An estimated 25 percent of all children between the ages of 12 and 17 have special health care needs. For example, about 11 percent of adolescents 12-17 have Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD) and 10 percent have asthma. 9 The Affordable Care Act (adding new Section 2704 to the Public Health Servic
Health promotion, disease prevention, early intervention, and timely treatment of conditions can improve the health status of adolescents and reduce the incidence of chronic conditions in adulthood. The Affordable Care Act (adding new Section 2713 to the Public Health Service Act) seeks to make prevention affordable by requiring most private hea
The Affordable Care Act and Adolescents. Select Coverage and Benefits Provisions of the Affordable Care Act
The Affordable Care Act includes provisions intended to improve access to health insurance coverage and ensure that such coverage provides essential health benefits for adolescents and young adults. Several of these provisions are already in effect for most plans, including requirements to cover preventive services without cost-sharing, a prohibit
1 § 2794(c) of the Public Health Service Act, as added by § 1003 of the Patient Protection and Affordable Care Act, 42 U.S.C. § 18001 (2010). 2 45 C.F.R. 154.200 3 Beginning in 2014, regulations require states to report all rate increases, even though only increases of 10 percent or more are reviewed for “reasonableness.”
U.S. Department of Health and Human Services: Rate Review Annual Report September 2013. Rate Review Justification (RRJ) Data
Rate Review Justification data are submitted to the Center for Consumer Information and Insurance Oversight (CCIIO) for rate requests of 10 percent or more. This analysis used only adjudicated requests with effective dates between January 1, 2012 and December 31, 2012.
U.S. Department of Health and Human Services: Rate Review Annual Report September 2013. Rate Review Grantee Activities
Between 2010 and 2012, 47 states, including the District of Columbia, received Rate Review Grants. States are using Rate Review Grant funds to implement extensive enhancements to their rate review programs and increase publicly-available data. One means of enhancing their programs was to institute rate review authority. Between 2010 and
U.S. Department of Health and Human Services: Rate Review Annual Report September 2013. Estimates of Savings by State for Rates Proposed at 10 Percent or Higher
In figure 5, savings by state are estimated using the Rate Review Justification (RRJ) data submitted to CCIIO for CY 2012. Note that RRJ data differs from the Rate Review Grant data in that RRJ data only includes rate increase requests of 10 percent or more and thus represents a subset of the $1.2 billion in savings previously described. The
1 This number, based on the 2011 American Community Survey (ACS), is the estimate of Americans who are citizens or legal residents under the age of 65 and therefore eligible for coverage either in the Marketplace or through Medicaid. Some of these were eligible for Medicaid or CHIP coverage prior to 2014 but were not enrolled. 2 Totals do no
Fifty-Six Percent of the Uninsured Could Pay $100 or Less per Month for Coverage in 2014. Methodology
This analysis is based on information about household composition and income taken from the 2011 American Community Survey (ACS) Public Use Microdata Sample. To calculate the premium tax credit, the Affordable Care Act specifies that a family with a particular income will pay a fixed amount for the second lowest-cost silver plan available in the
By : Laura Skopec and Emily Gee Abstract
New Census Estimates Show 3 Million More Americans Had Health Insurance Coverage in 2012. Sources of Health Insurance Coverage
As discussed above, an estimated 15.4% of the population was uninsured, and this rate was significantly lower than the 2011 estimate of 15.7% uninsured. The stabilization of employer-sponsored coverage and the growth in Medicare coverage both contributed to this result.
Predictors of Job Satisfaction and Intent to Leave among Home Health Workers: An Analysis of the National Home Health Aide Survey. Specification of Independent Variables
As shown in Table 1, independent variables in job satisfaction and intent to leave models were classified according to the theoretical framework depicted in Figure 1. Of the independent variables identified in this table, the focus of analyses was on those factors that were mutable--under the control of the home health agency or that could be reas
Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. 6.2. How Medicaid Managed Care Is Evolving and What It Means for PSH
Medicaid managed care began in many states with a focus on enrolling children and families. However, a growing number of states now allow people with disabilities to enroll in managed care plans, and some states require that most seniors and people with disabilities do so. Frequently people who are "dualeligibles," enrolled in both Medicaid and Me
Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. 5.3. What Services Do They Qualify For?
Depending on the state, public mental health services may include a wide range of services that vary in intensity and duration, from medications and medication management at an outpatient clinic (low intensity, varying duration depending on need), through crisis stabilization (very intense but usually lasting a few days at most), and inpatient hos
Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. 5.2. Who Qualifies for Medicaid Mental Health Services?
Community-based mental health services, as used in this report, are a range of services that are part of a system of treatment and support for people with mental health disorders that enable them to live stably in the community. 55 Given our focus on services for people living in PSH, this most often means services that are included in Medicaid s
Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. Summary of Key Findings
Medicaid Eligibility, Enrollment, and Services
Nearly 5 in 10 Uninsured Single Young Adults Eligible for the Health Insurance Marketplace Could Pay $50 or Less Per month for Coverage in 2014
Young adults are the age group most likely to be without health insurance coverage and, therefore, are a key target for outreach and enrollment activities. Nearly 5 in 10 (46 percent, or 1.3 million) uninsured young adults in single-person households who are eligible for the Health Insurance Marketplace may be able to purchase a bronze plan for $5
Eligible Uninsured African Americans: 6 in 10 Could Receive Health Insurance Marketplace Tax Credits, Medicaid or CHIP
Approximately 6 in 10 eligible uninsured African Americans in the United States could obtain Health Insurance Marketplace tax credits, Medicaid, or the Children’s Health Insurance Program (CHIP). This ASPE Issue Brief discusses the demographics of the eligible uninsured African American population and new health insurance coverage options availa
The Feasibility of Using Electronic Health Data for Research on Small Populations. Summary and Conclusions
Relative to other federal data sources like surveys and claims databases, as well as paper charts, electronic health records have some major strengths.