ACA

On March 8, KFF released a policy watch discussing a new proposal in the Health and Human Services (HHS) Benefit and Payment Parameters for 2025 that aims to expand access to adult dental care in Affordable Care Act (ACA) Marketplace plans. The HHS Benefit and Payment Parameters Notice for 2025 proposes to remove the prohibition on the classification of routine adult dental health coverage as an essential health benefit (EHB). Under this proposed rule, states would have the option of classifying adult dental care as an EHB. If a state chose to classify adult dental health as an EHB, the state (or the federal government as a fallback) would be required to enforce the same ACA protections for adult dental coverage that apply to other EHBs...

The Congressional Research Service has published an updated report on The Elder Justice Act. The report provides background on the legislation, breaks down the provisions in the Act, lays out different funding mechanisms, and highlights pertinent issues for Congress to consider.

CMCS has released the FFY 2018 Adult Core Set data. This data set provides information on 23 adult measures voluntarily reported by states. Recently released publications include an overview of 2018 findings, a core set chart pack, a summary of performance on measures, and the 2018 quality measures dataset.

Section 1332 State Innovation Waivers can help improve the health insurance market and lower premiums for consumers, including older adults, but can also cause harm if used the wrong way. This guide provides background on State Innovation Waivers and highlights five key steps that states should take to understand and evaluate the impact of these waivers on older adults.

On Thursday, November 15, 2018, the Kaiser Family Foundation (KFF) published an issue brief exploring the upcoming changes to spousal impoverishment policies in Federal Medicaid HCBS policy. This report provides an explanation of why spousal impoverishment policies exist, the changes made by the Affordable Care Act (ACA), and the potential implications of the expiration of these ACA changes.

This issue brief summarizes the current evidence surrounding the effects of Medicaid expansion on coverage, access, affordability, health outcomes, and economic indicators. The paper draws primarily from evidence examined in 202 studies reviewed in a previous KFF literature review on this subject.

This brief analyzes fifteen structured interviews conducted with leadership staff in states using state-based health insurance marketplaces. It explores the different actions these states may utilize to stabilize the marketplace and reduce consumer confusion in the face of uncertainty regarding federal policies.

Justice in Aging published an issue brief that offers an analysis of the findings from the evaluation of the Financial Alignment Initiative (FAI), commonly known as the dual eligible demonstration. Research Triangle Institute was contracted by the Centers for Medicare and Medicaid Services (CMS) to conduct this evaluation, which focused on the first six months of operation of the demonstration in each of the seven states where it was rolled out.

The National Alliance for Caregiving, in collaboration with Mental Health America and the National Alliance on Mental Illness, released a report surrounding the topic of caregivers of adults with mental illness. "At least 8.4 million Americans are providing care to an adult with an emotional or mental health issue, and nearly three quarters report that caregiving causes high emotional stress." This report examines the inadequacies the families of individuals with mental illness face in the U.S.

The Bipartisan Policy Center (BPC), with funding from the SCAN Foundation, published a report offering recommendations to improve the financing of long-term care. The BPC published another report in April 2014 that examined the challenges in financing and delivery. This report is a follow up of those findings that offers recommendations to improve these issues.