHOP) that allows employers to provide a defined contribution while giving employees the choice of one or more products offered on the SHOP.

Basic Health Program

November 15, 2012 | Issue Brief

The Affordable Care Act provides a third option, the Basic Health Program, for individuals who make too much to qualify for Medicaid and too little to purchase private health insurance through exchanges.

Reasonable Compatibility Straw Models

August 1, 2012 | Issue Brief

To support states' understanding of how reasonable compatibility standards might work in practice, this brief will help state implementers better understand how to operationalize the federal rules in their state systems.

Building On a Solid Foundation

August 1, 2012 | Issue Brief

The Patient Protection and Affordable Care Act (ACA) establishes health benefits exchanges and requires them to create a navigator program to assist consumers and small businesses as they apply for and enroll in coverage. This report, prepared by th ...

Eliminating Fraud and Abuse

July 31, 2012 | Issue Brief

This policy brief focuses on eliminating fraud and abuse in Medicare and Medicaid and explores the challenges involved in putting the new tools into place.

Managing State-Level ACA Implementation Through Interagency Collaboration

July 1, 2012 | Issue Brief

Recommended Reading Urban Institute's ACA Implementation Monitoring and Tracking Series: Case StudiesĀ  Urban Institute's ACA Implementation Monitoring and Tracking Series: Quantitative Analysis This report describes the early lessons learned from st ...

Overview of Final Regulations on Health Insurance Premium Tax Credit

June 1, 2012 | Issue Brief

This brief provides a walkthrough of the major takeaways from the tax regulations, as well as expected future guidance in the Affordable Care Act.

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