Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform. On November 29, 2013, the Internal Revenue Service (IRS) issued final regulations on the Health Insurance Provider Fee. This final rule provides guidance on the annual fee imposed on covered entities that provide health insurance in the U.S., including guidance on exclusions and the fee methodology. This document provides a high-level summary of this final rule.
Pursuant to SB 481 (Chapter 464 of the Acts of 2002), the Maryland Department of Health and Mental Hygiene (the Department) created an annual process to set the fee-for-service (FFS) reimbursement rates for Maryland Medicaid and the Maryland Children’s Health Program (MCHP) in a manner that ensures provider participation. The law directs the Department to submit an annual report to the Governor and various House and Senate committees addressing the progress of the rate-setting process; a comparison of Maryland Medicaid’s reimbursement rates with those of other states; the schedule for adjusting Maryland’s reimbursement rates; and the estimated costs of implementing the above schedule and proposed changes to the FFS reimbursement rates. This is the Department’s annual report dated December 2013.
Senior Policy Analysts Aaron Tripp, MSW, and Barbara Holt, PhD, presented this poster at the Gerontological Society of America’s (GSA’s) 66th Annual Scientific Meeting held November 20-24, 2013, in New Orleans.
Senior Policy Analysts Aaron Tripp, MSW, and Stephanie Cannon-Jones, MA, presented this poster at the Gerontological Society of America’s (GSA’s) 66th Annual Scientific Meeting held November 20-24, 2013, in New Orleans.
Policy Analyst Rebekah Natanov, MPH, and Director of Special Studies Ian Stockwell, MA, presented this poster at the Gerontological Society of America’s (GSA’s) 66th Annual Scientific Meeting held November 20-24, 2013, in New Orleans.
Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform. On October 24, 2013, the U.S. Department of Health and Human Services (HHS) issued a final rule on Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014. This final rule outlines financial integrity and oversight standards for Exchanges and qualified health plan (QHP) issuers, and the operation of state risk adjustment and reinsurance programs. In addition, this final rule clarifies standards for special enrollment periods, survey vendors that conduct enrollee satisfaction surveys on behalf of QHP issuers, and issuer participation in the federally facilitated Exchange (FFE). This document provides a high-level summary of these rules and highlights key changes to the regulation since the issuance of the proposed rule.
Policy Analyst Jessica Skopac, JD, MPH, gave this panel presentation at the 27th Annual Conference of the American Evaluation Association (AEA) October 19, 2013.
Executive Director Cynthia H. Woodcock, MBA, gave this presentation at the National Conference of State Legislatures (NCSL) Fiscal Analysts Seminar held October 8, 2013, in Annapolis. Woodcock discussed the characteristics of dual eligibles; pathways to dual eligibility; opportunities for and challenges of integrating care for this population; and approaches to integrating care.
This is the eighth issue brief in a series published by Hilltop’s Hospital Community Benefit Program. This brief focuses on updating significant points concerning community health needs assessment (CHNA) and other aspects of community benefit discussed in the earlier briefs, as well as on identifying and exploring more recent developments and emerging issues. Specifically, this brief discusses the Internal Revenue Service’s (IRS’s) 2013 proposed rules, “Community Health Needs Assessments for Charitable Hospitals,” and their potential impact on nonprofit hospital needs assessment, community benefit planning, and collaborative approaches to community health improvement.
Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform. On August 29, 2013, the U. S. Department of Health and Human Services (HHS) issued a final rule on Program Integrity: Exchange, SHOP, and Eligibility Appeals. This rule finalizes Exchange standards on eligibility appeals, agents and brokers, privacy and security, issuer direct enrollment, and the handling of consumer cases. In addition, it establishes standards for a state’s operation of the Exchange and Small Business Health Options Program (SHOP). This document provides a high-level summary of these rules and highlights key changes to the regulation since the issuance of the proposed rule.