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.
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.
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.
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.
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.
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.
Despite the ACA’s recognition that effective enrollment and consumer assistance is an essential component of health reform, important design questions about the Navigators and CAPs remain unanswered and must be resolved for New York to move forward: What should be the core functions of Navigators and CAPs in New York? How should New York structure and administer its Navigators and CAPs to maximize integration and avoid duplication of efforts? How should New York leverage existing enrollment and consumer assistance resources into the Navigators and CAPs?