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November 14, 2014Health Advocate: Open Enrollment 2 (OE2): What to Expect
Read moreThe second open enrollment period begins Nov. 15, 2014. While we are leaps and bounds from the road bumps experienced during the first enrollment period, we still have work to do. This edition of the Health Advocate walks through many of the challenges and concerns as we head into…
November 12, 2014Marketplace MAGI Webinar Part II – Household Composition
Read morePart II in a two-part series on rules for determining a consumer's Modified Adjusted Gross Income (MAGI). MAGI applies when determining eligibility for advance payments of the premium tax credit (APTC) and cost-sharing reductions (CSRs) for health coverage purchased through the Marketplace, as well as eligibility for the Children's…
November 10, 2014NHeLP Letter to CMS re: PA State Plan Benefits
Leo Cuello and Jane Perkins LetterRead more
November 7, 2014Marketplace MAGI Webinar Part I – Income
Read morePart I of a two-part series on rules for determining a consumer's Modified Adjusted Gross Income (MAGI). MAGI applies when determining eligibility for advance payments of the premium tax credit (APTC) and cost-sharing reductions (CSRs) for health coverage purchased through the Marketplace, as well as eligibility for the Children's…
November 4, 2014Due Process in Duals Demonstrations: A Closer Look at New York
Read moreNew York is one of several states working to better integrate care and services for individuals dually eligible for Medicare and Medicaid through a duals demonstration. In addition to integrating care, New York is working to integrate the Medicare and Medicaid appeals processes for individuals participating in its duals…
October 30, 2014Medicaid and Medicare: Aging, Access and Affordability
Read moreAffordability is a cornerstone of any efficient and effective health care system. Discussions of healthcare affordability often center on the premiums - the upfront monthly cost of purchasing insurance. But equally important are the back-end deductibles, copays and coinsurance associated with actually accessing services. Cost sharing is especially important…