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The latest useful materials on how health reform is affecting Illinois, to help you navigate the changing landscape.


RESOURCES FOR YOU

 Q:   What Providers Need to Know about Care Coordination Entities Care coordination entities work to form alternative models of delivering care to Medicaid clients through provider-organized networks, initially organized around the needs of Illinois’ most complex clients - seniors, and persons with disabilities, and children with complex medical needs. This 22-minute video of a webinar from the Illinois Department of Healthcare and Family Services was posted by Illinois Health Connect in December 2013.

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 Q:   Coverage and Care After the ACA's First Open Enrollment Period This July 2014 Commonwealth Fund survey found that significantly fewer working-age adults were uninsured than just before the sign-up period began, and many had used their new coverage to obtain needed care. The uninsured rate for people age 19-64 declined from 20% during July to September of 2013 15% during April to June 2014. An estimated 9.5 million fewer adults were uninsured.

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 Q:   Medicaid Integration Tracker Illinois Watch for timely updates on implementation of Medicaid care coordination initiatives and other Illinois reforms such as the 1115 Waiver and the Balancing Incentive Program through this reform tracker from the National Association of States United for Aging and Disabilities.

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 Q:   Community Health Needs Assessment Hospital Toolkit Tax-exempt and non-profit hospital systems are required to demonstrate the benefits to communities served through a Community Health Needs assessment. This toolkit from Community Catalyst provides hospitals with resources hat help clarify key terms and requirements under the ACA, and explain how to engender grass-roots participation and how to utilize health data.

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 Q:   2014 Voter Priorities: Fed Budget and the ACA Just in time for the 2014 election, the National Priorities Project examines voter concerns regarding the Affordable Care Act and healthcare spending bringing to light public opinions. This fact sheet also prompts readers on questions for congressional candidates.

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 Q:   Medicaid and Managed Care Toolkit This collection of resources from the Make Medicare Work Coalition shares the ins and outs of Medicaid Care Coordination, including webinars, policy briefs, and fact sheets on the Integrated Care Program and the Medicare Medicaid Alignment Initiative.

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 Q:   The Who, What, and When of Medicaid Care Coordination Medicaid in Illinois is moving into a care coordination system, but there are many new health plan options for Medicaid members. These health plan options vary by what Medicaid members are served, how the health plans are reimbursed, when they will start enrollment, and what additional services they provide. Learn the who, what, and when of Medicaid Care Coordination in this easy to navigate chart from Health & Disability Advocates.

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 Q:   Get Covered Illinois' First Annual Report This report detailing the accomplishments of the official Illinois Health Insurance Marketplace in its first year of operation was released as a digital edition in August 2014. GCI logged more than 622,000 enrollees and exceeded the federally set enrollment target for the state by 52%.

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 Q:   Premium Tax Credits and Domestic Violence Survivors This press release from the U.S. Department of the Treasury explains a legal exception for domestic violence survivors in securing premium tax credits on the health insurance marketplace. Traditionally, people who are married must file taxes jointly to receive a premium tax credit. Survivors of domestic violence may claim head of household and still receive premium tax credits.

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 Q:   ACA Opens Doors for Populations with HIV/AIDS and Justice-Involved This March 2014 Health Affairs article addresses the needs of the 1.1 million Americans living with HIV/AIDS and the 11.6 million who cycle through the nation’s 3,300 local and county jails every year. It notes that ome have argued the ACA renders the Ryan White Program redundant, and that 95% of those incarcerated return to the community without coverage.

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 Q:   Illinois County Health Rankings These interactive maps show health outcomes including length of life and quality of life and health factors like health behaviors, access to care, and socioeconomic factors. This report and data is provided by the University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation.

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 Q:   CountyCare: a Successful Model for Medicaid Expansion  This issue brief from the Kaiser Family Foundation focuses on the Cook County Early Expansion Initiative (CountyCare), which was initiated to help the state and Cook County Health and Hospitals System build capacity and experience to support implementation of the expansion in 2014.

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 Q:   Lessons on Immigrant Access to the ACA This report from the Illinois Coalition for Immigrant and Refugee Rights highlights enrollment barriers that immigrants and refugees faced during the first enrollment period. Hurdles included identity and immigration status verification issues, erroneous referrals to Medicaid, case management overload, language barriers, and lack of access for mixed-status families. (more…)

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 Q:   Not Invincible – But Perhaps Convincible These findings from Deloitte's April 2014 survey contradict the stereotype young adults (age 19-34) as healthy, risk-taking young "invincibles." Among those who didn't sign up for coverage, few said it was because they don't expect to need insurance. Those who did get insurance said the most important reasons were to pay medical bills, to secure peace of mind, and to avoid paying the federal penalty.

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 Q:   DOI Gives Public Access to Insurance Filings This August 2014 announcement by the Illinois Department of Insurance describes the new online SERFF Filing Access tool, developed under the leadership of the National Association of Insurance Commissioners, which will provide the public with direct access to insurer product filings, such as rates and forms.

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