Implementation

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Implementation

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.

Georgia Wants Compact With Other States To Buck Health Reform

Friday, April 22nd, 2011 - 9:32
Friday, April 22, 2011 - 09:10
Of the handful of states whose leaders publicly criticize health reform and are taking definitive steps to impede its implementation, Georgia has perhaps become the most interesting. Like many Republican governors who oppose health reform, Georgia's Nathan Deal nevertheless thought it best for the state to move ahead on the creation of an exchange so that the federal government would not step in to run it in 2014. The state's Tea Party, however, wanted no part of that and Deal was forced to pull back on his plans.

Oklahoma Reverses Course on Implementation, Early Innovator Program

Thursday, April 21st, 2011 - 9:32
Thursday, April 21, 2011 - 09:11
And then there were six. Oklahoma, under a new Republican governor and insurance commissioner, has decided it won't be participating in the federal "Early Innovator" program for state-developed health insurance exchanges.

Independent Medicare Cost-Cutting Board Draws Ire From Congress

Wednesday, April 20th, 2011 - 9:15
Wednesday, April 20, 2011 - 08:41
Many lawmakers from across the political spectrum don't accept the idea that an independent board should make decisions to pare Medicare, according to The New York Times.

Managing Care For People With Complex Needs Under Health Reform's Medicaid Expansion

Friday, April 15th, 2011 - 8:59
Friday, April 15, 2011 - 08:29
Under the expansion of Medicaid in health reform, an estimated 16 million people will gain insurance coverage. Many of these individuals will be childless adults with complex health needs, including chronic illness and mental health ailments. Making health reform work will be about more than simply granting new individuals access to coverage. Those who manage health programs such as Medicaid will have to make sure the expanded program will have the capacity to deliver care in the most effective ways.