Tag Archives: Maine

Correcting Misconceptions About Invisible Risk-Sharing

An amendment to the AHCA draws in part from a proposal to include an invisible high-risk pool. Based on an independent analysis, there are a few misconceptions that should be corrected and changes that could improve the invisible risk-sharing program.

April 25, 2017

Making Sense Of ‘Invisible Risk Sharing’

Before Congress recessed last week, the House amended the pending American Health Care Act to include an “Invisible Risk-Sharing Program,” funded with $15 billion over nine years. What should we make of claims that this approach caused premiums to plummet in Maine and can make a big dent nationally?

April 12, 2017

House GOP Moves To Add ‘Invisible Risk Sharing Program’ To AHCA; Other ACA Developments

A federal “invisible risk sharing program” within AHCA’s Patient and State Stability Fund, included in a new amendment submitted to the House Rules Committee, could help to high-cost individuals. However, the program’s benefits could be undermined by inadequate funding and other AHCA provisions.

April 6, 2017

Losing The ‘All’ in All-Payer Claims Databases

What are the implications to APCDs if ERISA data is not available? While the potential loss of ERISA data is viewed with concern, the Court’s decision may be not fatal to policy-relevant research.

July 18, 2016

Oral Health, Mental Health, Opioid Addiction, & More: Foundation Blogs Round-Up

Other topics highlighted in these blog posts from foundations around the country are HIV/AIDS and smoking prevention.

January 7, 2016

Not Your Usual Suspects: Roles For State Agencies In PCMH Payment Reforms

State insurance departments, State Employee Benefits, and Public Health departments and agencies in collaboration with Medicaid, private payers, and other stakeholders have undertaken significant roles to strengthen multipayer PCMH efforts.

December 8, 2015

The Pathway To Sustainability: Aligning Ambulatory Patient Experience Survey Implementation

Across the US health care system, there is a growing imperative to deliver more patient-centered care. A consensus is now emerging that some kind of alignment or "harmonization" of patient experience measurement must take place in order to reduce survey burdens on both patients and practices alike.

September 3, 2015

Advancing Integrated Behavioral Health Care In Texas And Maine: Lessons From The Field

Those working on integrating primary and behavioral health care must realize the complexity of integration and the time needed to handle the professional cultural differences, staffers from two foundations point out. Both funders have awarded grants to support integrated care.

August 11, 2015

Implementing Health Reform: High Court Won’t Hear Medicaid Case

The nation continues anxiously to await the Supreme Court’s decision in King v. Burwell, which will likely be announced late this month. On June 8, 2015, however, the Court quietly announced another important Affordable Care Act decision that should not go unmarked.

June 9, 2015

Exploring The Significant State-To-State Variation In Marketplace Enrollment

What role did geography, advertising, community, Navigators, and the controversy surrounding the Affordable Care Act (ACA) play in consumers’ decisions whether to purchase health insurance in the individual marketplaces?

April 29, 2015