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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
May 7, 2012

The New York State Department of Health submitted comments on the interim rules issued as part of the March 27, 2012 final rules establishing health insurance exchanges and the March 16, 2012 final rules for Medicaid program eligibility changes under the Affordable Care Act. Comments on the Medicaid program rules were due by May 7, 2012. Comments on the Exchange rules were due by May 11, 2012.

Resource Type: 
Policies
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 27, 2012

On February 24, 2012, the U.S. Department of Health and Human Services (HHS) released a bulletin on calculation of actuarial value and cost-sharing. The purpose of this bulletin is to provide information and solicit comments on the regulatory approach that HHS plans to propose to define actuarial value for qualified health plans and other non-grandfathered coverage in the individual and small group markets as well as to implement cost-sharing reductions under the Affordable Care Act. Comments on this bulletin were due by March 27, 2012.

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 & 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 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: 
Grants
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

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