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Social and Behavioral Sciences Commons™
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Full-Text Articles in Social and Behavioral Sciences
Multi-State Plans Under The Affordable Care Act, Trish Riley, Jane H. Thorpe
Multi-State Plans Under The Affordable Care Act, Trish Riley, Jane H. Thorpe
Health Policy and Management Faculty Publications
New state health insurance exchanges that are developing under The Patient Protection and Affordable Care Act (ACA) will offer consumers a choice of private health plans known as qualified health plans (QHPs). Under the law, in every state, two of those must be multi-state plans or MSPs. These plans will be administered by the federal Office of Personnel Management (OPM). The MSPs must meet the same requirements as other QHPs. As with other QHPs, people enrolled in the plans will be eligible for premium tax credits and cost sharing assistance if their income is less than 400 percent of poverty …
Saving Money: The Massachusetts Tobacco Cessation Medicaid Benefit: A Policy Paper, Leighton C. Ku, David Zauche, E. Ripley Forbes
Saving Money: The Massachusetts Tobacco Cessation Medicaid Benefit: A Policy Paper, Leighton C. Ku, David Zauche, E. Ripley Forbes
Health Policy and Management Faculty Publications
In the United States, about 70% of smokers want to quit and 50% make a quit attempt each year. Unfortunately, only a small percent are successful, due in part to the lack of easy access to tobacco dependence treatments that have been proven effective. In light of the societal costs of tobacco-related illness, government must do everything it can to encourage and enable smokers to quit.
The tobacco use landscape in this country has changed in recent years -- people with lower income and education levels have a much higher probability of smoking. For instance, the smoking rate for those …
The Return On Investment Of A Medicaid Tobacco Cessation Program In Massachusetts, Patrick Richard, Kristina West, Leighton Ku
The Return On Investment Of A Medicaid Tobacco Cessation Program In Massachusetts, Patrick Richard, Kristina West, Leighton Ku
Health Policy and Management Faculty Publications
Background and Objective
A high proportion of low-income people insured by the Medicaid program smoke. Earlier research concerning a comprehensive tobacco cessation program implemented by the state of Massachusetts indicated that it was successful in reducing smoking prevalence and those who received tobacco cessation benefits had lower rates of in-patient admissions for cardiovascular conditions, including acute myocardial infarction, coronary atherosclerosis and non-specific chest pain. This study estimates the costs of the tobacco cessation benefit and the short-term Medicaid savings attributable to the aversion of inpatient hospitalization for cardiovascular conditions.
Methods
A cost-benefit analysis approach was used to estimate the program's …
Building A Relationship Between Medicaid, The Exchange And The Individual Insurance Market, Sara J. Rosenbaum, Trish Riley
Building A Relationship Between Medicaid, The Exchange And The Individual Insurance Market, Sara J. Rosenbaum, Trish Riley
Health Policy and Management Faculty Publications
The alignment of Medicaid and State Health Insurance Exchange (Exchange) policy and practice is a basic tenet of the Patient Protection and Affordable Care Act (ACA). Through both legislative provisions and implementing regulations, the ACA addresses this relationship. At the same time, the federal framework provides states with considerable discretion to flesh out the fuller dimensions of system interaction.