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Hard Work Streamlining Enrollment Systems Pays Dividends to the Sooner State

January 1, 2013 | Journal Article

As states build sophisticated Medicaid eligibility and enrollment systems in the run-up to expanded coverage in 2014, they can look to Oklahoma for inspiration.

Health Reform in Virginia

December 1, 2012 | Journal Article

The work of a high-profile advisory council, led by a well-positioned secretary of health and human resources, has made Virginia “far more ready than many people think” for health care reform, according to this “Report from the States.”

The Out-of-Network Benefit

December 1, 2012 | Journal Article

Consumers may be exposed to significant unexpected and unreasonable out-of-pocket costs due to lack of accurate information on network participation and cost transparency.

A Decade of Health Care Access Declines for Adults Holds Implications for Changes in the Affordable Care Act

May 1, 2012 | Journal Article

The pending Supreme Court decision on the Affordable Care Act and the fall presidential election raise concerns about what would happen if the insurance expansion promised by the landmark health

Examining the Evidentiary Basis of Congress's Commerce Clause Power to Address Individuals' Health Insurance Status

February 6, 2012 | Journal Article

The U.S. Supreme Court will decide if the Affordable Care Act is constitutional based partly on whether or not an individual being uninsured affects interstate commerce.

Seizing Opportunities Under the Affordable Care Act for Transforming the Mental and Behavioral Health System

February 1, 2012 | Journal Article

Provisions of the Affordable Care Act offer extraordinary opportunities to insure many more people, reimburse previously unreimbursed services, integrate care using new information technology tools and treatment teams, confront complex chronic comorbidities, and adopt underused evidence-based interventions.

Expanding Dependent Coverage for Young Adults

February 1, 2012 | Journal Article

The experience that states have had with pre-Affordable Care Act (ACA) insurance expansion to young adults shows the process is non-problematic, but there are undetermined implications for risk pooling, cost distribution, and prolonging the parental ...

Lower-Income Families Pay a Higher Share of Income Toward National Health Care Spending Than Higher-Income Families Do

September 8, 2011 | Journal Article

All health care spending from public and private sources, such as governments and businesses, is ultimately paid by individuals and families.

Affordability of Health Insurance to Small Business

June 1, 2011 | Journal Article

This article considers foreseeable consequences of the Patient Protection and Affordable Care Act (ACA) for small businesses and their employees. While insufficient subsidies might cause small businesses to forgo purchasing insurance, the ACA will cover more individuals through Medicaid and insurance exchanges.

The Importance of Transitional Care in Achieving Health Reform

April 1, 2011 | Journal Article

Under the Affordable Care Act of 2010, a variety of transitional care programs and services have been established to improve quality and reduce costs. These programs help hospitalized patients with complex chronic conditions—often the most vulnerable—transfer in a safe and timely manner from one level of care to another or from one type of care setting to another.