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Sep 24, 2012

This report was prepared by Milliman, Inc.  This report identifies the issues around the selection of the essential health benefits (EHB) benchmark and discusses the implications that the EHB choice will have on consumers, businesses, and the state. The report examines the implications of the EHB choice on mandated benefits and the policies offered to the individual and small group markets both in and out of the exchange.

Resource Type: 
Reports & Research
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 & Research
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 & Research
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 & Research
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 & Research
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 & Research
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 & Research
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 & Research