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Health Policy Essentials

This section of the NHPF Web site provides easily accessible, basic information about key health policies and programs. The documents below offer information on Health Reform, Medicare, Medicaid, Health Insurance & the Uninsured, CHIP, the Safety Net, Pharmaceuticals, Public Health, Aging & Long-Term Care, and Workforce issues, in a variety of formats.

The Basics are short primers that answer basic questions on programs and practices. Glossaries and lists of acronyms define commonly used health care terms, and help navigate the alphabet soup and short-hand of health care and health policy. Briefing Books provide background materials offered at Forum-sponsored fundamentals briefings on Medicare, Medicaid, CHIP, and private insurance. Background Papers are in-depth syntheses of market analysis or research findings on a particular topic or program initiative.

 

Health Reform

Forum SessionJune 26, 2009
Proposals to Reform the Individual Health Insurance Market
Manager: Kathryn Linehan

Forum SessionJune 19, 2009
Medicaid Disproportionate Share Hospital Payments and Health Care Reform
Manager: Christie Provost Peters

Small-Group Session — May 8, 2009
Issues in Health Insurance Reform: Federal/State Regulatory Roles, Subsidy Administration
Manager: Sally Coberly, PhD, and Kathryn Linehan

Small-Group Session — April 15, 2009
Issues in Health Insurance Reform: More on Insurance Exchanges
Manager: Sally Coberly, PhD

Small-Group Session — April 7, 2009
Issues in Health Insurance Reform: Actuarial Equivalence
Manager: Sally Coberly, PhD

Small-Group Session — March 20, 2009
Issues in Health Insurance Reform: Rating in the Small Group Market, Merging the Individual and Small Group Markets, and Risk Adjustment
Manager: Sally Coberly, PhD

Small-Group Session — March 6, 2009
Issues in Health Insurance Reform: Health Insurance Exchanges
Manager: Sally Coberly, PhD

Small-Group SessionFebruary 19, 2009
Issues in Health Insurance Reform: The Nuts and Bolts of Rating Rules in the Individual Insurance Market
Manager: Sally Coberly, PhD

Small-Group SessionDecember 3, 2008
Issues in Health Insurance Reform: Underwriting, Rating, and Regulation in the Individual Market
Manager: Sally Coberly, PhD

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Medicare

The Basics — January 15, 2009
Medicare
Author: Mary Ellen Stahlman

The Basics — January 15, 2009
The Medicare Drug Benefit (Part D)
Author: Mary Ellen Stahlman

The Basics — July 30, 2008
Medicare Demonstrations
Author: Amanda Cassidy, Consultant

The Basics — February 14, 2007
Medicare's Mental Health Benefits
Author: Christopher Loftis, PhD

Briefing Book — January 15-16, 2009
Understanding Medicare and Medicaid:
Fundamentals and Issues for the New Congress

Authors: Christie Provost Peters, Jennifer Ryan & Mary Ellen Stahlman

Glossary — January 15, 2009
Medicare and Medicaid Briefings: Common Health Care Terms

Background Paper No. 63 — July 22, 2008
The Fundamentals of Medicare Demonstrations
Author: Amanda Cassidy, Consultant

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Medicaid

The Basics — May 26, 2009
Citizenship Documentation in Medicaid and CHIP
Author: Jennifer Ryan

The Basics — April 13, 2009
The Medicaid Drug Rebate Program
Author: Christie Provost Peters

The Basics — January 15, 2009
Medicaid
Author: Jennifer Ryan

The Basics — January 15, 2009
Medicaid Financing
Author: Jennifer Ryan

The Basics — January 15, 2009
FMAP: The Federal Share of Medicaid Costs
Author: Christie Provost Peters

The Basics — July 30, 2008
Medicaid and SCHIP Waivers
Author: Cynthia Shirk, Consultant

Briefing Book — January 15-16, 2009
Understanding Medicare and Medicaid:
Fundamentals and Issues for the New Congress

Authors: Christie Provost Peters, Jennifer Ryan & Mary Ellen Stahlman

Glossary — January 15, 2009
Medicare and Medicaid Briefings: Common Health Care Terms

Background Paper No. 64 — July 22, 2008
Shaping Medicaid and SCHIP through Waivers: The Fundamentals
Author: Cynthia Shirk, Consultant

Background Paper — March 3, 2006
Rebalancing Long-Term Care:
The Role of the Medicaid HCBS Waiver Program

Author: Cynthia Shirk, Consultant

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Health Insurance & the Uninsured

The Basics — March 25, 2008
HIPAA Coverage Provisions
Author: Lisa Sprague

Briefing Book — February 21-22, 2008
Insurance 101: The Fundamentals of Private Health Insurance
Author: Sally Coberly, PhD & Lisa Sprague

Glossary — December 12, 2008
Glossary of Health Insurance Terms

Background Paper — April 23, 2007
The Fundamentals of Health Savings Accounts and High-Deductible Health Plans
Author: Beth Fuchs, PhD & Lisa Potetz, Consultants

Background Paper — April 19, 2005
Health Insurance Coverage for Small Employers
Author: Dawn M. Gencarelli

Background Paper — April 13, 2005
Fundamentals of Underwriting in the Nongroup Health Insurance Market:
Access to Coverage and Options for Reform

Author: Mark Merlis, Consultant

Background Paper — April 11, 2005
Health Savings Accounts: The Fundamentals
Author: Beth Fuchs, PhD & Julia A. James, Consultants

Background Paper — August 28, 2002
Expanding Health Coverage for the Uninsured:
Fundamentals of the Tax Credit Option

Author: Beth Fuchs, PhD, Mark Merlis & Julie James, Consultants

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CHIP

The Basics — May 26, 2009
Citizenship Documentation in Medicaid and CHIP
Author: Jennifer Ryan

The Basics — July 30, 2008
Medicaid and SCHIP Waivers
Author: Cynthia Shirk, Consultant

Issue Brief No. 829 — January 15, 2009
Reauthorizing SCHIP: A Summary of Selected Issues
Author: Jennifer Ryan

Briefing Book — January 15-15, 2009
Understanding Medicare and Medicaid:
Fundamentals and Issues for the New Congress

Authors: Christie Provost Peters, Jennifer Ryan & Mary Ellen Stahlman

Glossary — January 15, 2009
Medicare and Medicaid Briefings: Common Health Care Terms

Background Paper No. 68 — April 23, 2009
The Children's Health Insurance Program (CHIP): The Fundamentals
Author: Jennifer Ryan

Background Paper No. 64 — July 22, 2008
Shaping Medicaid and SCHIP through Waivers: The Fundamentals
Author: Cynthia Shirk, Consultant

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Safety Net

The Basics — August 20, 2008
The Ryan White HIV/AIDS Treatment Program
Author: Jessamy Taylor

The Basics — September 24, 2007
The Title V Maternal and Child Health Block Grant Program
Author: Christie Provost Peters

Background Paper — August 22, 2005
Caring for "Ryan White": The Fundamentals of HIV/AIDS Treatment Policy
Author: Jessamy Taylor

Background Paper — August 31, 2004
Fundamentals of Community Health Centers
Author: Jessamy Taylor

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Pharmaceuticals

The Basics — April 26, 2004
State Pharmacy Assistance Programs
Author: Jennifer Ryan

The Basics — February 4, 2004
Prescription Drug Formularies
Author: Dawn M. Gencarelli

Background Paper — August 24, 2004
Fundamentals of the Prescription Drug Market
Author: Christie Provost Peters, Consultant

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Public Health

The Basics — July 20, 2005
The Public Health Service
Author: Jessamy Taylor

Background Paper — April 3, 2002
Public Health Emergency Preparedness: Fundamentals of the "System"
Author: Eileen Salinsky

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Aging & Long-Term Care

The Basics — November 28, 2008
Long-Term Care: Consumers, Services, and Financing
Author: Carol V. O'Shaughnessy

The Basics — April 21, 2008
Older Americans Act of 1965
Author: Carol V. O'Shaughnessy

Background Paper — April 11, 2008
The Aging Services Network: Accomplishments and Challenges in
Serving a Growing Elderly Population

Author: Carol V. O'Shaughnessy

Background Paper — March 3, 2006
Rebalancing Long-Term Care:
The Role of the Medicaid HCBS Waiver Program

Author: Cynthia Shirk, Consultant

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Workforce

Background Paper — April 11, 2003
The U.S. Health Workforce: Definitions, Dollars, and Dilemmas
Author: Karen Matherlee, Consultant

 

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