Posts Tagged ‘ACA’

Flourishing in Uncertain Times

March 22nd, 2013

In last week’s update, I discussed the impact of federal sequestration to the main agencies who award us funding. We’re expecting a 5% reduction to our funding for the AIDS Drug Assistance Program, a program that provides access to HIV/AIDS medications for patients with limited or no insurance coverage.  We should be OK in this program even with the cut.

For the last couple of years we’ve been using a creative way to coordinate benefits and enroll clients in the Pre-Existing Conditions Insurance Plan to save money.  We’ve also lowered our costs by filing rebate claims with manufacturers based on medication co-pay assistance.  Increased funding from rebates allows us to continue to assist clients while preparing for the transition to the new health insurance marketplaces under Affordable Care Act.  Big kudos go out to Rob Bailey for cementing the rebate strategy into practice and to Carla Chee, Lisa Fuentes, and the rest of the team for being proactive in planning and strategizing for the upcoming changes to service delivery under the Affordable Care Act.

Affordable Care Act Fact Sheets

November 7th, 2012

The Fed’s put out a series of pretty simple and easy to read 1-page fact sheets this week that summarize some of the aspects of the Affordable Care Act.  There are Fact Sheets for Families with Kids; Health Care Providers; Folks with Disabilities; Seniors; Small Business Owners; and Young Adults.  At the bottom of each fact sheet there’s a link to a special ACA website for each of these categories.  You might want to share these with your Stakeholders in these categories.

Affordable Care Act Info

August 7th, 2012

Now that the Supreme Court has spoken regarding the Affordable Care Act- States have a lot more clarity around the decisions they’ll need to make and what they need to do to implement the law.  The Governor kicked off a process to review the options and engage Stakeholders for their input this week. Additional meetings are being scheduled in the coming weeks including public meetings toward the end of August and into September.  You can see the PowerPoint Presentation to Stakeholders and the AHCCCS Cost Summary on the AHCCCS website. 

Those of you that work in behavioral health (and anybody in the Agency really) should take some time to review the PowerPoint- as it provides a sketch of the background information.  There are clearly lots of decisions yet to be made- but the materials provide some interesting insight.

Insurance Exchange Reg’s

April 18th, 2012

The Department of Health and Human Services released final regulations to implement Insurance Exchanges under the ACA.  The regulations spell out the standards for establishing and operating “one-stop” marketplaces, qualifications for health insurance plan participation, exchange health plan and subsidy eligibility determination for individuals, and criteria for small business eligibility and participation. Certain provisions of the final rule are being issued as interim final because HHS is seeking comments on the provisions.