Starting in 2014, the Affordable Care Act must be fully implemented, which means the coming year will be critical in ensuring not only states’ readiness for 2014, but that the law is implemented in the most effective and consumer-friendly way possible. To help you in this work, Families USA has released two new pieces:
- State Advocate To-Do List for 2013
- Consumer-Friendly Standards for Qualified Health Plans in Exchanges: Examples from the States
The To-Do List outlines key issues to focus your work on this year including:
- The Medicaid expansion—tips for advocates in both states that are expanding and states that have not yet committed to the expansion;
- Exchanges—tips for advocates in all states, whether they are implementing a state-based exchange, a partnership exchange, or a federally facilitated exchange;
- Medicaid, CHIP, and exchange eligibility enrollment;
- General private insurance work;
- Dual Eligibles—tips for advocates in states that are pursuing a demonstration project to integrate Medicaid and Medicare; And tips for continuing to strengthen the health care safety net after 2014.
Consumer-Friendly Standards for Qualified Health Plans in Exchanges: Examples from the States is a helpful resource for advocates in states where exchanges are currently in the process of establishing the consumer protection and quality standards that “qualified health plans” (QHPs) sold in the new insurance exchanges must meet. The report provides examples of consumer-friendly QHP standards from eight state-based exchanges and one partnership exchange state. We urge you to look closely at this brief if you are working on issues like provider network adequacy, health plan standardization, quality reporting, or other key issues that will determine whether health plans in the exchange will meet the needs of consumers and small businesses.