Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform.

 

On March 10, 2014, the United States Department of the Treasury, Internal Revenue Service (IRS) issued a final rule on Information Reporting by Applicable Large Employers on Health Insurance Coverage Offered under Employer-Sponsored Plans. This final rule explains the reporting requirements for large employers and provides information on various methods of reporting employee information to the IRS. This document provides a high-level summary of the rule.

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The Hilltop Institute, under agreement with the Maryland Health Benefit Exchange, has developed a Health Care Reform Simulation Model. The simulation model projects enrollment in the various health care coverage programs mandated by the Patient Protection and Affordable Care Act (ACA). It also projects increases in health care expenditures and estimates the economic impact of implementing the ACA on the state of Maryland through fiscal year (FY) 2020.

 

The simulation model projects the flow of new funds through the state economy resulting from the provision of health care coverage to newly insured individuals. Furthermore, the simulation model uses a standard economic analysis technique to forecast additional economic activity that will be generated from implementing the ACA.

 

The Simulation Model Projections show the economic impact of the ACA.

 

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The Hilltop Institute, under agreement with the Maryland Health Benefit Exchange, has developed a Health Care Reform Simulation Model. The simulation model projects enrollment in the various health care coverage programs mandated by the Patient Protection and Affordable Care Act (ACA). It also projects increases in health care expenditures and estimates the economic impact of implementing the ACA on the state of Maryland through fiscal year (FY) 2020.

 

The simulation model projects the flow of new funds through the state economy resulting from the provision of health care coverage to newly insured individuals. Furthermore, the simulation model uses a standard economic analysis technique to forecast additional economic activity that will be generated from implementing the ACA.

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Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform. On November 29, 2013, the Internal Revenue Service (IRS) issued final regulations on the Health Insurance Provider Fee. This final rule provides guidance on the annual fee imposed on covered entities that provide health insurance in the U.S., including guidance on exclusions and the fee methodology. This document provides a high-level summary of this final rule.

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Pursuant to SB 481 (Chapter 464 of the Acts of 2002), the Maryland Department of Health and Mental Hygiene (the Department) created an annual process to set the fee-for-service (FFS) reimbursement rates for Maryland Medicaid and the Maryland Children’s Health Program (MCHP) in a manner that ensures provider participation. The law directs the Department to submit an annual report to the Governor and various House and Senate committees addressing the progress of the rate-setting process; a comparison of Maryland Medicaid’s reimbursement rates with those of other states; the schedule for adjusting Maryland’s reimbursement rates; and the estimated costs of implementing the above schedule and proposed changes to the FFS reimbursement rates. This is the Department’s annual report dated December 2013.

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Senior Policy Analysts Aaron Tripp, MSW, and Stephanie Cannon-Jones, MA, presented this poster at the Gerontological Society of America’s (GSA’s) 66th Annual Scientific Meeting held November 20-24, 2013, in New Orleans.

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Policy Analyst Rebekah Natanov, MPH, and Director of Special Studies Ian Stockwell, MA, presented this poster at the Gerontological Society of America’s (GSA’s) 66th Annual Scientific Meeting held November 20-24, 2013, in New Orleans.

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Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform. On October 24, 2013, the U.S. Department of Health and Human Services (HHS) issued a final rule on Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014. This final rule outlines financial integrity and oversight standards for Exchanges and qualified health plan (QHP) issuers, and the operation of state risk adjustment and reinsurance programs. In addition, this final rule clarifies standards for special enrollment periods, survey vendors that conduct enrollee satisfaction surveys on behalf of QHP issuers, and issuer participation in the federally facilitated Exchange (FFE). This document provides a high-level summary of these rules and highlights key changes to the regulation since the issuance of the proposed rule.

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Executive Director Cynthia H. Woodcock, MBA, gave this presentation at the National Conference of State Legislatures (NCSL) Fiscal Analysts Seminar held October 8, 2013, in Annapolis. Woodcock discussed the characteristics of dual eligibles; pathways to dual eligibility; opportunities for and challenges of integrating care for this population; and approaches to integrating care.

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Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform. On August 29, 2013, the U. S. Department of Health and Human Services (HHS) issued a final rule on Program Integrity: Exchange, SHOP, and Eligibility Appeals. This rule finalizes Exchange standards on eligibility appeals, agents and brokers, privacy and security, issuer direct enrollment, and the handling of consumer cases. In addition, it establishes standards for a state’s operation of the Exchange and Small Business Health Options Program (SHOP). This document provides a high-level summary of these rules and highlights key changes to the regulation since the issuance of the proposed rule.

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