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Appendix IV. Additional Microsimulation Results

Overlapping Eligibility and Enrollment: Human Services and Health Programs Under the Affordable Care Act. Appendix IV. Additional Microsimulation Results

This appendix provides additional detailed microsimulation results. As previously noted, the tabulations are drawn from information from two large microsimulation models, the Transfer Income Model, Version 3 (TRIM3), which is developed and maintained by the Urban Institute under primary funding from ASPE, and the Health Insurance Policy Simulation

Premium Affordability, Competition, and Choice in the Health Insurance Marketplace, 2014. II. Overview of Premiums in the 2014 Individual Health Insurance Marketplace

Section II Highlights Overview of Premiums for the Second-Lowest Cost Silver Plans:

Determination of eligibility and receipt of human

Overlapping Eligibility and Enrollment: Human Services and Health Programs Under the Affordable Care Act. Determination of eligibility and receipt of human services

Eligibility and receipt of human services were based on TRIM-simulated 2010 eligibility and participation in those benefit programs. With the exception of Unemployment Insurance (which is based on the characteristics and income of an individual), eligibility is determined based on the income and characteristics of a group of people within a househ

Overlapping Eligibility and Enrollment: Human Services and Health Programs Under the Affordable Care Act. Appendix II. Overview of Programs

This appendix provides an overview of the various government programs discussed in the body of the paper. The following tables describe the eligibility rules and methods of each program, including rules on income limits, asset limits, reporting requirements, immigration and citizenship status, documentation requirements, enrollment priorities, and

Overlapping Eligibility and Enrollment: Human Services and Health Programs Under the Affordable Care Act. Appendix I. Analytic Framework

This appendix describes a systematic approach to developing and categorizing specific data usage strategies that involve pairing a health program with a human services program for integration or coordination of eligibility determination, enrollment, or retention. Here, our goal is to identify analytic strategies (including a typology of approaches

Many consumers who will newly qualify for health

Overlapping Eligibility and Enrollment: Human Services and Health Programs Under the Affordable Care Act. Many consumers who will newly qualify for health coverage under the Affordable Care Act already participate in human services programs

A core objective of the Affordable Care Act’s health programs is maximizing enrollment of the eligible uninsured. To achieve this goal, the most important groups to reach are likely to be newly eligible consumers—Medicaid-eligible childless adults, Medicaid-eligible parents with incomes above their state’s pre-ACA thresholds, and people who

Participation in human services programs could

Overlapping Eligibility and Enrollment: Human Services and Health Programs Under the Affordable Care Act. Participation in human services programs could help establish eligibility for Medicaid

As noted earlier, a Medicaid applicant’s attestation of financial eligibility can be verified by data that are reasonably compatible with those attestations, including data showing the receipt of human services benefits. 13 Moreover, when a Medicaid beneficiary’s coverage period is coming to an end, if reliable data demonstrate continuing eli

Data from health programs could help establish

Overlapping Eligibility and Enrollment: Human Services and Health Programs Under the Affordable Care Act. Data from health programs could help establish eligibility for human services programs

Most human services programs are capped. This means that serving new people may require displacing current clients. The expansion in health coverage contemplated by the Affordable Care Act can nevertheless help these programs more effectively and efficiently determine eligibility. Several years after the ACA has been implemented, numerous human se

Overlapping Eligibility and Enrollment: Human Services and Health Programs Under the Affordable Care Act. Introduction

The Patient Protection and Affordable Care Act (Affordable Care Act or ACA) extends health coverage to millions of uninsured Americans, primarily through newly created Health Insurance Marketplaces and expanded Medicaid eligibility. It also sets the stage for major changes to eligibility determination for both health and human services programs.

Diabetes: A National Plan for Action. Health Care Providers

Primary care providers, such as family physicians, internists, physicians’ assistants, and nurse practitioners, play an important role in providing routine high-quality diabetes care as well as referrals to other practitioners for specialty care. As new research and drugs become available and practice guidelines for diabetes evolve, it is critic

Diabetes: A National Plan for Action. Individuals

The possible complications from diabetes can be extremely serious. There is strong evidence from clinical trials that many of these complications may be delayed or prevented by carefully controlling blood glucose levels, blood pressure, and LDL cholesterol levels. 74 To help manage diabetes, individuals should discuss, create, and follow a diabet

Diabetes: A National Plan for Action. Health Problems Related to Diabetes

Diabetes can have a significant impact on quality of life by increasing risk for a variety of complications. These include:

Information Needs Associated with the Changing Organization and Delivery of Health Care: Summary of Perceptions, Activities, Key Gaps, and Priorities. Appendix B: Phase One Bibliography

1997 Health Network & Alliance Sourcebook. Faulkner & Gray, Inc. New York, NY. AHCPR award to the RAND Corporation to study Health Care Markets, Managed Care, and Hospital Performance. AHCPR award to the University of Pennsylvania's Health Policy Studies Group on HMO Impact on Integrated Networks and Services. AHCPR conference materi

Addressing differences between program rules for

Opportunities under the Affordable Care Act for Human Services Programs to Modernize Eligibility Systems and Expedite Eligibility Determination. Addressing differences between program rules for health and human services programs

Health and human services programs may use different rules for determining eligibility, including:

Opportunities under the Affordable Care Act for Human Services Programs to Modernize Eligibility Systems and Expedite Eligibility Determination. Opportunities presented by the ACA

If all states implemented the ACA’s Medicaid expansion, more people would qualify for Medicaid and CHIP than for SNAP, the need-based program with the second-highest number of eligible people. Assessing SNAP’s reach as of 2010, when the program’s eligibility for childless adults was at historically high levels, Medicaid- and CHIP-eligible no

Background of enhanced federal funding and the

Opportunities under the Affordable Care Act for Human Services Programs to Modernize Eligibility Systems and Expedite Eligibility Determination. Background of enhanced federal funding and the cost-allocation exception

When the ACA was signed into law in 2010, outdated eligibility systems for Medicaid and the Children’s Health Insurance Program (CHIP) presented a serious obstacle to effective implementation. Not only were those systems expected to handle an influx of significant numbers of new applicants, the ACA substantially changed the rules for eligibility

Streamlining human services programs’ eligibility

Opportunities under the Affordable Care Act for Human Services Programs to Modernize Eligibility Systems and Expedite Eligibility Determination. Streamlining human services programs’ eligibility determinations by accessing data from health programs

Once the ACA’s insurance affordability programs are fully phased in, Medicaid will be the country’s most widely-used need-based program—particularly in states that expand eligibility. If all states did so, the number of people eligible for help would be up to 60 percent higher for Medicaid than for the Supplemental Nutrition Assistance Progr

Using Behavioral Economics to Inform the Integration of Human Services and Health Programs under the Affordable Care Act . Overarching issues

Several issues arise in all the above settings for raising the SNAP question when people apply for health coverage. First, Marketplaces need to decide which consumers will be presented with the option of seeking SNAP. In theory, a Marketplace could offer all applicants for health coverage the opportunity to connect with SNAP. In practice, it wil

Information Needs Associated with the Changing Organization and Delivery of Health Care: Summary of Perceptions, Activities, Key Gaps, and Priorities

This report summarizes the insights and conclusions drawn from a project to asses unmet needs for supply-side information on the health system. The project focused on identifying how information needs associated with a changing health care system are perceived by providers, insurers, purchasers, consumers, and government at various levels. The proj

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Examples of Promising Practices for Integrating and Coordinating Eligibility, Enrollment and Retention: Human Services and Health Programs Under the Affordable Care Act. Results

Single Stop tracks benefit receipt by contacting students directly. If the agency cannot reach students to confirm benefit receipt, the agency assumes that no aid was obtained. Therefore, the outcomes reported by Single Stop and discussed here probably underestimate the number of students who receive assistance.

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