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.
This is the eighth issue brief in a series published by Hilltop’s Hospital Community Benefit Program. This brief focuses on updating significant points concerning community health needs assessment (CHNA) and other aspects of community benefit discussed in the earlier briefs, as well as on identifying and exploring more recent developments and emerging issues. Specifically, this brief discusses the Internal Revenue Service’s (IRS’s) 2013 proposed rules, “Community Health Needs Assessments for Charitable Hospitals,” and their potential impact on nonprofit hospital needs assessment, community benefit planning, and collaborative approaches to community health improvement.
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.
This is the seventh issue brief in a series released by Hilltop’s Hospital Community Benefit Program. This brief is a companion to the online tool, Community Benefit State Law Profiles, and presents the Profiles’ findings and begins the analysis—in effect, viewing state community benefit standards through the lens of the ACA—to facilitate a better understanding of each state’s community benefit landscape and its significance in the context of national health reform.
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 July 17, 2013, the U.S. Department of Health and Human Services (HHS) issued a final rule on Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel; Consumer Assistance Tools and Programs of an Exchange and Certified Application Counselors. This rule finalizes provisions in the Notices of Proposed Rulemaking (NPRMs), released on January 22, 2013, and April 5, 2013, related to various requirements for navigators and assisters; requirements for exchanges to have a certified application counselor program and the details of that program; and conflict of interest, training and certification, and meaningful access standards. This document provides a high-level summary of this rule and highlights key changes to the regulation since the issue of the proposed rule.
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 July 5, 2013, the U.S. Department of Health and Human Services (HHS) issued a final rule on Medicaid and Children’s Health Insurance Programs (CHIPs): essential health benefits (EHBs) in alternative benefit plans, eligibility notices, fair hearings and appeals processes, and premiums and cost sharing; Exchanges: eligibility and enrollment. This rule finalizes many of the provisions of the Notice of Proposed Rulemaking (NPRM) released on January 22, 2013. This document provides a high-level summary of this rule and highlights key changes to the regulation since the issue of the proposed rule.
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 July 1, 2013, the U.S. Department of Health and Human Services (HHS) issued a final rule on Exchange functions: eligibility for exemptions; miscellaneous minimum essential coverage provisions. This document provides a high-level summary of this rule and highlights key changes to the regulation since the issue of the proposed rule.
At the AcademyHealth Annual Research Meeting on June 25, 2013, in Baltimore, Maryland, Hospital Community Benefit Program Director Martha H. Somerville, JD, MPH, delivered a panel discussion. Her presentation addressed hospital charity care/community benefits/tax exemption; federal community health needs assessment and implementation strategies; collaborative needs assessment; and the role of nonprofit hospitals in health system transformation.
At the AcademyHealth Annual Research Meeting on June 23, 2013, in Baltimore, Maryland, Hospital Community Benefit Program Director Martha H. Somerville, JD, MPH, and Policy Analyst Gayle Nelson, JD, MPH, gave a poster presentation entitled Community Benefit State Law Profiles. This poster highlights the variation in community benefit laws across states in comparison with the federal community benefit standard.
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 June 19, 2013, the U.S. Department of Health and Human Services (HHS) issued a Notice of Proposed Rulemaking (NPRM) on program integrity: Exchange, SHOP, premium stabilization programs, and market standards. This document provides a high-level summary of this rule and highlights the items for comment.