State Reforum
   
Issue #31
     
April 27, 2012
   
                   
 

Implementation Info:
For State Refor(u)m Users, By State Refor(u)m UserS

Read about the ideas (paraphrased below) that you and your peers are exchanging lately online:

>>A number of listeners on a recent State Refor(u)m webinar had questions about stand-alone dental benefits. Colin Reusch from the Children's Dental Health Project told the community:

Qualified Health Plans do not have to provide the pediatric oral services portion of the Essential Health Benefits Package if a stand-alone dental plan is participating.

>>Read the full explanation


>>A comment from Dr. Bob Rauner underscored the need to think critically about medical home program evaluations and meta-analyses:

One of my biggest concerns is that many PCMH pilots may either unintentionally or intentionally be set up to fail. A pilot that is too short in length or misdirected is unlikely to work.
>>Read more, and weigh in


>>Terry Gardiner of the Small Business Majority answered some SHOP questions, including one on plan premiums. In part, he noted:

Beginning in 2014, health plans may only vary premiums based on scope of coverage, geography, tobacco use, wellness program participation and age.
>> Read the full resp
onses here


 
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Weigh In With Just a Click

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After you read a document from statereforum.org, what's next?

  • Share it with a colleague
  • Apply the information to your work right away
  • Save it to use later

>>Go here to vote


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On the Blog: Ways to Pay for Exchanges

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What financing options can states use to pay for exchange operations beginning in 2015?

State Refor(u)m blogger Rachel Dolan lays out five possible financing models, and notes key questions for states to address as they consider their options.

Read the list, and put your questions in a comment.

   
   

   
   
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For more information,
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