BLOOMBERG BNA WEBINAR EVENT: Medicaid Expansion: The Foundation of the ACA Coverage Continuum
Thursday, October 31, 2013
2:00 PM - 3:30 PM ET
The Affordable Care Act (ACA) provides authority and enhanced federal funding for states to expand their Medicaid programs beginning in January 2014 to all adults under 65 with incomes below 133% of the Federal Poverty Level. To date, 25 states have announced their intentions to expand Medicaid. Many more continue to consider the fiscal and reform implications of the expansion and are working with the federal government to craft workable approaches. If enacted nationwide, the ACA Medicaid expansion would enroll 21.3 million individuals by 2022. Apart from the expansion, the ACA makes dramatic changes to Medicaid benefits and eligibility categories as well as eligibility and enrollment requirements and processes.
Clearly, Medicaid is one of the pillars of universal coverage under the ACA. By bringing millions of more Americans into the healthcare system, it will play a significant role in shaping the strategies and plans for all the healthcare stakeholders, from states to providers to payers to life sciences companies.
The faculty presenting this program will take an in-depth look at the facts, implications and impact around Medicaid program changes under the ACA and how the healthcare players can adapt to a dramatically different environment, including:
- The ACA’s changes to Medicaid and the options and considerations of dealing with ACA-compliant programs;
- Expansion considerations for states, from fiscal implications to the coverage “black hole”;
- An overview of where state decisions stand today;
- The rules around enhanced federal funding for states expanding Medicaid;
- Alternative Benefit Programs and implications for Medicaid benefit packages and service delivery;
- The rules and effects of streamlining eligibility;
- The integration of Medicaid and Exchanges across key functions—and options for coordinating eligibility;
- The ACA mandate around disproportionate share hospital payments (DSH), designed to compensate hospitals for care to indigent patients; and
- Other coverage alternatives for low-income consumers.
- Gain an understanding of the ways the ACA is transforming Medicaid, the impact on the healthcare landscape, and the changes, challenges and opportunities of ACA-compliant Medicaid programs.
- Learn the process for constructing a Medicaid ABP—from selecting a benchmark plan to conducting a comparative analysis to meet federal requirements.
- Explore the full range of factors states need to consider when choosing whether to expand Medicaid and the status of state decisions today.
- Find out all of the rules, formulas and calculations around federal funding, eligibility and enrollment, with concrete examples and real-world scenarios provided.
- Discover the options, requirements and responsibilities around integrating and aligning the Medicaid and Exchange functions.
- Learn other coverage alternatives for low-income populations, including premium assistance and cost-sharing support.
Who would benefit most from attending?
Individuals involved in health reform decisions and implementation for states, as well as general counsel, strategic planners and regulatory/government affairs executives at payer, provider and life sciences organizations will benefit from the program. Attorneys and foundations focused on healthcare, access and coverage issues also will get value from the program.
Program Level: Intermediate
Credit Available: This program’s CLE-credit eligibility varies by state.