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Sen. Jay Rockefeller
Honorary Chairman

Sen. Roy

Honorary Co-Chairman

Dr. Bob Graham

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Alliance Briefings for September – Watch your inbox for registration info

Sept. 26: Network Adequacy
Sept. 29: Prescription Drug Abuse 

What's New

September 14, 2014
A new CDC report indicates that adults between 18 and 64 are less likely to be uninsured in Medicaid expansion states than ones that did not expand coverage under Medicaid. In the first three months of 2014, the percentage of those uninsured decreased from 18.4 percent in 2013 to 15.7 percent in states that expanded Medicaid.

September, 2014
A new Urban Institute report, with support from the Robert Wood Johnson Foundation, examined marketplace competition and insurance premiums across 10 states in the first year of the Affordable Care Act. The findings state that the premiums are contingent largely on provider and insurer markets, and are higher in less competitive states.

September, 2014
New Health Affairs study reports that health care spending will outpace GDP again this year, but average rate of spending growth through 2023 is expected to be slower than experienced during 1990–2008.

August 28, 2014
Pennsylvania and the Centers for Medicare and Medicaid Services have finalized a waiver to allow the state to use federal funds to buy private health insurance for low-income residents. The agreement represents an alternative to a traditional Medicaid expansion as outlined in the Affordable Care Act.

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Recent Briefings

Approximately10.6 million people were aided by more than 4,400 in-person assistance programs in searching and applying for coverage in the first six-month enrollment period. Brokers also played a role in helping consumers sign up for coverage. Some believe that in-person, enrollment assistance programs are key to future enrollment success, while others voice concerns about the training of those offering assistance, and the security of applicants’ personal information. Many questions arise about their effect on coverage moving forward and the funding required to support the programs. Read More

This briefing will explore innovations and challenges in delivering health care to a growing population of inmates. This is an expensive group because of the large number of people with mental illness, addiction disorders, conditions associated with aging and Hepatitis C. Indeed, corrections spending is the second fastest-growing state expenditure, behind Medicaid, according to the Pew Charitable Trusts.  Read More

Policymakers, providers, and stakeholders have been debating various approaches to reforming our medical liability system to both protect patients who experience adverse medical events and to help practitioners provide the highest quality care possible. One innovative approach may well avoid some of the sharper policy differences on proposals in this area: encouraging the disclosure of unanticipated outcomes to affected patients. This disclosure may include an explanation and apology to the patient and family, as well as an offer of compensation in some cases. Some anecdotal data suggest that such communication-and-resolution programs can result in improved patient safety and decreased malpractice claims. However, questions arise about how well this approach really works, and whether it can be standardized and scaled up in our medical system.  Read More

Washington's Marketplace Enrollment: Lessons for 2015

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Toolkit: Replacing the SGR

A new Alliance for Health Reform Toolkit summarizes the recent policy debate surrounding the decade-long problem In the last six months, the House Energy and Commerce Committee, House Ways and Means, and Senate Finance committees all put forth similar bills to repeal and reform the flawed Medicare physician payment formula. Further, with the CBO estimating the cost of repeal at $116.5, the lowest since 2006, many health policy experts are speculating that 2014 is the year that policymakers enact a permanent change to the SGR.

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The Employer Mandate of the Patient Protection and Affordable Care Act

The Toolkit, available here, details the ACA’s employer requirements and penalty. It also includes information about the delay in the mandate to 2015, and analysis about its impact on employer-based coverage.

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