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August 30, 2012 | Issue Brief
Insurance market reforms under the Affordable Care Act (ACA) are designed to increase the number of Americans with insurance—and to shed the current system in which health plans have an incentive to enroll healthier people while avoiding the sick. O ...
February 21, 2013 | Journal Article
Researchers raise significant questions about the risk adjustment that Medicare and others apply to insurance claims data.
December 1, 2011 | Issue Brief
This brief presents states with a work plan that outlines the decisions and actions needed to implement the risk adjustment and reinsurance provisions of the Affordable Care Act.
December 1, 2011 | Issue Brief
Under the Affordable Care Act (ACA) much of the expanded coverage will be provided through health insurers offering products on the new health insurance exchanges. To ensure robust markets, exchanges must have in place processes for mitigating the f ...
January 1, 2009 | Report
This paper provides a brief overview of discrimination practices, the federal law and federal reform options to manage discriminatory practices in the insurance and employee health benefit markets.
November 5, 2010 | Story
Study by RWJF grantee published in the "Journal of the American Medical Association."
September 1, 2011 | Issue Brief
Provisions critical to the successful implementation of ACA.
December 1, 2011 | Toolkit
This toolkit series, released by the Robert Wood Johnson Foundation and the Blue Cross Blue Shield of Massachusetts Foundation, provides examples, templates, and lessons from Massachusetts.
March 1, 2013 | Journal Article
NICU mortality risk-adjustment scores vary widely by the data collected and the timing of collection.
February 1, 2003 | Issue Brief
Risk segmentation and the consequent wide variation in premiums create at least two kinds of problems. First, some high-risk people are not able to afford coverage. Second, the wide premium spread requires some people to pay much more than others for identical coverage.