ACA

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Health Insurance State Innovation Waivers and Older Adults: A Guide for States

Section 1332 State Innovation Waivers can help improve the health insurance market and lower premiums for consumers, including older adults, but can also cause harm if used the wrong way. This guide provides background on State Innovation Waivers and highlights five key steps that states should take to understand and evaluate the impact of these waivers on older adults.

Short URL: http://www.advancingstates.org/node/71727

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Potential Changes to Medicaid Long-Term Care Spousal Impoverishment Rules: States’ Plans and Implications for Community Integration

On Thursday, November 15, 2018, the Kaiser Family Foundation (KFF) published an issue brief exploring the upcoming changes to spousal impoverishment policies in Federal Medicaid HCBS policy. This report provides an explanation of why spousal impoverishment policies exist, the changes made by the Affordable Care Act (ACA), and the potential implications of the expiration of these ACA changes.

Short URL: http://www.advancingstates.org/node/70901

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Implications of the ACA Medicaid Expansion: A Look at the Data and Evidence

This issue brief summarizes the current evidence surrounding the effects of Medicaid expansion on coverage, access, affordability, health outcomes, and economic indicators. The paper draws primarily from evidence examined in 202 studies reviewed in a previous KFF literature review on this subject.

Short URL: http://www.advancingstates.org/node/70484

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How Did State-Run Health Insurance Marketplaces Fare in 2017?

This brief analyzes fifteen structured interviews conducted with leadership staff in states using state-based health insurance marketplaces. It explores the different actions these states may utilize to stabilize the marketplace and reduce consumer confusion in the face of uncertainty regarding federal policies.

Short URL: http://www.advancingstates.org/node/70316

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The Duals Demonstration: A First Glimpse at Lessons Learned

Justice in Aging published an issue brief that offers an analysis of the findings from the evaluation of the Financial Alignment Initiative (FAI), commonly known as the dual eligible demonstration. Research Triangle Institute was contracted by the Centers for Medicare and Medicaid Services (CMS) to conduct this evaluation, which focused on the first six months of operation of the demonstration in each of the seven states where it was rolled out.

Short URL: http://www.advancingstates.org/node/67477

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On Pins and Needles: Caregivers of Adults with Mental Illness

The National Alliance for Caregiving, in collaboration with Mental Health America and the National Alliance on Mental Illness, released a report surrounding the topic of caregivers of adults with mental illness. "At least 8.4 million Americans are providing care to an adult with an emotional or mental health issue, and nearly three quarters report that caregiving causes high emotional stress." This report examines the inadequacies the families of individuals with mental illness face in the U.S.

Short URL: http://www.advancingstates.org/node/67425

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Initial Recommendations to Improve the Financing of Long-Term Care

The Bipartisan Policy Center (BPC), with funding from the SCAN Foundation, published a report offering recommendations to improve the financing of long-term care. The BPC published another report in April 2014 that examined the challenges in financing and delivery. This report is a follow up of those findings that offers recommendations to improve these issues.

Short URL: http://www.advancingstates.org/node/67412

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The Impact of the Affordable Care Act: A 2015 Status Report

The National Council on Disability (NCD) released a new report on implementation of the Affordable Care Act (ACA) and disabilities. This is the second of three reports on the subject. This report includes a review of the literature that studies the impact of ACA implementation on people with disabilities, qualitative interviews with key informants from ten states, an analysis of the ACA implementation choices seen in many states, and recommendations for future research on this topic.

Short URL: http://www.advancingstates.org/node/67367

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Medicare Advantage 2015 Spotlight: Enrollment Market Update

The Henry J. Kaiser Family Foundation released an issue brief reviewing the national and state-level Medicaid Advantage enrollment trends as of March 2015. It was believed that the reductions in payments to Medicare Advantage plans would reduce enrollments, but it has actually increased by 5.6 million. One key finding showed that "Almost one in three (31%) of people on Medicare (16.8 million beneficiaries) were enrolled in a Medicare Advantage plan in March 2015."

Short URL: http://www.advancingstates.org/node/66640

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