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FAQ Archive on PPACA
Old 04-23-2013, 12:32 PM   #1
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FAQ Archive on PPACA

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

- Healthcare.Gov rate review site

- Intersting chart comparing health care spending as a % of GDP around the world and over time

General PPACA topics and calculators

- PPACA Website Home |
- 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
- tool for general info on plans

- Updated PPACA FAQ by KFF Health Reform FAQs | The Henry J. Kaiser Family Foundation

- IRS ACA estimator tools


- KFF paper on determining income for PPACA http://kaiserfamilyfoundation.files....13/01/8194.pdf
- CRS Definition of MAGI
- CRS (updated) definition of MAGI
- CMS FAQ on Income Verification
- Nice UC Berkeley chart on MAGI
- Consumer Reports PDF explanation of MAGI

Subsidies, premium assistance and tax credits

Good Q&A by KFF on Premium tax credits, including reconciliation

- Updated article (2014) on subsidy repayment Obamacare Tax Credits: The Pay Back Requirements For Underestimating Annual Income |

- 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...13/01/8154.pdf

- CRS paper on Premium Credits

- CRS paper updated here

Insurance, Health Exchanges

- CRS Summary of Health Exchanges, Policy offerings, Tax Credits
- KFF Fact sheet on guaranteed issue beginning 2014 http://kaiserfamilyfoundation.files....13/01/8327.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

- CRS brief on Grandfathered Plans
- 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

- 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

- 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

- CRS paper on Medical Loss Ratio

- Risk corridors under the ACA

- 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

- CRS paper on the Individual mandate

- CRS paper on the Employer mandate delay

- 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....nce-091112.pdf

- CMS Handbook for Navigators

- Federal register PPACA rule clarifications

- 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.

- Another useful excel spreadsheet by Pixelville

- 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

- Brandeis U Healthcare reform policy brief

- 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

- 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
* Getting separate policies

Reconciliation (new for 2015}
- Covered Ca 1095-A FAQ s.

- IRS Form 8962 Premium Tax Credit
- Instructions IRS 8962
- 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
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