|The Facts behind Medicaid Estate Recovery|
Under federal law, states are required to bill estates for the cost of an individual's long-term care costs while on Medicaid. But recovering the costs of health services is not required by federal law, and most states simply aren't interested in doing so because they fear the high administrative costs of collecting money from a broad Medicaid expansion population. As a case in point, only 10 states have indicated a willingness to pursue the recovery of health care costs from estates. What is very real is the immediate financial risk of not signing up for Medicaid and consequently remaining uninsured. Someone who passes up Medicaid coverage and remains uninsured because they are concerned that the state might recoup some health care from their estate sometime in the future runs the risk of incurring large medical debts today. If that happens, creditors won't wait until the person dies. Medical debt is the leading cause of personal bankruptcies in the U.S. And that's a serious risk that can cause long-term financial damage to families. Someone who is currently uninsured and eligible for Medicaid should sign up for the program.
|Our New Rankings Are Out Today|
Our new Rankings are now live, with new data, new measures, new resources, and a new look and feel to our website. So what's new for 2015? Visit your county's Snapshot and see for yourself. Income Inequality is a new measure we've added for 2015, and our measures have been updated with new data. We've also rolled out new measure maps that more accurately show where on the spectrum of health your area falls. See the data for your community on our website. Our Roadmaps to Health Action Center has not only been given a new look, we've added new tools and resources to help you improve health where you live. We've also added some new ways to interact with What Works for Health, our searchable database of strategies and evidence, and to see the inspiring things communities are doing across the country to improve health via the RWJF Culture of Health Prize.
|Get ready to enroll in Marketplace coverage|
Starting November 15th, you'll be able to apply and enroll in 2015 Marketplace coverage. If you're eligible, the Health Insurance Marketplace can help you find affordable health coverage. Most people who apply qualify for premium tax credits and other savings based on their income. If you already have 2014 Marketplace coverage, you'll be receiving important information about how to keep your coverage for 2015. Here are some things you can do now to get ready for November 15th: (1) Learn about important dates and deadlines for Marketplace coverage; (2) Download this Marketplace checklist to gather the documents you'll need to apply; (3) Find someone in your community to help you apply and answer your questions; and, (4) Be the first to know! Sign up for timely text message updates and connect with us on social media.
|From Coverage to Care|
The Centers for Medicare & Medicaid Services (CMS) have launched From Coverage to Care, an "initiative to help people with new health care coverage understand their benefits and connect to primary care and the preventive services that are right for them". This initiative includes written resources, images, videos, and various ways to connect with CMS.
|CMS: Health spending to grow average 5.7% annually through 2023|
National health spending is expected to grow an average 5.7% annually through 2023, due to coverage expansions under the Affordable Care Act, anticipated economic growth and an aging population, the Centers for Medicare & Medicaid Services reported today in Health Affairs. That?s up from an anticipated 3.6% growth rate in 2013, but down from an average 7.2% between 1990 and 2008, the agency said. Health care spending is expected grow an average of 1.1 percentage points faster than the economy between 2013 and 2023, raising the health care share of gross domestic product from 17.2% to 19.3%. CMS expects spending growth for hospital care to slow from 4.9% in 2012 to 4.1% in 2013, then increase to 4.5% in 2014 and 5.1% in 2015 as the ACA?s coverage expansions increase use of services. Medicare spending on hospital care is expected to slow from 4.5% in 2012 to 2.5% in 2013 due to the effects of sequestration and slower growth in utilization.
|NIC's Health Reform Webinar Series . . . Health Literacy: Enhancing Access to Health Care for Justice-Involved Individuals |
With the advent of the Patient Protection and Affordable Care Act, it is now possible for millions of low-income justice-involved individuals to obtain insurance coverage for their physical and behavioral health care needs. This far- reaching systems change will impact every component of the criminal justice system from pretrial to reentry, from corrections health to behavioral health. Criminal Justice professional and Health professionals alike have a role in helping these individuals develop the capacity to obtain and understand basic health information to make appropriate health care decisions. In this one and half hour presentation you will hear from national correctional health care and health literacy experts. The content of this webinar on July 22, 2014,will meet the following objectives: Objectives: 1. Understand the health needs and incidence of chronic disease in the CJ population 2. Understand the importance of maintaining a continuum of care as inmates transition from jails to the community 3. Understand the barriers to access to care for this population, i.e., health literacy 4. Understand the role of criminal justice professionals, (corrections health, transition counselors, and probation/parole) in incorporating linkage to health care into case managements 5. Provide strategies for establishing linkages / maintaining continuum of care
|Health Reform and Public Safety: New Opportunities, Better Outcomes |
Research shows that there are a disproportionate number of justice involved individuals suffering from chronic illness and/ or mental health and substance abuse disorders. We also know that a majority of the justice-involved individuals are young adults and unemployed or earn an income that is well below the federal poverty line leaving them without the ability to obtain health care. There is now an opportunity to enhance collaboration between the criminal justice/corrections and healthcare systems. Early estimates indicate a significant number of justice-involved individuals may be eligible for provisions under the Patient Protection and Affordable Care Act (ACA), specifically; enrollment in Medicaid or the ability to purchase health care coverage through state health insurance exchanges. Because of the many health care expansion possibilities for this population we are witnessing an unprecedented opportunity to help connect the justice population to healthcare coverage and the associated healthcare services. Federal, state and local criminal justice systems are poised to change the way they do business with the advent of the ACA. It is now possible for millions of low income, justice- involved individuals to obtain healthcare or insurance coverage for their physical and behavioral health needs. This far reaching system change will impact every decision point in the criminal justice system from arrest to individuals returning to the community upon release. Presented on June 18, 2014, this program informed and increased awareness around this historic healthcare expansion opportunity. The broadcast highlighted promising practices by providing resources and strategies to expand healthcare coverage to justice-involved individuals. During this national discussion and broadcast by the National Institute of Corrections, presenters: ? Established the relevance of the Affordable Care Act to the criminal justice system. ? Provided concrete examples for collaboration and system linkages between the criminal justice system and healthcare system. ? Provided healthcare enrollment strategies to increase informed decision-making between criminal justice and healthcare stakeholders. SOURCE: National Institute of Corrections (NIC) (Washington, DC).
|Health Happens in Libraries|
Health Happens in Libraries seeks to improve public library eHealth services and increase library staff capacity to respond to patron requests for information regarding the Affordable Care Act (ACA). This work acknowledges the growing intersection of digital technologies and individual health management (eHealth), and the opportunities for libraries to provide digital access to health information in their communities. We will engage several states to more thoroughly assess the context of ACA and other eHealth needs in public libraries. These partnerships will inform the development of customized resources and promising practices for state and public libraries nationwide to utilize in related patron services. Resources will be posted here as they are developed.
|A Reader Asks: If I Am On COBRA, Do I Have To Buy A New Marketplace Plan? |
By Michelle Andrews Feb 14, 2014 Q. I am currently insured under COBRA. It expires in August 2014. I have a pre-existing condition and I'm unemployed. Can I apply for a plan under the ACA sometime in June for coverage that will start in September? Is there something I should do now before the end of March? A. When consumers lose or leave their jobs, they can opt to continue their work-based health insurance under a federal law known as COBRA. Those insurance policies qualify as health coverage under the health law, so you don?t have to do anything before the open enrollment period for coverage on the federal and state marketplaces ends March 31. But you may want to check out marketplace plans to see if you could find similar coverage for a better price, says Laurel Lucia, a policy analyst at the University of California-Berkeley Labor Center. Since you have a pre-existing condition, you may be concerned that marketplace plans could involve switching doctors or high deductibles. You may be surprised, though, says Lucia. "I think people have heard about the high deductibles on bronze plans, and they may not realize that the platinum and gold level plans available may have lower cost sharing," she says. In addition, you may be eligible for premium tax credits and cost-sharing subsidies on the exchange if your income is less than 400 percent of the federal poverty level (currently $45,960 for an individual). Under COBRA, in contrast, you're likely paying the entire premium plus a small administrative fee.
|Libraries Serve As Health Insurance Info Hubs |
By Elana Gordon, WHYY Feb 14, 2014 What can't librarians do? Many are now becoming health insurance guides. The buzz at the American Library Association's winter meeting recently wasn't just about the annual awards (a.k.a. the book award "super bowl"); the Affordable Care Act was also on the agenda. Libraries across the country have been trying to meet a growing demand for health insurance information. At the Free Library of Philadelphia's central branch, library coordinator Nani Manion has started running twice-weekly enrollment clinics in the technology lab. Manion is one of 33 librarians in the Philly system who have undergone a five-hour training session to become certified application counselors.
|Get Covered America|
Your pets want you to take care of your health. And they've created a video to tell you.Watch and share! Then change your social media profile picture to your favorite pet to get the word out!