Resources

Jun 1, 2012

This report describes the small group products available in New York today, how these products align to the requirements of the ACA, and presents options for consideration to standardize products within the Exchange.

Resource Type: 
Reports & Data
May 11, 2012

This report provides recommendations for New York's approach to addressing the ACA's risk adjustment and reinsurance requirements and implementing these programs. Risk adjustment is the method of adjusting premium rates for differences in underlying morbidity of a health plan's membership. Reinsurance describes methods for protecting health plans against high cost individuals.

Resource Type: 
Reports & Data
Apr 12, 2012

Governor Cuomo issued Executive Order #42 to establish a statewide Health Exchange on April 12, 2012.  The Executive Order established the New York Health Benefit Exchange within the Department of Health.

Resource Type: 
Policies
Mar 14, 2012

This report explores the critical interactions that third party assistors have with buyers and sellers of insurance in the New York market and presents various models for incorporating and compensating producers and other intermediaries in the New York Health Benefit Exchange.

Resource Type: 
Reports & Data
Mar 13, 2012

This memo summarizes the effects of the Patient Protection and Affordable Care Act of 2010 (ACA) on state Medicaid spending in New York. The estimates in this memo are based upon results from a complete simulation using the Urban Institute’s Health Insurance Policy Simulation Model, New York Version (HIPSM -NY) and are intended to provide analytic support to the state’s policymakers.

Resource Type: 
Reports & Data
Mar 1, 2012

The Patient Protection and Affordable Care Act of 2010 (ACA) provides states with the opportunity to develop health benefit exchanges – structured marketplaces for the purchase of health insurance coverage by small employers and individual purchasers. If New York State elects to do so, the law provides an array of design choices to the states in an effort to allow the exchanges to reflect varying preferences across the country.

Resource Type: 
Reports & Data
Feb 22, 2012

On December 30, 2011, New York submitted a Level One application for the federal Exchange Establishment grant. The State received an award of $48.5 million for this grant on February 22, 2012.

Resource Type: 
Grant Awards
Feb 16, 2012

This report lays out the work processes and the steps that must be completed in order for the New York Health Benefit Exchange to start taking applications for coverage on October 1, 2013.

Resource Type: 
Reports & Data
Jan 1, 2012
The Affordable Care Act offers states an important opportunity to help low-income residents by providing significant federal funding to establish a Basic Health Plan (BHP). In this report, CSS explores the implications of offering a BHP in New York.
Resource Type: 
Reports & Data
Dec 16, 2011

On December 16, 2011, the U.S. Department of Health and Human Services (HHS) released a bulletin on the essential health benefits. The purpose of this bulletin is to provide information and solicit comments on the regulatory approach that HHS plans to propose to define essential health benefits under the Affordable Care Act.  This primer document describes the key features of the essential health benefits described in the bulletin.

Resource Type: 
Policies

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