Market Reforms and Financing
Below are links to market reform and financing provisions in the ACA.
Health Insurance Exchanges
Accountable Care Organizations
Web Portals
Tax Credits and Penalties
Health Policy Alternatives Inc. - Summary of Proposed Rule on Exchange Functions in the Individual Market
Health Policy Alternatives, Inc., prepared a summary of the proposed rule establishing the role exchanges will plan in the individual market.
August 2011
Notice of Proposed Rule Making - Exchange Functions in the Individual Market
The Department of Health and Human Services released the proposed rule outlining exchanges functions in the individual market. Comments on this proposed rule are due by October 31.
August 2011
Notice of Proposed Rule Making - Health Benefits Exchange and Qualified Health Plans
The Department of Health and Human Services released the proposed rule for state health exchanges and qualified health plans. Comments are due October 31. The HHS factsheet can be found here.
July 2011
Health Policy Alternatives Inc. - Summary of Health Benefits Exchange and Qualified Health Plan Proposed Rule
Health Policy Alternatives, Inc., prepared a summary of the proposed rule implementing the health benefits exchanges and qualified health plans.
July 2011
McKenna Long & Aldridge - Purchasing Inside vs. Outside Exchanges
McKenna Long & Aldridge presented on the differences between purchasing coverage inside and outside of the health benefits exchanges.
June 2011
Health Benefits Exchange - Rand Corporation Report
The Rand Corporation prepared an analysis of the health insurance exchange provision in the ACA. This report focuses health policy changes and potential effect these have on outcomes for small businesses and enrollees in the health benefits exchanges. The summary can be found here.
September 2010
Recognizing Destabilization in the Individual Health Insurance Market - Robert Wood Johnson Foundation
The Robert Wood Johnson Foundation provided an analysis of the potential destabilizing effect of the ACA's MLR provision might have on the insurance market.
July 2010
Health Benefits Exchange - HHS Guidance
The Department of Health and Human Services prepared implementation guidance for state level exchanges.
November 2010
Health Benefits Exchange - Request for Comment
The Department of Health and Human Services issued a request for comment on the American Health Benefits Exchange provision in PPACA. ACHP's comment letter can be found here.
August 2010
Essential Health Benefits
Department of Labor – Selected Medical benefits
The Department of Labor published its report to the Department of Health and Human Services. The Dept. of Labor extracted coverage information from approximately 3,200 employer health plan documents. This survey and report were required by the ACA. The Institute of Medicine is currently working to develop recommendations for essential health benefits here.
April 2011
Accountable Care Organizations - Notice of Proposed Rule
The Department of Health and Human Services released the proposed rule for accountable care organizations. The Department fact sheet can be found here. Comments are due June 6.
April 2011
Accountable Care Organizations - DoJ Statement on Developing an ACO and Antitrust Law
The Department of Justice and Federal Trade Commission released guidance on establishing an ACO within current antitrust law. The DoJ press release can be found here. The DoJ is accepting comments on this guidance until May 31.
April 2011
Accountable Care Organizations - HPA Summaries
Health Policy Alternatives, Inc., prepared summaries of the DoJ and HHS ACO documents.
April 2011
Accountable Care Organizations - CMS Request for Information
CMS issued a Request for Information for Accountable Care Organizations. ACHP's response can be found here.
November 2010
Accountable Care Organizations - ACHP Response Letter
The ACHP Medical Directors helped prepare this response to the CMS Request for Information on Accountable Care Organizations.
December 2010
Web Portal - Interim Final Rule
The Dept. of Health and Human Services issued the interim final rule for the web portal. The rule is effective May 10.
May 2010
Web Portal - HPA Summary of IFR
Health Policy Alternatives, Inc. prepared a summary of the interim final rule for the web portals.
May 2010
Web Portal - ACHP response to the IFR
ACHP prepared this response to the web portal interim final rule.
June 2010
Kaiser Family Foundation - Penalties for Employers who do not Offer Affordable Coverage
The Kaiser Family Foundation prepared a summary chart of employer penalties. By 2014, businesses with 50 or more employees will be required to offer affordable health coverage.
October 2011
Health Policy Alternatives, Inc. - Summary of Proposed Rule on Premium Tax Credits
Health Policy Alternatives, Inc. prepared a summary of the proposed rule implementing the premium tax credits included in the ACA.
August 2011
Notice of Proposed Rule Making - Internal Revenue Service: Premium Tax Credits
The Internal Revenue Service published the proposed rule implementing the ACA's premium tax credits. The proposed rule outlines eligibility requirements and computations for determining an individual's eligibility for tax credits. Comments are due by October 31; the IRS is planning to hold a hearing to discuss this proposed rule on November 17, suggested agenda items for that meeting are due to the IRS by November 10. August 2011
CRS Report - Individual Mandate
The Congressional Research Service prepared an analysis and report on the individual mandate.
February 2011
CRS Report - Enforcement of Private Health Insurance Market Reforms Under the PPACA
The Congressional Research Service prepared a report on enforcement of insurance reforms.
February 2011
Realizing Health Reform Potential:Small Businesses and the Affordable Care Act of 2010
The Commonwealth Fund prepared an analysis of the Small Business Tax Credits in PPACA. The report slides can be found here.
September 2010
Small Business Tax Credits - Administration Guidance
The administration released guidance for the small business tax credits, background material and a link to NCSL information regarding tax credits for health coverage.
May 2010
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