3,000 pages of statutory information broken down into easy-to-understand, issue-oriented briefing reports. Click on the series overview to get a complete list of issue briefs or on each chapter to see its contents.
Issue Briefs
Volume 1 - Changes to the Health Insurance Market
- Coverage of Preventive Health Services
- Extension of Dependent Coverage
- Development and Utilization of Uniform Explanation of Coverage Documents and Standardized Definitions
- Bringing Down the Cost of Health Care Coverage
- Health Insurance Consumer Information
- Immediate Access to Insurance for People with a Preexisting Condition
- Immediate Information that Allows Consumers to Identify Affordable Coverage Options
- Administrative Simplification
- Health Insurance Market Reforms
- Essential Health Benefits Requirements
- Special Rules Relating to Coverage of Abortion Services
- Establishment of State Health Insurance Exchanges
- State Flexibility to Establish Basic Health Programs for Low-Income Individuals Not Eligible for Medicaid
- Waiver for State Innovation
- Risk Adjustment
- Premium Tax Credits and Cost-Sharing Reductions
- Individual Responsibility Requirements
- Employer Resonsibilities
- Health Information Technology Enrollment Standards
- Qualified Health Plan Defined
- Federal Program to Assist Establishment of Consumer Operated and Oriented Plans
- Streamlining Procedures for Enrollment Through an Exchange and State Medicaid, CHIP and Health Subsidy Programs
Volume 2 - Medicaid and CHIP Expansion and Improvement
- Medicaid Expansion to Cover Individuals at or Below 133 Percent of the Federal Poverty Level
- Maintenance of Medicaid Income Eligibility
- Income Eligibility for Nonelderly Determined Using MAGI
- Medicaid Coverage for Former Foster Care Children
- Additional Federal Financial Participation for CHIP
- Enrollment Simplification and Coordination with State Health Insurance Exchanges
- New Mandatory and Optional Medicaid Benefits
- Community First Choice Option
- Removal of Barriers to Providing Home and Community-Based Services
- Money Follows the Person Rebalancing
- Prescription Drug Rebates
- Disproportionate Share Hospital Payments
- Providing Federal Coverage and Payment Coordination for Dual Eligible Beneficiaries
- Adult Health Quality Measures
- Payment Adjustment for Health Care-Acquired Conditions
- State Option to Provide Health Homes for Enrollees with Chronic Conditions
- Demonstration Project to Evaluate Integrated Care Around a Hospitalization
- Medicaid Global Payment System Demonstration Project
- Pediatric Accountable Care Organization Demonstration Project
- Medicaid Emergency Psychiatric Demonstration Project
- MACPAC Assessment of Policies Affecting All Medicaid Beneficiaries
- Maternal, Infant, and Early Childhood Home Visiting Programs
- Exemption of 340B Drugs from Managed Care Rebates
- Payments to Primary Care Physicians
- Permitting Hospitals to Make Presumptive Eligibility Determinations for all Medicaid Eligible Populations
- Protection of Recipients of Home and Community-Based Services against Spousal Impoverishment
- Medicaid Benchmark Benefits Must Consist of At Least Minimum Essential Coverage
Volume 3 - Quality and Payment System Reforms in Medicare
- Value-Based Purchasing in Medicare
- Improvements to the Physician Quality Reporting System
- National Strategy
- Quality Measure Development
- Establishment of Center for Medicare and Medicaid Innovation within CMS
- Medicare Shared Savings Program
- National Pilot Program on Payment Bundling
- Independence at Home Demonstration Program
- Hospital Readmissions Reduction Program
- Community-Based Care Transitions Program
- Extension for Specialized MA Plans for Special Needs Individuals
- Independent Payment Advisory Board
- Medication Management Services in Treatment of Chronic Disease
- Closing the Medicare Prescription Drug “Donut Hole”
- Medicare Advantage Payments
- Savings from Limits on MA Plan Administrative Costs
- Grants or Contracts to Establish Community Health Teams to Support the Patient-Centered Medical Home
Volume 4 - Prevention, Chronic Disease and Public Health
- Improving Access to Preventive Services for Eligible Adults in Medicaid
- Coverage of Comprehensive Tobacco Cessation Services for Pregnant Women in Medicaid
- Incentives for Prevention of Chronic Diseases in Medicaid
- Reasonable Break Time for Nursing Mothers
- Funding for Childhood Obesity Demonstration Project
- Removal of Barriers to Preventative Services in Medicare
Volume 6 - Program Integrity and Waste, Fraud and Abuse
- Limitation on Medicare Exception to the Prohibition on Certain Physician Referrals for Hospitals
- Patient-Centered Outcomes Research
- Patient-Centered Outcomes Research Trust Fund; Financing for Trust Fund
- Provider Screening and Other Enrollment Requirements under Medicare, Medicaid, and CHIP
- Enhanced Medicare and Medicaid Program Integrity Provisions and Penalties
- Overpayments
- Termination of Provider Participation Under Medicaid if Terminated Under Medicare or other State Plan
- Requirement to Report Expanded Set of Data Elements under MMIS to Detect Fraud and Abuse
- Mandatory State Use of National Correct Coding Initiative
- Elder Justice
- Recovery Audit Contractor (RAC) Program Expansion
Volume 9 - Revenue, Fees and Taxes
- Excise Tax on High Cost Employer-Sponsored Health Coverage
- Inclusion of Cost of Employer-Sponsored Health Coverage on W-2
- Tax, Contribution and Definition Changes to Health Care Accounts
- Imposition of Annual Fee on Health Insurance Providers
- Limitation on Excessive Remuneration Paid by Certain Health Care Providers
- Additional Hospital Insurance Tax on High-Income Taxpayers
- Expansion of Information Reporting Requirements
Volume 10 - Additions
- Incentives for States to Offer Home and Community-Based Services as a Long-Term Care Alternative to Nursing Homes
- Medicare Program for Early Detection of Conditions Related to Environmental Health Hazards
- Community-Based Collaborative Care Networks Program
- State Demonstration Programs to Evaluate Alternatives to Current Medical Tort Litigation
- Better Diabetes Care
- Conflict-Free Case Management for Home- and Community-Based Services
Reform Spotlight
-
Feds Make It Easier For States To Enroll Poor Under Health Law
Kaiser Health News: The Obama administration is making it easier for states to sign up the poor for health coverage – and to help those people stay covered. On Friday, it informed state officials that they could simplify enrollment in Medicaid, the federal-state program for the poor, to handle the onslaught of millions of anticipated enrollees next year when the health care law expands coverage. The administration said the changes are geared to states that are expanding their programs, but they may also be adopted by others.
Read Full Article -
HHS Secretary Sebelius announces Senate confirmation of Marilyn Tavenner
HHS: HHS Secretary Kathleen Sebelius announced this afternoon, that the United States Senate confirmed Marilyn Tavenner as administrator of the Centers for Medicare & Medicaid Services (CMS). “I’m pleased to announce that the Senate voted today to confirm Marilyn Tavenner as administrator of the Centers for Medicare & Medicaid Services making her the first CMS administrator to be confirmed in over nine years. Marilyn brings with her a breadth of experience and expertise from virtually all angles of health care policy and delivery, having served as a hospital CEO, a state health official, and a registered nurse. Marilyn will serve in a critical role at CMS as we work to improve the health care for hundreds of millions of Americans.”
Read Full Article - More Reform Spotlight Articles »
