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Washington, DC 20005-6573

Sen. Jay Rockefeller
Honorary Chairman

Sen. Roy

Honorary Co-Chairman

Dr. Bob Graham

In The Spotlight


Save the Date

Alliance Briefings for September – Watch your inbox for registration info

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

What's New

September 19, 2014
House Small Business Committee holds hearing on SHOP marketplaces

Related resources:
A new Health Affairs Health Policy Brief examines the status of employee choice in SHOP marketplaces.

Commonwealth Fund study on state action to establish SHOP marketplaces

September, 2014
Families for Better Care, a Florida-based nursing home resident advocacy group, published its second annual state-by-state nursing home report card. The highest ranked nursing home states include: Rhode Island (1), New Hampshire (2), Maine (3), Vermont (4), Delaware (5), Florida (6), Hawaii (7), Arizona (8), Utah (9), and North Dakota (10).

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.

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Recent Briefings

According to the Centers for Disease Control and Prevention (CDC), drug overdose is the leading cause of injury death in the United States. In 2010, opioid pain relievers accounted for approximately 17,000 of overdose deaths— more than twice the number of deaths from cocaine and heroin combined. Despite the tremendous importance of prescription drugs in treating pain, some medications have a high risk of being misused or abused. Some researchers have voiced concerns that prescription painkillers could even be a gateway drug for heroin users. With the steady rise in prescription rates and drug overdose deaths, policymakers are coming to a consensus that this national problem must be addressed.  Read More

Some new health plans sold in the insurance marketplaces are offering consumers networks that exclude certain doctors, hospitals and other medical providers. While some claim that these networks hamper provider access and choice, others contend that this approach, if done the right way, helps consumers by creating competition and controlling costs.  Read More

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

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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