Your Source for Health Reform


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TrumpCare: Less for More

This analysis was released by the office of Illinois Sen. Dick Durbin as the House is set to vote on the “American Health Care Act” that would repeal large portions of the Affordable Care Act and dramatically restructure the federal-state Medicaid program, which provides health coverage to nearly 70 million Americans, including more than three million in Illinois. The report provides a district-by-district breakdown of what is at stake in Illinois.

Prescription Assistance Programs

Prescription assistance programs help consumers reduce drug prices or find the best price for medications. This is a list of programs available to consumers. None of these programs are endorsed by Illinois Health Matters or Health & Disability Advocates. (more…)

Managed Long Term Services and Supports

Starting July, 2016 managed care organizations will be responsible for coordinating long-term services and supports for people who live in a nursing facility or receive home and community-based services through a Medicaid waiver program. This April 2016 fact sheet from Health & Disability Advocates informs consumers about the change.

New Observation Status Rules

Starting August 2016, hospitals are required to let people know if they are an outpatient on observation status. This April 2016 fact sheet from Health & Disability Advocates prepares patients for the changes.

Illinois Health Policy Update

Get the latest with this April 2016 brief from Health & Disability Advocates.

Network Adequacy Analysis

This December 2015 report from the Aids Foundation of Chicago analyzes Illinois silver-level Marketplace plans’ coverage of HIV and the Hepatitis C Virus treatment. The trend has been for Marketplace plans to limit coverage of necessary treatments for this population.

Creative ACA Outreach

This January 2016 blog post from Families USA gives strategies for enrolling the remaining uninsured, a group that is often hard to reach and unaware of available financial assistance.

Engaging African Americans

In this January 2016 blog post for the Social Security Administration, a Minister details proven outreach and enrollment strategies with the Black community— a group which is still more likely to be uninsured.

Exceptions to the Individual Mandate

This grid from Families USA lists out  exemptions to the requirement of having health insurance and how people can apply for them. The grid was updated in October 2015 and applies to the 2016 tax-filing season.

Food is Medicine

This January 2016 fact sheet from the Shriver Center provides guidance to Enrollment Assisters looking to connect their clients with SNAP, formerly called food stamps.

Getting Ready for Tax Day

This January 2016 blog post from the CEO lays out what consumers should expect in the second tax-filing season under the ACA. The post details processes for consumers with Marketplace insurance; consumers with Medicaid, Medicare or employer-sponsored insurance; and for those without coverage.

The Front Lines of ACA Outreach

This December 2015 toolkit from Enroll America helps hospitals and medical providers have conversations with patients about their health coverage options.

Help for the Helpers

This November 2015 toolkit from the Centers for Medicare and Medicaid Services for enrollment assisters shares online and technical assistance resources that can be used when helping consumers apply for health coverage. Enrollment assisters will also learn about the types of health insurance and the processes for enrolling in each.

Clues for the Trickiest Applications

This November 2015 presentation from the National Immigration Law Center and the Georgetown University Center for Children and Families explains eligibility rules and application processes for immigrants and their families.

It’s Almost Tax Time!

This January 2016 news article from CBS News describes the three tax forms, the 1095-A, 1095-B and 1095-C that will be used by the IRS to collect information on health insurance coverage.

ACEs, Bs and CCEs

This December 2014 FAQ from the Illinois Department of Human Services details general enrollment and access to care procedures for consumers and providers in Medicaid managed care.

Staying in Touch with the State

This tip sheet from Illinois Department of Human Services shares how health care providers can help Medicaid manage care consumers change their address. Medicaid recipients need to update their address so they receive important notices about their coverage.

My Health, My Voice

This November 2015 guide from Raising Women’s Voices is for newly insured women who have questions about how to use their health coverage.

Do New Health Delivery Models Really Deliver?

This December 2015 report from Community Catalyst provides policy and operational recommendations that promote person-centered and coordinated care in dual-demonstration programs.

Targeting the Social Determinants of Health

This December 2015 brief from the Center for Health Care Strategies explores approaches to using Medicaid funding for non-medical services. The approaches are  utilized as part of state-based coordinated care initiatives.

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