Latest News on State Health Reform Implementation
This page provides regularly updated resources on health reform implementation, including Health Insurance Marketplaces, the Medicaid Expansion, demonstrations to integrate care for those dually eligible for Medicare and Medicaid, Medicaid managed long-term services and supports (MLTSS), and other actions to implement the Affordable Care Act.
1. Health Insurance Marketplaces
SOURCE: The Henry J. Kaiser Family Foundation, Health Reform Source, http://kff.org/health-reform/state-indicator/health-insurance-exchanges/#map
See the latest updates on state activity creating Health Insurance Exchanges (now called Marketplaces) from the Kaiser Family Foundation. Click on the image to access the Kaiser Family Foundation site and detailed Exchange profiles for each state.
2. ACA's Medicaid expansion: Where each state stands
The Advisory Board Company shows the latest updates on the Medicaid Expansion and Health Insurance Marketplaces. Click on any state for a brief legislative and political update on where the Medicaid Expansion and Exchanges stand. You may need to scroll to the right to see more data.
3. State Medicaid Expansion Trackerę
SOURCE: National Association of States United for Aging and Disabilities (NASUAD), http://www.nasuad.org/medicaid_expansion_tracker.html
The National Association of States United for Aging and Disability updates their State Medicaid Expansion Tracker every month. Click on any state to learn the latest legislative and political news, which parties govern the state, the dates of their legislative session and find links to local and national news.
4. Integrated Care Initiatives
SOURCE: The Kaiser Family Foundation, http://www.kff.org/medicaid/dual_eligibles_map.cfm
The Kaiser Family Foundation shows the latest updates on the status of proposals to integrate care and align financing for people dually eligible for Medicare and Medicaid. Detailed analyses of each states’ proposal, including comparisons between states, are available on KFF’s Dual Eligible Beneficiaries Resource Page. More state-level details are available from the Integrated Care Resource Center and National Senior Citizen Law Center.
State Demonstration Proposals to Integrate Care and Align Financing for Dual Eligible Beneficiaries
NOTES: *CO, CT, IA, MO, and NC proposed managed FFS models. NY, OK, and WA proposed both capitated and managed FFS models; however NY has withdrawn its managed FFS proposal. All other states proposed capitated models. WA’s MOU is for its managed FFS model only; its capitated proposal remains pending with CMS. HI’s proposal remains pending, but it does not anticipate implementation in 2014.
SOURCE: CMS Financial Alignment Initiative, State Financial Alignment Proposals, http://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/FinancialModelstoSupportStatesEffortsinCareCoordination.html, and state websites.
5. State Medicaid Integration Trackerę
SOURCE: National Association of States United for Aging and Disabilities (NASUAD), http://www.nasuad.org/medicaid_integration_tracker.html
The National Association of States United for Aging and Disability publishes their State Medicaid Integration Tracker every month with updates on demonstrations for dually eligible beneficiaries and the implementation of managed care in Medicaid long-term services and supports (MLTSS). Click on any state for information on duals demonstrations, MLTSS, and other efforts to integrate and align care
States engaged in/pursuing Medicaid managed LTSS:
AZ, HI, KS, NM, PA, TN,
Medicare-Medicaid Coordination Initiatives: (*Financial Alignment demonstration proposal approved by CMS,
AZ(W), CA*, CO, CT, DE, FL**, HI(W), ID, IL*, IA, IN**,MA*, MI, MN(W), MO, NH**, NJ**, NM(W),NY, NC, OH*, OK, OR(W), RI, SC, TN(W), TX, VA, VT, WA*, WI
Both Medicaid Managed LTSS and Medicare-Medicaid Coordination Initiative:
CA, DE, FL, IL, MA, MI, MN, NH, NJ, NY, NC, OH, TX, WA, WI