ANA\C will keep you updated with the latest information you need to know on both the Federal & State level.
The full ACA goes into full swing on 1.2014.
July 2014: Covered California Announces Promotion and New Appointment to Senior Leadership Team:
SACRAMENTO, Calif. — Covered California Executive Director Peter V. Lee has announced the appointments of Yolanda R. Richardson as chief deputy executive director of strategy, marketing and product development; and Susannah C. Johnsrud as the new chief deputy executive director of operations. In her new role, Richardson is responsible for developing and implementing the agency’s strategic approach to product development, marketing and sales to ensure Covered California is well-positioned to retain its strong customer base and continue its rapid growth by providing a solid value proposition for individuals and small businesses.
“Yolanda Richardson has not only done a stellar job in getting us more than up and running; she also brings to Covered California deep experience in private health plan operations,” Lee said. “She embodies the Covered California spirit of listening, learning and adjusting.” Richardson joined Covered California in April 2012 as deputy chief operations officer, playing an instrumental leadership role in setting up the new exchange’s operations. She provided executive-level leadership over the direction of day-to-day operations for the agency. She also provided leadership over the design and management of internal control systems, organizational structure, all business operations and human resources. The salary for Richardson’s new position with Covered California is $210,000.
Johnsrud most recently served as director of the Financial Information System for California (the FI$Cal Project), which is integrating financial management for the state of California. Previously, she was chief operating officer of the governor’s office, providing counsel on fiscal, human resources, information technology and other issues statewide. She also has served as chief administrative officer and chief financial officer for the state Department of Justice. The salary for her position with Covered California is $190,000.
“Sue Johnsrud has a wealth of experience in information technology, operations, human resources and complex financial management,” Lee said. “She comes to us with a great background and perspective to help us as we continue to grow and mature as an organization.
“Covered California has a big mission, big aspirations and a big job. With the team we are building — including Yolanda, Sue and our entire staff — we are positioned well to manage the challenges that lie ahead.”
About Covered California
Covered California is the state’s marketplace for the federal Patient Protection and Affordable Care Act. Covered California, in partnership with the California Department of Health Care Services, was charged with creating a new health insurance marketplace in which individuals and small businesses can get access to affordable health insurance plans. With coverage starting in 2014, Covered California helps individuals determine whether they are eligible for premium assistance that is available on a sliding-scale basis to reduce insurance costs or whether they are eligible for low-cost or no-cost Medi-Cal. Consumers can then compare health insurance plans and choose the plan that works best for their health needs and budget. Small businesses can purchase competitively priced health insurance plans and offer their employees the ability to choose from an array of plans and may qualify for federal tax credits.
Covered California is an independent part of the state government whose job is to make the new market work for California’s consumers. It is overseen by a five-member board appointed by the governor and the Legislature. For more information on Covered California, please visit www.CoveredCA.com.
CMS NEWS FOR IMMEDIATE RELEASE Contact: CMS Media Relations GroupJune 16, 2014 (202) 690-6145 or email email@example.com
CMS initiative helps people make the most of their new health coverage“From Coverage to Care” outreach to engage doctors and new patients
Today, the Centers for Medicare & Medicaid Services (CMS) launched a national initiative “From Coverage to Care” (C2C), which is designed to help answer questions that people may have about their new health coverage, to help them make the most of their new benefits, including taking full advantage of primary care and preventive services. It also seeks to give health care providers the tools they need to promote patient engagement.
“Helping to ensure that new health care consumers know about the benefits available through their coverage, and how to use it appropriately to obtain primary care and preventive services is essential to improving the health of the nation and reducing health care costs,” said Dr. Cara V. James, director of the CMS Office of Minority Health. Dr. James noted that, “to achieve these goals, we need to make sure that people who are newly covered know that their coverage can help them stay healthy, not just help them get better if they get sick.”
C2C will be an ongoing project. As more and more people obtain coverage, there will be a continuous need to ensure that people have answers to questions they might have about their new coverage and are appropriately connected to the health care system to help them live long, healthy lives.
Today’s launch also marks the release of the new Roadmap to Better Care and a Healthier You, http://marketplace.cms.gov/help-us/c2c-roadmap.pdf?linkId=8267630, which includes 8 steps to help consumers and health care providers be informed about the diverse benefits available through their coverage and how to use it appropriately to access to primary care and preventive services. Among other things, the “Roadmap” contains information on health care coverage terms, the differences between primary care and emergency care, and the cost differences of decisions to seek care in- and out-of-network, where applicable to the consumer’s health plan.
More information about C2C and other helpful resources, including a 10-part video series, to help those with new health care coverage make the most of their coverage, and raise awareness about the importance of getting routine primary care and regular preventive care are available at: http://marketplace.cms.gov/c2c. People with related questions about the C2C initiative should write to Coveragetocare@cms.hhs.gov ###
The first regional report examining implementation of the Affordable Care Act comes from the Nelson A. Rockefeller Institute of Government, the public policy research arm of the State of New York, and is cosponsored by the Fels Institute of Government at the University of Pennsylvania
Managing Health Reform: California Round 1 State-Level Field Network Study of the Implementation of the Affordable Care Act. Read this report.
Health Insurance Market Place Open:
There is considerable information that everyone needs to know about the new Health Insurance Market.
Health Insurance Marketplace Basics
For state-specific information and resources and to sign up for email and text alerts, visit the State by State and How the Health Care Law Benefits You webpages on Healthcare.gov.
Access Downloadable Materials
To help answer any questions that you or your patients may have about the Health Insurance Marketplace, access two publications:
Health Insurance Marketplace: 10 Things Providers Need to Know (http://marketplace.cms.gov/getofficialresources/publications-and-articles/10-things-providers-need-to-know.pdf)
Health Insurance Marketplace: 10 Things to Tell Your Patients (http://marketplace.cms.gov/getofficialresources/publications-and-articles/10-things-to-tell-your-patients.pdf)
Host community meetings/nursing rounds in webinar, teleconference or in-person formats to talk about the ACA. To help you with the presentation, access PowerPoint slides, talking points and other educational materials at http://marketplace.cms.gov/training/get-training.html. CMS can offer an Administration official to offer specifics and engage your members and community.
Web, Social Media Resources
Visit HealthCare.gov (Spanish: CuidadoDeSalud.gov) for state-specific information to sign up for email and text alerts, or contact the call center at 1-800-318-2596 1-800-318-2596 (TTY: 1-855-889-4325 1-855-889-4325). Help is available 24/7 in 150 languages.
Add marketplace widgets (http://marketplace.cms.gov/getofficialresources/widgets-and-badges/mp-badges-english.html) to your email signature.
Obtain free Continuing Education via the Medscape module [login required], “What the Healthcare Marketplace Means for Practices and Patients”. Please take advantage of these opportunities to learn more about the Marketplace so that you can provide information to your patients, communities and fellow nurses. The Marketplace will help people get healthy and stay healthy, so please do your part to provide this critical information.
ANA will continue to share updates, announcements and resources as they become available.
Additional Time to Establish Protocols for Newly Required Face-to-Face Encounters for Durable Medical Equipment (DME):
On September 9, 2013 CMS announced they will be postponing the active enforcement and full compliance of the durable medical equipment face-to-face signature requirement until unspecified date in 2014. Section 6407 of the ACA established a F2F encounter requirement for certain items of DME. The law requires that a physician must document that a physician, nurse practitioner, physician assistant or clinical nurse specialists has had a face-2-face encounter with the patient. CMS has twice postponed implementation of this rule.
Health Affairs Explores the "Thorns" Awaiting the Affordable Health Care Act:
With just weeks before the health insurance exchanges across the US open their web portals for business Health Affairs focuses on who stands to gain, or lose in their September issue. Read the attached.
Health Insurance Market Place Survey:
CMS requests healthcare providers to answer the Health Insurance Marketplace Survey for healthcare providers. Please send the completed survey to firstname.lastname@example.org. Print survey.
Mandatory Expansion of Medi-Cal Under ACA:
Information about the fiscal estimate of the Administration's proposal on the expansion of Medi-Cal.
Please consult www.dhcs.ca.gov for more detailed information.
Report From Covered California (formerly California Health Care Exchange)
California was the first state to enact legislation creating a Health Benefit Exchange following the passage of the Patient Protection and Affordable Care Act. Since its creation, Covered California has begun building the foundations that will be essential to the success of this new innovative health coverage marketplace. In 2011 Covered California adopted its vision, mission and values statement, setting the framework for doing business with a primary focus being on making it easy and affordable for Californians who are eligible to obtain health coverage. Enrollment for new subsidized coverage will begin on October 1, 2013-90 days in advance of when coverage begins on January 1, 2014. A full annual report is provided which covers in detail the work of Covered California.
We have archived reports from 2010-2012 on a variety of health care reform issues.