FAQ Archive on PPACA

[MichaelB]

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/uploadedFile...i/2015-MMI.pdf

- Healthcare.Gov rate review site https://ratereview.healthcare.gov/#s...fU5wWl5HKa8%3D

- Intersting chart comparing health care spending as a % of GDP around the world and over time http://economistsview.typepad.com/ec...penditure.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-prem...s/#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-...stimator-tools

Income

- KFF paper on determining income for PPACA http://kaiserfamilyfoundation.files....13/01/8194.pdf
- CRS Definition of MAGI http://www.ncsl.org/documents/health...medicdprov.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-co...cation-8-6.pdf
- Nice UC Berkeley chart on MAGI http://laborcenter.berkeley.edu/heal..._summary13.pdf
- Consumer Reports PDF explanation of MAGI http://www.consumerreports.org/healt...XTKEY=AYAHRE03

Subsidies, premium assistance and tax credits

Good Q&A by KFF on Premium tax credits, including reconciliation https://kaiserhealthnews.files.wordp...um-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...13/01/8154.pdf

- CRS paper on Premium Credits http://www.healthreformgps.org/wp-co...redit-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-co...anges-6-11.pdf
- 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 http://www.healthreformgps.org/wp-co...-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/do..._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-co...9C65680B79.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/healthpolic...ybrief_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/uploadedFile...er-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/smallbusines...provisions.pdf

- CRS paper on the Individual mandate http://www.healthreformgps.org/wp-co...y-crs-7-18.pdf

- CRS paper on the Employer mandate delay http://www.healthreformgps.org/wp-co...y-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....nce-091112.pdf

- CMS Handbook for Navigators http://www.healthreformgps.org/wp-co...anual-8-26.pdf

- Federal register PPACA rule clarifications http://www.gpo.gov/fdsys/pkg/FR-2013...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/foru...ml#post1374536

- Another useful excel spreadsheet by Pixelville http://www.early-retirement.org/foru...del-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/healthrefo...althbill04.pdf

- Brandeis U Healthcare reform policy brief http://www.gih.org/usr_doc/Consumer_..._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/foru...ml#post1517853
* Getting separate policies http://www.early-retirement.org/foru...ml#post1523654

Reconciliation (new for 2015}
- Covered Ca 1095-A FAQ http://www.coveredca.com/agent/PDFs/IRS%20Form%201095%20FAQs%20for%20Service%20Channel s.

- 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/technica...h-coverage.pdf