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:
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.
The New York Health Benefit Exchange, in consultation with federally recognized tribal nations and urban Indian organizations in New York, submitted a Tribal Consultation Policy to HHS effective February 15, 2013. This policy guides the ongoing partnership between New York's federally recognized tribes and the Health Benefit Exchange.
The Tribal Consultation Plan, submitted to HHS as part of the Design Review process, describes the ongoing meetings and consultations between the federally recognized tribes and urban Indian Organizations in New York and the Health Benefit Exchange.
On February 13, 2013, the New York Health Benefit Exchange released a Request for Applications (RFA) for the In-Person Assistor (IPA) and Navigator Program, which will provide in-person enrollment assistance to individuals, families, small businesses and their employees who apply for health insurance 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.
On January 31, 2013 the New York Health Benefit Exchange issued its invitation to health insurers and dental plans to participate in the New York Health Benefit Exchange. The invitation and related documents are listed below. Please note that the invitation is comprised of 13 documents. Each document is posted in PDF format as well as Microsoft Word/Excel format for ease of use.
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.
This study, prepared by Health Management Associates (HMA), describes the current state of New York’s individual and small group insurance markets, including the market concentration of insurers, geographic distribution of enrollment, cost sharing and actuarial value of plans offered, and the distribution channels for accessing insurance in these markets.