Helpful Sites for HealthCare topics, papers, and analysis
- Health Reform GPS Health Reform GPS: Navigating the Implementation Process
- Kaiser News Kaiser Health News
- Kaiser Family Foundation Kaiser Family Foundation - Health Policy Research, Analysis, Polling, Facts, Data and Journalism
- Health Reform beyond the Basics Beyond the Basics
- Milliman Medical Index 2015 Milliman Medical Index - Milliman Insight and http://www.milliman.com/uploadedFiles/insight/Periodicals/mmi/2015-MMI.pdf
- Healthcare.Gov rate review site https://ratereview.healthcare.gov/#search?U2FsdGVkX19jgIGp3hxluPiDOiHSv645i9BeiTCo5gCatJGrz5yhUKQix%2FGopMMDl%2BnpYykwS3xtE6joynAOzVNMTvjmFW0E49XdwZXqRuSBiMa%2Bb7NVUlWvMNChdhVYpNqKqk41sPKzvDVKcjqyQf3MMR6TKtAakm8aPQDhq2T0Z4IpH4Ptyul71y1MyIVIQnTL1U4cD7xrOiuK3f6t5KJSWD0MNzQjfU5wWl5HKa8%3D
- Intersting chart comparing health care spending as a % of GDP around the world and over time http://economistsview.typepad.com/economistsview/2017/03/life-expectancy-and-health-expenditure.html
General PPACA topics and calculators
- PPACA Website Home | HealthCare.gov
- KFF calculador Subsidy Calculator | The Henry J. Kaiser Family Foundation
- Berkeley calculador National Health Care Calculator
- IRS PPACA home page Affordable Care Act (ACA) Tax Provisions
- Healthcare.gov tool for general info on plans https://www.healthcare.gov/find-premium-estimates/#2/&aud=indv
- Updated PPACA FAQ by KFF Health Reform FAQs | The Henry J. Kaiser Family Foundation
- IRS ACA estimator tools https://www.irs.gov/affordable-care-act/affordable-care-act-estimator-tools
Income
- KFF paper on determining income for PPACA http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8194.pdf
- CRS Definition of MAGI http://www.ncsl.org/documents/health/defincacamedicdprov.pdf
- CRS (updated) definition of MAGI http://www.fas.org/sgp/crs/misc/R41997.pdf
- CMS FAQ on Income Verification http://www.healthreformgps.org/wp-content/uploads/income-verification-8-6.pdf
- Nice UC Berkeley chart on MAGI http://laborcenter.berkeley.edu/healthcare/MAGI_summary13.pdf
- Consumer Reports PDF explanation of MAGI http://www.consumerreports.org/health/resources/pdf/health-reform/1040_callouts.pdf?EXTKEY=AYAHRE03
Subsidies, premium assistance and tax credits
Good Q&A by KFF on Premium tax credits, including reconciliation https://kaiserhealthnews.files.wordpress.com/2013/10/qa-on-premium-credits.pdf
- Updated article (2014) on subsidy repayment Obamacare Tax Credits: The Pay Back Requirements For Underestimating Annual Income | Nolo.com
- IRS web page on tax credits (corrected) Affordable Care Act (ACA) Tax Provisions
- Will subsidies be repaid if income is higher than expected? (updated link) https://kaiserfamilyfoundation.files.wordpress.com/2013/01/8154.pdf
- CRS paper on Premium Credits http://www.healthreformgps.org/wp-content/uploads/crs-premium-credit-7-18.pdf
- CRS paper updated here http://www.fas.org/sgp/crs/misc/R41137.pdf
Insurance, Health Exchanges
- CRS Summary of Health Exchanges, Policy offerings, Tax Credits http://www.healthreformgps.org/wp-content/uploads/crs-exchanges-6-11.pdf
- KFF Fact sheet on guaranteed issue beginning 2014 http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8327.pdf
- Cornell Law summary on getting healthcare outside of the open enrollment period 45 CFR 155.420 - Special enrollment periods. | Title 45 - Public Welfare | Code of Federal Regulations | LII / Legal Information Institute
- CMS FAQ on enrollment periods http://www.healthreformgps.org/wp-content/uploads/enrollment-period-faq-10-29.pdf
- CRS brief on Grandfathered Plans http://www.ncsl.org/documents/health/GrndfthrPlans.pdf
- SHRM short but useful FAQ on grandfathered plans FAQs about Grandfathered Health Plans for 2014
- List of qualifying events to get a policy outside of the annual enrollment period http://www.hr.mnscu.edu/insurance/documents/Qualifying_Life_Even.pdf
- Multi-State Plan web page Multi-State Plan Program and the Health Insurance Marketplace Fact sheet OPM Multi-State Plan Program Fact Sheet
- Health Reform GPS / George Washington U paper on Multi State plans http://www.healthreformgps.org/wp-c...ation_A80A0AAA-5056-9D20-3D25B59C65680B79.pdf
- The Commonwealth Fund paper comparing on and off-exchange plans Comparing Individual Health Coverage On and Off the Affordable Care Act’s Insurance Exchanges - The Commonwealth Fund
Other topics
- Health Affairs policy brief in the 90 day grace period http://healthaffairs.org/healthpolicybriefs/brief_pdfs/healthpolicybrief_128.pdf
- CRS paper on Medical Loss Ratio http://www.fas.org/sgp/crs/misc/R42735.pdf
- Risk corridors under the ACA http://www.milliman.com/uploadedFiles/insight/2013/Risk-corridors-under-the-ACA.pdf
- What is actuarial value What the Actuarial Values in the Affordable Care Act Mean | The Henry J. Kaiser Family Foundation
- CRS summary of Employer responsibilities http://www.ltgov.ri.gov/smallbusiness/employerprovisions.pdf
- CRS paper on the Individual mandate http://www.healthreformgps.org/wp-content/uploads/individual-delay-crs-7-18.pdf
- CRS paper on the Employer mandate delay http://www.healthreformgps.org/wp-content/uploads/employer-delay-crs-7-18.pdf
- Legal immigrants and the PPACA Affordable Care Act - National Immigration Law Center
- KFF Q&A in immigrants and the PPACA FAQ: Obamacare And Coverage For Immigrants - Kaiser Health News
- KFF Average healthcare premiums 2012 http://kaiserfamilyfoundation.files...efits-chart-pack-private-insurance-091112.pdf
- CMS Handbook for Navigators http://www.healthreformgps.org/wp-content/uploads/navigator-SOP-manual-8-26.pdf
- Federal register PPACA rule clarifications http://www.gpo.gov/fdsys/pkg/FR-2013-02-25/pdf/2013-04084.pdf
- DOL FAQ summary page Affordable Care Act
- NCQA insurer quality ratings NCQA > HPR 2013-2014
- Useful excel spreadsheet by Animorph to compare policies with different levels of cost sharing. http://www.early-retirement.org/for...-and-coinsurance-copay-68965.html#post1374536
- Another useful excel spreadsheet by Pixelville http://www.early-retirement.org/forums/f38/fyi-health-insurance-options-comparison-model-74215.html
- Index of CRS papers on health Care Reform Congressional Research Service Reports on Health Care Reform
- Wikipedia page for the PPACA Patient Protection and Affordable Care Act - Wikipedia, the free encyclopedia
- Senate (partisan) Summary Fact Sheet for PPACA bill http://www.dpc.senate.gov/healthreformbill/healthbill04.pdf
- Brandeis U Healthcare reform policy brief http://www.gih.org/usr_doc/Consumer_Education_July_2010.pdf
- Larson Allen summary of health care reform (triple aim) Improving Care, Quality, Cost: Health Reform’s Triple Aim: LarsonAllen LLP
- Other triple aim references
The triple aim: care, health, ... [Health Aff (Millwood). 2008 May-Jun] - PubMed - NCBI
The Triple Aim Journey: Improving Population Health and Patients' Experience of Care, While Reducing Costs - The Commonwealth Fund
The Triple Aim: Care, Health, And Cost
Third Parties Exchanges and their role in the Marketplace
- CMS memo Role of Agents, Brokers, and Web-brokers in Health Insurance Marketplaces http://www.in.gov/idoi/files/agent-broker-5-1-2013.pdf
- KFF article on other private exchange operations Univision Obamacare Deal Could Put WellPoint, Blues Ahead Of Competitors - Kaiser Health News
- Federal register authorizing private exchanges
Interesting threads
* Getting separate policies http://www.early-retirement.org/forums/f38/aca-plans-for-2015-a-74341-2.html#post1517853
* Getting separate policies http://www.early-retirement.org/forums/f38/need-help-with-coveredca-com-74571.html#post1523654
Reconciliation (new for 2015}
- Covered Ca 1095-A FAQ http://www.coveredca.com/agent/PDFs/IRS%20Form%201095%20FAQs%20for%20Service%20Channels.
- IRS Form 8962 Premium Tax Credit http://www.irs.gov/pub/irs-pdf/f8962.pdf
- Instructions IRS 8962 http://www.irs.gov/pub/irs-pdf/i8962.pdf
- IRS Questions and Answers on the Individual Shared Responsibility Provision Questions and Answers on the Individual Shared Responsibility Provision
- Healthcare.Gov info on "short gap" missing coverage https://marketplace.cms.gov/technical-assistance-resources/exemption-gap-in-health-coverage.pdf
- Health Reform GPS Health Reform GPS: Navigating the Implementation Process
- Kaiser News Kaiser Health News
- Kaiser Family Foundation Kaiser Family Foundation - Health Policy Research, Analysis, Polling, Facts, Data and Journalism
- Health Reform beyond the Basics Beyond the Basics
- Milliman Medical Index 2015 Milliman Medical Index - Milliman Insight and http://www.milliman.com/uploadedFiles/insight/Periodicals/mmi/2015-MMI.pdf
- Healthcare.Gov rate review site https://ratereview.healthcare.gov/#search?U2FsdGVkX19jgIGp3hxluPiDOiHSv645i9BeiTCo5gCatJGrz5yhUKQix%2FGopMMDl%2BnpYykwS3xtE6joynAOzVNMTvjmFW0E49XdwZXqRuSBiMa%2Bb7NVUlWvMNChdhVYpNqKqk41sPKzvDVKcjqyQf3MMR6TKtAakm8aPQDhq2T0Z4IpH4Ptyul71y1MyIVIQnTL1U4cD7xrOiuK3f6t5KJSWD0MNzQjfU5wWl5HKa8%3D
- Intersting chart comparing health care spending as a % of GDP around the world and over time http://economistsview.typepad.com/economistsview/2017/03/life-expectancy-and-health-expenditure.html
General PPACA topics and calculators
- PPACA Website Home | HealthCare.gov
- KFF calculador Subsidy Calculator | The Henry J. Kaiser Family Foundation
- Berkeley calculador National Health Care Calculator
- IRS PPACA home page Affordable Care Act (ACA) Tax Provisions
- Healthcare.gov tool for general info on plans https://www.healthcare.gov/find-premium-estimates/#2/&aud=indv
- Updated PPACA FAQ by KFF Health Reform FAQs | The Henry J. Kaiser Family Foundation
- IRS ACA estimator tools https://www.irs.gov/affordable-care-act/affordable-care-act-estimator-tools
Income
- KFF paper on determining income for PPACA http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8194.pdf
- CRS Definition of MAGI http://www.ncsl.org/documents/health/defincacamedicdprov.pdf
- CRS (updated) definition of MAGI http://www.fas.org/sgp/crs/misc/R41997.pdf
- CMS FAQ on Income Verification http://www.healthreformgps.org/wp-content/uploads/income-verification-8-6.pdf
- Nice UC Berkeley chart on MAGI http://laborcenter.berkeley.edu/healthcare/MAGI_summary13.pdf
- Consumer Reports PDF explanation of MAGI http://www.consumerreports.org/health/resources/pdf/health-reform/1040_callouts.pdf?EXTKEY=AYAHRE03
Subsidies, premium assistance and tax credits
Good Q&A by KFF on Premium tax credits, including reconciliation https://kaiserhealthnews.files.wordpress.com/2013/10/qa-on-premium-credits.pdf
- Updated article (2014) on subsidy repayment Obamacare Tax Credits: The Pay Back Requirements For Underestimating Annual Income | Nolo.com
- IRS web page on tax credits (corrected) Affordable Care Act (ACA) Tax Provisions
- Will subsidies be repaid if income is higher than expected? (updated link) https://kaiserfamilyfoundation.files.wordpress.com/2013/01/8154.pdf
- CRS paper on Premium Credits http://www.healthreformgps.org/wp-content/uploads/crs-premium-credit-7-18.pdf
- CRS paper updated here http://www.fas.org/sgp/crs/misc/R41137.pdf
Insurance, Health Exchanges
- CRS Summary of Health Exchanges, Policy offerings, Tax Credits http://www.healthreformgps.org/wp-content/uploads/crs-exchanges-6-11.pdf
- KFF Fact sheet on guaranteed issue beginning 2014 http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8327.pdf
- Cornell Law summary on getting healthcare outside of the open enrollment period 45 CFR 155.420 - Special enrollment periods. | Title 45 - Public Welfare | Code of Federal Regulations | LII / Legal Information Institute
- CMS FAQ on enrollment periods http://www.healthreformgps.org/wp-content/uploads/enrollment-period-faq-10-29.pdf
- CRS brief on Grandfathered Plans http://www.ncsl.org/documents/health/GrndfthrPlans.pdf
- SHRM short but useful FAQ on grandfathered plans FAQs about Grandfathered Health Plans for 2014
- List of qualifying events to get a policy outside of the annual enrollment period http://www.hr.mnscu.edu/insurance/documents/Qualifying_Life_Even.pdf
- Multi-State Plan web page Multi-State Plan Program and the Health Insurance Marketplace Fact sheet OPM Multi-State Plan Program Fact Sheet
- Health Reform GPS / George Washington U paper on Multi State plans http://www.healthreformgps.org/wp-c...ation_A80A0AAA-5056-9D20-3D25B59C65680B79.pdf
- The Commonwealth Fund paper comparing on and off-exchange plans Comparing Individual Health Coverage On and Off the Affordable Care Act’s Insurance Exchanges - The Commonwealth Fund
Other topics
- Health Affairs policy brief in the 90 day grace period http://healthaffairs.org/healthpolicybriefs/brief_pdfs/healthpolicybrief_128.pdf
- CRS paper on Medical Loss Ratio http://www.fas.org/sgp/crs/misc/R42735.pdf
- Risk corridors under the ACA http://www.milliman.com/uploadedFiles/insight/2013/Risk-corridors-under-the-ACA.pdf
- What is actuarial value What the Actuarial Values in the Affordable Care Act Mean | The Henry J. Kaiser Family Foundation
- CRS summary of Employer responsibilities http://www.ltgov.ri.gov/smallbusiness/employerprovisions.pdf
- CRS paper on the Individual mandate http://www.healthreformgps.org/wp-content/uploads/individual-delay-crs-7-18.pdf
- CRS paper on the Employer mandate delay http://www.healthreformgps.org/wp-content/uploads/employer-delay-crs-7-18.pdf
- Legal immigrants and the PPACA Affordable Care Act - National Immigration Law Center
- KFF Q&A in immigrants and the PPACA FAQ: Obamacare And Coverage For Immigrants - Kaiser Health News
- KFF Average healthcare premiums 2012 http://kaiserfamilyfoundation.files...efits-chart-pack-private-insurance-091112.pdf
- CMS Handbook for Navigators http://www.healthreformgps.org/wp-content/uploads/navigator-SOP-manual-8-26.pdf
- Federal register PPACA rule clarifications http://www.gpo.gov/fdsys/pkg/FR-2013-02-25/pdf/2013-04084.pdf
- DOL FAQ summary page Affordable Care Act
- NCQA insurer quality ratings NCQA > HPR 2013-2014
- Useful excel spreadsheet by Animorph to compare policies with different levels of cost sharing. http://www.early-retirement.org/for...-and-coinsurance-copay-68965.html#post1374536
- Another useful excel spreadsheet by Pixelville http://www.early-retirement.org/forums/f38/fyi-health-insurance-options-comparison-model-74215.html
- Index of CRS papers on health Care Reform Congressional Research Service Reports on Health Care Reform
- Wikipedia page for the PPACA Patient Protection and Affordable Care Act - Wikipedia, the free encyclopedia
- Senate (partisan) Summary Fact Sheet for PPACA bill http://www.dpc.senate.gov/healthreformbill/healthbill04.pdf
- Brandeis U Healthcare reform policy brief http://www.gih.org/usr_doc/Consumer_Education_July_2010.pdf
- Larson Allen summary of health care reform (triple aim) Improving Care, Quality, Cost: Health Reform’s Triple Aim: LarsonAllen LLP
- Other triple aim references
The triple aim: care, health, ... [Health Aff (Millwood). 2008 May-Jun] - PubMed - NCBI
The Triple Aim Journey: Improving Population Health and Patients' Experience of Care, While Reducing Costs - The Commonwealth Fund
The Triple Aim: Care, Health, And Cost
Third Parties Exchanges and their role in the Marketplace
- CMS memo Role of Agents, Brokers, and Web-brokers in Health Insurance Marketplaces http://www.in.gov/idoi/files/agent-broker-5-1-2013.pdf
- KFF article on other private exchange operations Univision Obamacare Deal Could Put WellPoint, Blues Ahead Of Competitors - Kaiser Health News
- Federal register authorizing private exchanges
Interesting threads
* Getting separate policies http://www.early-retirement.org/forums/f38/aca-plans-for-2015-a-74341-2.html#post1517853
* Getting separate policies http://www.early-retirement.org/forums/f38/need-help-with-coveredca-com-74571.html#post1523654
Reconciliation (new for 2015}
- Covered Ca 1095-A FAQ http://www.coveredca.com/agent/PDFs/IRS%20Form%201095%20FAQs%20for%20Service%20Channels.
- IRS Form 8962 Premium Tax Credit http://www.irs.gov/pub/irs-pdf/f8962.pdf
- Instructions IRS 8962 http://www.irs.gov/pub/irs-pdf/i8962.pdf
- IRS Questions and Answers on the Individual Shared Responsibility Provision Questions and Answers on the Individual Shared Responsibility Provision
- Healthcare.Gov info on "short gap" missing coverage https://marketplace.cms.gov/technical-assistance-resources/exemption-gap-in-health-coverage.pdf
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