Your Source for Health Reform


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Roundup of OE2 Q’s

The Georgetown University Centers For Children and Families and Health Insurance Reforms compiled a list of common questions raised during the second open enrollment period. The February 2015 FAQ covers tax-filing issues, counting household income and employer coverage.

Partnerships for Healthy Aging

Healthcare and affordable housing providers learn collaboration strategies to better serve older adults in this December 2014 guide from LeadingAge.

Different Tax Docs

State refor(u)m updated this chart in February 2015 to outline the new forms tax-filers must fill out because of the ACA. The chart identifies the purpose of the forms and who are required to complete them.

Appealing a Denied Insurance Claim

The Wall Street Journal explains how to file an appeal if an insurer refuses to pay for treatments or medication.

ACA’s Consequences for People with Disabilities

This February 2015 issue brief from Health & Disability Advocates explains how people with disabilities can experience gaps in coverage because of new application and eligibility requirements.

Presumptive Eligibility in Your Hospital

The Affordable Care Act allows some hospitals to enroll uninsured patients meeting basic eligibility criteria into Medicaid. Hospitals learn the steps to implement presumptive eligibility in this 2013 tool kit from Enroll America.

Income Rules for Medicaid and the Marketplace

This October 2014 question and answer sheet from the Center on Policy and Budget Priorities discusses the new income measure called MAGI. The measure determines eligibility for marketplace tax credits and Medicaid.

Retiree Coverage Choices

This flowchart from In The Loop illustrates the insurance options for employees who retire before they are eligible for Medicare.

Enrolling Families with Immigrants

This January 2015 webinar for assisters reviews the legal protections for immigrants and outlines the unique steps to apply for coverage.

Responding to Medicaid Redeterminations

Illinois residents who receive Medicaid or All-Kids must complete a redetermination to continue their coverage. This June 2014 FAQ from the Illinois Department of Healthcare and Family Services outlines the redetermination process. The FAQ lists the hotline number to call with questions or problems.

Explaining New CHIP and Medicaid Eligibility

This January 2015 primer from the Georgetown University Center for Children and Families describes the new household size and income standards for Medicaid and CHIP enrollment.

Health Education with Meals on Wheels

The University of Georgia created the Good Questions for Good Health tool kit to increase the health literacy of older adults in Meals on Wheels. Staff and volunteers learn strategies to integrate health topics into their interactions with older adults.

Health Literacy Overview

The Alliance for Health Reform summarizes major studies measuring health knowledge and lists websites and experts for further review in this January 2015 issue brief.

Discussing Insurance with Patients

Medical providers learn talking points for conversations with uninsured patients about coverage options in this February 2015 fact sheet from Enroll America.

Calculate Your ACA Tax Penalty

The Tax Policy Center created a tool that estimates a person’s fine for not having health insurance during 2014.

SHOP Participation Rate Rules

To purchase health insurance through the SHOP, a minimum percentage of employees must enroll in the plan. In a October 2014 fact sheet, the Centers for Medicare and Medicaid Services outlines the steps for calculating a small business’ participation rate.

Enrollment Issues for Small Businesses

This March 2014 information sheet and frequently asked questions from the Robert Woods Johnson Foundation addresses common concerns for small employers as they explore health insurance options for their workers.

Successful Cost Containment Strategies

A study released by the Commonwealth Fund in January 2015 explores what care arrangements and payment incentives effectively reduced medical costs for the chronically ill.

Getting a Health Insurance Exemption

This March 2014 Issue brief from the Centers for Medicare and Medicaid Services identifies populations who may be exempt from purchasing health insurance. The brief lays out the exemption process- including documentation needed- for each group.

Linking Justice-Involved Youth with Healthcare

This January 2014 resource guide from Illinois state government describes strategies for connecting young adults in the criminal justice system with health insurance coverage.

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