Health Insurance Project: Publications
Passive/Active: Defining the Role for a Health Benefit Exchange in the Interests of New Yorkers
A new Fund report carefully examines the roles New York’s health benefit exchange should play, ranging from a passive marketplace with the free market alone determining the quantity and scope of offerings, to an active purchaser. Fourth in a series of reports on the health benefit exchange.
New Directions
New directions. Innovation. Fundamental change. Those imperatives are an essential part of the Fund's work, as highlighted in the 2011 annual report.
Two into One: Merging Markets and Exchanges under the Affordable Care Act
This Fund report focuses on two discretionary decisions New York faces under the Affordable Care Act: first, merging the health benefit exchanges for individuals and small businesses, and second, merging the individual and Small Group markets. Through analysis of different scenarios, the report presents estimates of the premium change that would result from setting rates for these populations based on the combined experience of individuals and groups.
Health Insurance Coverage in New York, 2009
This edition of the annual chartbook quantifies differences in insurance coverage and uninsurance around New York State and within New York City. Data are broken down into 14 separate regions across the state, including the five boroughs of New York City. Within the city itself, estimates are provided for 55 separate neighborhoods.
Implementing Health Care Reform: External Review of Health Plan Decisions
This issue brief recommends changes for New York's highly regarded External Review program, which allows consumers to appeal health plan benefit denials before impartial medical panels.
Coordinating Medicaid and the Exchange in New York
Second in a series focused on New York's health exchange, this report describes the steps necessary to integrating New York's Medicaid program and health insurance exchange.
Blueprint, Spring 2011
Among the highlights of the spring 2011 issue of Blueprint is a cover story about the launch of a major community diabetes initiative.
The Big Picture III: Private and Public Health Insurance Markets in New York, 2009
The Big Picture is the Fund’s series of yearly reports that highlight enrollment and financial results in New York’s public and private insurance markets. According to this installment, total premiums paid by government, individuals, and businesses for public and private insurance coverage approached $50 billion in 2009, a 7.5 percent increase over the previous year. The report examines factors contributing to increased profitability and considers the state’s forthcoming challenges related to structuring a health insurance exchange.
"Revisioning" Medicaid as Part of New York's Coverage Continuum
Federal health care reform and new state Medicaid administration legislation can help New York achieve a radically streamlined, consumer-friendly eligibility and enrollment process for Medicaid and subsidized coverage options in the Exchange. This report details the challenges of achieving that goal.
Building the Infrastructure for a New York Health Benefit Exchange: Key Decisions for State Policymakers
This special report examines key structural decisions New York State must make as it sets up a health insurance exchange to meet federal Affordable Care Act deadlines. It is based on a thorough review of the federal reform law, New York laws and regulations, and activities in Massachusetts and other states. Providing an analytical framework for state policymakers, it lays out the type and scope of possible exchanges and presents a detailed assessment of governance issues.
Blueprint, Fall/Winter 2010
This issue of Blueprint features a cover story on making health care reform work in an environment of fiscal constraints, a commentary by Jim Tallon framing the Affordable Care Act, and a host of articles on Fund initiatives, grants, and events.
A Multipayer Approach to Health Care Reform
This Fund report assesses the opportunities and challenges for multipayer collaborations to be critical agents of reform in health care delivery.
Rethink/Renew/Reshape/Reform
In this time of unprecedented urgency and opportunity, the Fund's 2010 annual report focuses on the clear links between our unique approach to shaping improved health care, our accomplishments of the past year, and the challenging road immediately ahead.
Enrolling Childless Adults in Medicaid
A new Medicaid Institute report outlining health care reform's opportunities and incentives for states to extend Medicaid eligibility to more childless adults. New York's experience with this population is relevant to other states that will extend eligibility to it for the first time. The Affordable Care Act's significant financial incentives and new opportunities to streamline enrollment may also help New York meet its own enrollment challenges.
Health Insurance Coverage in New York, 2008
Newly updated and expanded with 2007-2008 data, the Fund’s annual chartbook provides an invaluable snapshot of the uninsured in New York, detailing income, employment status, age, and other demographic information. It also tracks coverage distribution among workers and low-income New Yorkers, estimates the number of uninsured New Yorkers who are eligible for public health insurance, and describes trends in coverage over time. Data presented are the most recent available from the Current Population Survey.
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