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Health Plans

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Essential Health Benefits

May 2, 2013 | Issue Brief

States are allowed under the Affordable Care Act to customize their own health insurance plans to meet a required 10 categories of “essential health benefits.” While states like the flexible approach, patient advocates prefer a national standard.

Limited Options to Manage Specialty Drug Spending

April 1, 2012 | Issue Brief

Spending on specialty drugs—typically high-cost biologics used to treat a variety of serious, complex conditions ranging from blood disorders to rheumatoid arthritis—has been growing at a persistently high rate in recent years.

Selection in Massachusetts' Commonwealth Care Program

February 1, 2012 | Issue Brief

In this report, researchers at Mathematica Policy Research examined Massachusetts' CommCare program—a program serving low-income adults, much like the ACA's BHP is designed to do.

Section 125 Plans in the Post-Reform Environment

June 1, 2010 | Issue Brief

Brief examines the impact of health reform on the tax code and individual insurance plans.

'Grandfathered' Health Plans

October 29, 2010 | Issue Brief

The health reform law exempts certain existing health insurance plans from many requirements. What does that mean for consumers, insurers, and employers?

Churning Under the ACA and State Policy Options for Mitigation

June 1, 2012 | Issue Brief

To lessen the damage done by churning, it will be important for states to provide consumers with intensive assistance to help them navigate through the involuntary coverage transitions.

The Multi-State Plan Program

April 3, 2013 | Issue Brief

To spur more consumer choice in the insurance market, the Affordable Care Act created the Multi-State Plan Program to certify health insurance issuers to offer at least two plans in every state insurance exchange.

Aggregating Physician Performance Data Across Health Plans

March 1, 2011 | Issue Brief

An effort to help enhance the quality and equality of U.S. health care.

The Rural Implications of Geographic Rating of Health Insurance Premiums

May 1, 2012 | Issue Brief

Researchers at the University of Southern Maine's Muskie School of Public Service examine the implications of geographic rating, the practice of adjusting insurance premiums to reflect regional differences in the cost of health care, on risk pooling and insurance premiums.

Does the Patient Protection and Affordable Care Act Permit the Purchase of Health Insurance Across State Lines?

August 1, 2010 | Issue Brief

Brief examines new rules for allowing the purchase of health insurance across state lines.

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