Highlights of Senate GPRA Oversight Hearing

Wednesday, May 11th, 2011 - 9:58
Wednesday, May 11, 2011 - 09:53
What sparked his imagination?  Here’s a link to the hearing record. Lead off witnesses included Chief Performance Officer Jeff Zients and Comptroller General Gene Dodaro (who Carper jokingly referred to as Zients’ “wingman”).  Here are some testimony highlights from Zients: Executive Branch Implementation Steps To Date. 

Nine States Want Relief From Medical Loss Ratio Requirement; Appeals Court Hears Mandate Challenge

Tuesday, May 10th, 2011 - 8:25
Tuesday, May 10, 2011 - 07:56
Nine states are pleading with the federal government to relax medical loss ratio requirements because of fears that the rules will destabilize their insurance markets, according to Kaiser Health News. Maine has already received a temporary exemption. Under health reform, insurers must spend at least 80 percent of the premium dollars they collect on patient care or must provide rebates to consumers.

Young Adults Taking Advantage of Expanded Dependent Coverage Under Health Reform

Thursday, May 5th, 2011 - 10:16
Thursday, May 5, 2011 - 09:55
While much of the coverage of the early stages of health reform has focused on what has moved slowly -- the high-risk pools and planning for insurance exchanges, for example -- it appears that the expansion of dependent coverage is moving more quickly than expected.

States Getting Creative About Establishing Insurance Exchanges

Wednesday, May 4th, 2011 - 9:00
Wednesday, May 4, 2011 - 08:36
Several states are using executive orders and other avenues to establish insurance exchanges after running into opposition from legislatures that don't support health reform in any way, according to Politico. It's just another implementation hurdle to clear on the path toward 2014, when the health reform law mandates that insurance exchanges must be up and running in all 50 states and the District of Columbia.

Administration Emphasizes Access to Care for Poor in Proposed Rule

Tuesday, May 3rd, 2011 - 9:17
Tuesday, May 3, 2011 - 08:41
The Obama administration has proposed a new rule limiting states' ability to cut Medicaid reimbursement rates as part of an ongoing effort to ensure that the poor gain access to coverage in reality, not just on paper, according to The New York Times. The move, however, would largely remove one of the few tools that states have at their disposal to reduce their Medicaid costs as the federal-state program ramps up under health reform.

North Dakota Proceeding Deliberately On Creating Health Exchange

Friday, April 29th, 2011 - 15:22
Friday, April 29, 2011 - 15:01
The Republican-controlled Legislature in North Dakota has approved legislation enabling the state to begin planning the construction of an insurance exchange, according to the Bismarck Tribune.

Debate Over Establishing Insurance Exchange in Colorado Gets Interesting

Thursday, April 28th, 2011 - 14:38
Thursday, April 28, 2011 - 14:10
Colorado has joined the list of states to watch in the debate over the establishment of state-run insurance exchanges. If you thought Georgia's debate was interesting, Colorado's dispute will sound familiar -- and may be even a little more unusual.

The Key Role of Front Line Managers

Tuesday, April 26th, 2011 - 9:55
Tuesday, April 26, 2011 - 09:22
That insight led to the creation of both Hammer Awards and Reinvention Labs as ways to both convey reinvention principles and engage people in their day-to-day workplace. 

"Early Innovators" Grant in Jeopardy in Oregon

Tuesday, April 26th, 2011 - 9:40
Tuesday, April 26, 2011 - 09:15
Oregon would be the second state to drop out of the federal government's "Early Innovator" program for the development of insurance exchanges if its divided House of Representatives can't agree to accept federal grant money. A House committee will soon make a decision on whether to accept the money, which would go toward developing an IT infrastructure to offer the state's exchange online, according to The Oregonian.

Would Some States Come Together to Form a Joint Insurance Exchange?

Monday, April 25th, 2011 - 9:17
Monday, April 25, 2011 - 09:01
A recent report by the Urban Institute, funded by the Robert Wood Johnson Foundation, provides four potential reasons why states might choose to come together to form joint insurance exchanges. The idea of joint exchanges has not received much coverage, but the Affordable Care Act explicitly authorizes them. The report gives four reasons why a joint exchange might make sense: 1. Sharing the administration costs and duties of the exchange could provide attractive economies of scale.