Tag Archives: States

If The Trump Administration Terminates Cost-Sharing Reduction Payments, States Can Use 1332 Waivers To Fund Their Own

Creating a State-administered CSR mechanism will undoubtedly require expenditure from the State. While some will argue that the limited resources in State budgets would render the idea all but theoretical, it would be beneficial to examine how States can use Section 1332 to fund CSRs.

August 15, 2017

Investing In Policy And Advocacy: A Foundation Shares Lessons Learned

A foundation in Kentucky worked in a rapidly changing policy landscape following election of a new governor. See what strategies the funder's Promoting Responsive Health Policy initiative has used and what challenges it has encountered.

June 6, 2017

ERISA: A Bipartisan Problem For The ACA And The AHCA

ERISA and health reform have not meshed well. The US Supreme Court has not helped. The Court decided two important ERISA cases last term and has another one, Advocate Health Care Network v. Stapleton, in the term about to conclude. Those interested in health care should watch this case closely.

June 2, 2017

New CBO AHCA Estimate: Decreases In Savings And Uninsured, Potential Market Instability For States With Major Waivers

On May 24, 2017, the CBO and Joint Committee on Taxation released their third cost estimate on H.R. 1628, the House American Health Care Act of 2017. The estimate focuses primarily on changes that occurred after the CBO scored the original bill on March 13, and the manager’s amendment on March 24.

May 25, 2017

People Post: Staff Changes And Job Openings In Health Philanthropy

Read news about comings and goings at foundations around the country and check out the job openings in interesting locations.

April 18, 2017

Redesigning New Jersey’s Medicaid Program: Philanthropy Steps Up

When state governments do not take the lead in fundamentally transforming their Medicaid programs, foundations can step up to support Medicaid modernization. A foundation in the Garden State saw an opening to provide the next governor's administration with a ready-to-roll, nonpartisan plan for...

March 21, 2017

The Unfolding Medicaid Story: Congress, Governors, And The Trump Administration

Anyone who has had the chance to witness (or be part of) any of the epic health reform dramas that continually play out in Washington D.C. will agree: in the end, it always comes down to Medicaid. We have once again arrived at one of those moments.

March 20, 2017

Reading The Fine Print: Do ACA Replacement Proposals Give States More Flexibility And Authority?

A close examination of replacement proposals shows they would turn upside down a longstanding principle of federal-state regulation of insurance, which provides that the states should be the primary source of health insurance oversight and consumer protection.

February 23, 2017

The Future Of Essential Health Benefits

The Essential Health Benefits requirement may be on the chopping block as the Administration and Congress seek to repeal and replace the ACA. An understanding of how the EHB rule did and did not change the pre-ACA status quo can help put concerns about EHB into context and inform the path forward.

February 14, 2017

The Future Of Medicaid: When Improving Upon The Wheel, Start With Something Round

As states and the federal government jointly design Medicaid’s future, it will be important to incorporate what we have already learned about what works --and what does not.

February 10, 2017