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Health Plans

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Evaluating Health Reform at the State Level

July 30, 2012 | Program Result Report

Researchers at the University of Southern Maine analyzed the impact of new health plans in Maine and Massachusetts that were designed to cover uninsured residents, as part of State Health Access Reform Evaluation, an RWJF national program.

We All Want it, but We Don't Know What it is

October 1, 2011 | Journal Article

An expert panel expressed divergent opinions about what constitutes affordability of health insurance premiums under the ACA.

Post Claims Underwriting and Rescission Practices

January 1, 2009 | Report

Study details regulations and enforcement needed to fill gaps in protecting consumers in insurance markets.

Primer on Post Claims Underwriting and Rescission Practices

November 25, 2009 | Toolkit

This case study examines the current state of post-claims underwriting and rescissions regulation in Texas.

State Health Access Reform Evaluation

March 25, 2013 | Program Result Report

State Health Access Reform Evaluation (SHARE) supports rigorous research on health reform initiatives and evaluation of health reform issues.

Accreditation to Approve Health Plans and Providers

April 1, 2011 | Issue Brief

The 2010 federal Affordable Care Act (ACA) calls for use of accreditation to ensure quality in the managed health care sector and provide resources to state policy-makers through public-private partnerships. “Accreditation” is a comprehensive evalua ...

Health Insurance Exchanges

January 1, 2009 | Report

This paper analyzes whether Congress can legislate a health insurance mandate and the potential legal challenges that might arise, given such a mandate.

The Purchase of Insurance Across State Lines in the Individual Insurance Market

January 1, 2009 | Report

This paper outlines the obstacles to enacting purchase of insurance across state lines (PASL) and potential solutions, and concludes that as long as the legislation is thoughtfully drafted, there is no significant legal or Constitutional barrier to enacting PASL.

Risk Selection and Risk Adjustment

June 1, 2009 | Journal Article

This article describes underlying problems in the markets for small group and individual insurance appraises current methods of subsidizing insurance for high-risk individuals and discusses how risk adjustment addresses conflicts between the group and individual insurance markets.

Keeping Kids Covered: Number of Children with Health Coverage Increases During Economic Downturn

August 29, 2012 | Report

This report analyzes recent trends in health insurance coverage for children at the state level between 2008 and 2010. The percentage of children with public coverage through Medicaid or the Children’s Health Insurance Program (CHIP) increased subst ...

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