Legal Solutions in Health Reform: Insurance Discrimination on the Basis of Health Status: An Overview of Discrimination Practices, Federal Law, and Federal Reform Options

Provides an overview of the insurance industry's discriminatory practices based on health status in designing and administering health insurance and employee health benefit plans. Discusses current federal law and interim and long-term reform options

Medicaid's Future: What Might ACA Repeal Mean?

Issue: Republicans in Congress are expected to repeal portions of the Affordable Care Act (ACA) using a fast-track process known as budget reconciliation.Goals: This issue brief examines how repeal legislation could affect Medicaid, the nation's health care safety net, which insured 70 million people in 2016.Findings and Conclusions: Partial-repeal legislation that passed Congress but was vetoed by President Obama in 2016 offers some insight but new legislation could go further. It could repeal the ACA's Medicaid eligibility expansions for adults and children but also roll back other provisions, such as simplified enrollment and improvements in long-term services and supports for beneficiaries with disabilities. Additionally, the Trump Administration could expand use of demonstration authority to introduce deeper structural changes into Medicaid, such as eligibility restrictions tied to work, required premium contributions and lock-out for nonpayment, annual enrollment periods, and coverage limits and exclusions. Together, these changes would have far-reaching implications for Medicaid's continued role as the nation's safety-net insurer

Improving the Delivery of Key Work Supports: Policy & Practice Opportunities at a Critical Moment

Examines the consequences of a lack of coordination and seamless service delivery across support programs. Outlines policy, procedural, and data utilization options and best practices to expedite receipt of benefits across programs, as well as challenges

Health Care Fraud

Provides an overview of trends in fraud and abuse involving private insurance, Medicaid, and Medicare; types of schemes; risk factors; and consequences. Examines federal and state laws aimed at healthcare fraud, reported cases, and enforcement efforts

Community Health Centers in an Era of Health System Reform and Economic Downturn: Prospects and Challenges

Reviews 2008 legislation reauthorizing community health centers and the factors affecting their role as providers for the uninsured, publicly insured, and underinsured. Outlines health centers' patient mix, quality of care, revenues, and challenges

The Globalization of Healthcare

Reviewing I. Glenn Cohen, Globalization of Health Care: Legal and Ethical Issues