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


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 Q:   Provider Network Options for Medicaid Care Coordination This provider notice from HFS explains different care coordination models for family, children, and ACA adult Medicaid populations. It also provides contact information for providers to each of these health plans so they can contract to join provider networks.

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 Q:   Medicaid Care Coordination Roll-out by Health Plan This March 2014 diagram from HFS details the MCOs and provider groups that will be coordinating care for Illinois Medicaid, the eligibility category they will serve, when each program will start, and what geographic regions they will serve.

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 Q:   ACA and Rural Areas About 50 million people, or 16% of the U.S. population, live in rural areas. The rural population is poorer and less likely to be covered by employer-based insurance than the metropolitan population, and nearly two-thirds of uninsured people in rural areas live in a state that is not currently implementing the Medicaid expansion. This May 2014 brief from the Kaiser Family Foundation includes multiple charts highlighting this data.

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 Q:   Who are the Newly Insured? This May 2014 policy brief from the Urban Institute presents charts showing that most enrollees are in ACA target income groups, and that newly insured adults tend to be younger than those already insured, more likely to report fair or poor health, and often lack a strong connection to the health care system.

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 Q:   How Millions Got Covered By April 2014, more than 12 million people had found new or more affordable coverage through the Marketplaces and Medicaid. This report from Community Catalyst, “Connecting Consumers to Coverage: Mobilizing for Enrollment,” showcases the many successful strategies employed throughout the country by consumer health advocates and their partners.

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 Q:   Women's Health Coverage: Early Experiences with the ACA This Kaiser Family Foundation survey details findings that include information about delaying care due to cost, recent check-ups, education about preventive services available without coinsurance or copayment, and use of contraception.

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 Q:   Lessons from Open Enrollment This survey by Enroll America showed that knowledge barriers inhibited some people from enrolling the first round, as well as high interest in the next round. The article highlights the importance of encouraging moms to enroll young adults, providing the Latino community with more information and enrollment help, and continuing to educate the public about the ACA.

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 Q:   Care Coordination Roll-out Map By January 1, 2015, 50% of Medicaid members must be enrolled in managed care. This HFS map details the expansion of Medicaid Care Coordination projects across the state, including the Integrated Care Program, Care Coordination Entities, the Medicare Medicaid Alignment Initiative, and Voluntary Managed Care Organizations.

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 Q:   Effect of the ACA: fewer Uninsured Adults In March 2014 the national uninsurance rate for nonelderly adults was 15.2%, a drop of 2.7 percentage points since September 2013, the month before ACA open enrollment began. This represents a gain in coverage for about 5.4 million adults. The data is from the Urban Institute's Health Reform Monitoring Survey.

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 Q:   Premium Incentives for Wellness in the Workplace In this February 2012 from the Robert Wood Johnson Foundation, Georgetown University researchers discuss how employers are increasingly turning to workplace wellness initiatives to curb rising health care costs and the growing prevalence of chronic conditions. (more…)

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 Q:   8 Million and Counting: Premiums and Cost Sharing This May 2014 policy brief from the Robert Wood Johnson Foundation takes a deeper look at premiums, cost sharing and benefit design in the new Health Insurance Marketplaces based on a comprehensive dataset of information for all ACA silver plans.

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 Q:   Marketplace Enrollment Reports - 2014 The sixth HHS report on national and state-level Marketplace enrollment results show that over 8 million people selected a plan on the Marketplace; 28% were young adults age 18-34. This report covers the entire open enrollment period, Oct. 1 through March 31, including additional enrollment activity reported through April 19. Here is a breakout of the numbers on Illinois enrollments - and see a data visualization of them by Crain's Chicago Business. (more…)

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 Q:   Who are the Newly Insured in 2014? This article from the Gallup Poll breaks down the stats on Americans who are newly insured in 2014 by providing a breakdown that includes age, income, and political orientation.

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 Q:   Cutting Administrative Costs Through eHealth This fact sheet from the Centers of Medicare & Medicaid Services breaks down how eHealth can cut unnecessary administrative costs by promoting policies, standards and business procedures that allow for electronic information exchange. This shift to electronic information would include patients, caregivers, communities, and providers.

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 Q:   Designing a Marketplace This resource from the Center on Budget and Policy Priorities helps design a marketplace based on information gathered from policies and data collected from research data sets and Marketplace materials, which can be used to tailor the marketplace based on state-based Marketplace, state sartnership Marketplace, and state-based SHOP.

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