Now that you’ve enrolled in a health plan through NY State of Health, you may have some questions about how to use your health plan coverage. Here are some resources with answers to the questions you may have:
This report was submitted to the NYS Legislature as required by Subdivision 1 of Section 206 of New York State Public Health Law enacted as part of the 2013-14 State Budget. The report outlines the progress and preparedness for the State of New York to begin accepting applications for insurance from individuals and small businesses starting on October 1, 2013 for coverage effective on January 1, 2014.
This analysis, based upon the Urban Institute’s Health Insurance Policy Simulation Model (HIPSM), was prepared as a supplement to the earlier analyses prepared by the Urban Institute. This report highlights demographic characteristics of individuals who will enroll in Qualified Health Plans in the Individual Exchange and in the Small Business Health Options Program (SHOP) in the New York Health Benefit Exchange. For reference, the same information is provided for the entire nonelderly New York population.
This report, prepared by the Urban Institute, provides detailed estimates of the impact of health care reform on uninsured New Yorkers. Specifically, the report details those estimated to gain public or private coverage, including through the Exchange, and those estimated to remain uninsured, by a number of demographic characteristics. These include age, income, race/ethnicity, health status, language, gender, and education. When possible, these data are provided at a county level; otherwise at a regional level.
The New York State Department of Financial Services commissioned Deloitte to analyze the impact of the Affordable Care Act on New York's small group and non-group markets in 2014. This report includes a review of existing studies on this topic, as well as a description of Deloitte's own analysis using its "Lifestyle Based Analytics" model.
Among the policy decisions facing New York is whether and to what extent Health Savings Accounts (HSAs) should be offered through the Health Benefit Exchange. HSAs are savings accounts established by individuals and employers and used to pay for qualified health care costs.
Health disparities are differences between populations in rates of disease, health outcomes, and access to quality care. The Affordable Care Act takes several steps to reduce health disparities, including the creation of health benefit Exchanges to increase access to high-quality insurance. In September 2012, the New York Health Benefit Exchange convened a stakeholder meeting to discuss strategies to reduce health disparities through the Exchange.
To inform the design and development of the Small Business Health Options Program (SHOP) Exchange, New York retained Wakely Consulting to interview a sampling of the state’s small employers regarding health insurance coverage issues. Employers interviewed included those who do and do not currently offer coverage to their employees.
This report, prepared by Health Management Associates, examines four options for New York’s Medicaid benchmark plan selection. Under the Affordable Care Act (ACA), states are permitted to define the benefits package for a newly mandatory category of non-elderly, non-disabled adults. In New York, most of these adults are already eligible for public coverage – including 1.1 million adults enrolled in Medicaid or Family Health Plus.
This report, prepared by Deloitte, provides an overview of the impact of health reform on the Healthy New York (HNY) and Family Health Plus-Employer Buy-In (FHP-EBI) programs. Both programs were designed to provide health insurance coverage to segments of the population at risk for going uninsured - low to moderate income individuals and small businesses - and overlap significantly with populations that will be eligible for subsidized coverage under federal reform.
KPMG conducted an analysis to assess the needs of employers, producers, insurers, employees and the Small Business Health Options (SHOP) Exchange to assist in planning for the design, implementation, and operation of a successful SHOP Exchange in New York State.