Kip Piper's Health Care Blog
Medicare, Medicaid, Health Reform

States that expand Medicaid and establish Health Insurance Exchanges - both part of the Affordable Care Act (ACA) - should start planning early, should take advantage of time-limited federal funding to improve enrollment systems, and should emphasize online enrollment methods, says a brief from the Robert Wood Johnson Foundation’s Maximizing...
In the Medicaid managed care market, health plans that specialize in Medicaid are more likely to be profitable.  Health plans that also offer commercial and Medicare products tend to operate at a loss for their Medicaid line of business. An interesting new study by Mike McCue, DBA, at Virginia Commonwealth...
Under the Affordable Care Act, Health Insurance Exchanges, whether state or federally operated, must manage several core functions starting in 2014.  The functions include pre-screening for Medicaid or CHIP coverage, federal subsidy eligibility determination, consumer assistance, management and oversight of qualified health plans (QHPs), financial management, and enrollment of individuals or small...

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