Affordable Care Act (ACA)
On October 1st, the Healthcare.gov website went live!
A video demonstration of the process for purchasing insurance through the marketplace is now available online: http://www.youtube.com/watch?v=b6cAXH1b2Gw&feature=youtu.be
Resources and information for implementation
Wisconsin AHEC has compiled resources to assist Wisconsin health professionals and concerned community members who are implementing the Affordable Care Act and/or facilitating Health Exchange insurance signups during Fall 2013. As additional information becomes available, we will continue to add links below.
- Affordable Care Act - overview presentation. General overview webinar presented June 27, 2013 -- by Covering Kids and Families, for AHEC summer interns in CHIP - community health internship program, found at: https://videos.med.wisc.edu/videos/47783
Health Insurance Marketplace: https://www.healthcare.gov/
- information for individuals and families
- information for small businesses
- Quick link to find premium estimates without having to go through the application process (added Oct 16)
- Educational cartoon (7-minute animated video) produced by Kaiser Family Foundation, "The You Toons Get Ready for ObamaCare" -- explains components of the ACA and how various Americans are affected.
Covering Kids and Families: http://ckfwi.org/affordablecareacthome.html
- Also see their fact sheets: http://ckfwi.org/affordablecareactfactsheets.html
ACA Updates from Health Resources and Service Administration (HRSA): Workshops, Webinars, Outreach and Consumer Assistance
- August 23, 2013 list of opportunities (PDF)
- HRSA Provider Marketplace Toolkit. This toolkit includes materials that clinicians and health care administrators can use to learn more about the Marketplace and educate patients about their new health care options, how insurance works, and the benefits of having insurance. It also includes information about the Small Business Health Options Program (SHOP).
- Additional resources via the HRSA ACA webpage
- WIPPS (Wisconsin Institute for Public Policy and Service) Conference - Nov 7-8, 2013: "It's Here: The Federal Health Insurance Marketplace in Wisconsin, Public Forum and Professional Conference" held at UW Fox Valley in Menasha. Continuing education credits are available.
- U.S. Dept of Health and Human Services website focused on ACA related topics: http://www.hhs.gov/healthcare/
The Federal Exchange operating in Wisconsin:
- Rates announcement 9/25/13 - News release PDF ; direct link to rate info online at OCI (Office of the Commissioner of Insurance)
- List of agencies participating in the marketplace - organized by service area for each county in Wisconsin (9/25/13)
Health Insurance Marketplace Training: Becoming a Certified Application Counselor Organization (Centers for Medicare and Medicaid Services -- http://marketplace.CMS.gov). Want to find out how your organization can help millions of Americans get health coverage? If you’re interested in training your staff and volunteers to assist people applying for coverage through the Federally-facilitated Marketplace (including a State Partnership Marketplace), you can apply to be a Certified Application Counselor (CAC) organization. Applications are now available for interested organizations to complete at http://marketplace.cms.gov/help-us/cac.html.
- Join us for a foundational training session that will cover what you need to know to become a Certified Application Counselor (CAC) organization.
- More info about the marketplace is online at http://marketplace.cms.gov/
REGTAP describes itself as a forum for Centers for Medicare and Medicaid Services. https://www.regtap.info/
- Technical assistance and training related to Marketplace and Premium Stabilization programs guidance and operations that address the following areas: Federally-facilitated Marketplace Enrollment, Qualified Health Plan (QHP) Certification, Eligibility, Distributed Data Processing, Small Business Health Options Programs (SHOP), Advanced Premium Tax Credit (APTC) and Cost-Sharing Reduction (CSR) Programs, and the 3 R’s (Risk Adjustment, Reinsurance, and Risk Corridors)
- The site includes a variety of materials including FAQs, presentation slides, supporting documents, white papers, and instructions. It is aimed at exchanges, regulators, insurers, and agents and brokers, and is accessible only by registration. Registration is simple, however, and gives the user access to a wealth of information.
Health Insurance Marketplace’s Young Adults campaign — To celebrate the return to schools and colleges across the country, HHS has provided a number of resources designed to highlight what the ACA means for students and young adults. Articles, infographics, PSAs, and fact sheets also target what the new affordable insurance options mean for schools, communities, parents and students at marketplace.cms.gov.
- Also available are the graphic resources, “addressing the unique health needs of adolescents” and “5 things every graduate needs to know.”
- The Consumer Assistance Resources Infographic has a visual breakdown of where consumers can go for enrollment help.
- Marketplace widgets health centers can use.
- Order printed copies (while supplies last) of consumer materials to share with your community.
- Key dates for providers for Health Insurance Marketplace.
- Subsidy calculator - developed by the Kaiser Family Foundation, this is a handy tool for figuring out premium assistance for coverage purchased in the exchanges.
- Advertising spots, produced by other states to introduce and promote their state exchanges:
- Ten Things Providers Need to Know and 10 Things To Tell Your Patients — These documents from Marketplace.cms.gov (Centers for Medicare and Medicaid Services) give providers a quick rundown of the most important things to know and share with patients about the Affordable Care Act.
"How Buying Insurance Will Change under ObamaCare" article published by Kaiser Family Foundation (September 24, 2013):
http://kff.org/health-reform/perspective/how-buying-insurance-will-change-under-obamacare/ Among other helpful points, the article explains that consumers will no longer have to provide details about their personal medical history during insurance application process, since the ACA law requires all preexisting conditions to be covered.
- "Welcome Mat Effect of ACA Implementation Could Be Substantial" article published in Health Affairs: http://content.healthaffairs.org/content/early/2013/06/20/hlthaff.2013.0360.full.html Abstract: The Affordable Care Act will have important impacts on state Medicaid programs, likely increasing participation among populations that are currently eligible but not enrolled. The size of this “welcome-mat” effect is of concern for two reasons. First, the eligible but uninsured constitute a substantial share of the uninsured population in some states. Second, the newly eligible population will affect states’ Medicaid caseloads and budgets.