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    Open Enrollment - March 2014 Update

    Open enrollment in the Health Insurance Marketplaces ends March 31, 2014 for coverage in 2014. Enrollment in Medicaid and the Children Health Insurance Program is open throughout the year. This is an update to previous versions of this fact sheet.

    The Ryan White and Health Insurance Interface: One Clinic's Approach

    Jana Collins, who manages the Ryan White Program grant for the Bluegrass Care Clinic in Kentucky, presents the clinic's approach to assisting insured patients with cost sharing, and explain how the clinic accounts for these patients in its Ryan White Program grant reports.

    Exceptions and Appeals: Knowing Your Patients’ Rights

    The Patient Protection and Affordable Care Act (ACA) established new protections allowing medical providers to challenge adverse health plan coverage decisions. This fact sheet was created to help HIV providers assist their patients with these processes.

    Tools for Monitoring HIV Care: HIV Clinical Quality Measures (Updated January 2014)

    This issue brief describes available HIV-related quality measures and how they are currently being used to monitor the delivery of HIV care by federal programs. This information is intended to support the implementation of HIV quality measures across public and private insurers and health care systems as health care coverage is expanded.

    Open Enrollment Information

    Part of HIVMA’s ongoing series, this latest fact sheet includes resources to help with open enrollment in the Health Insurance Marketplaces. This document compiles enrollment information and resources for HIV medical providers.

    Preparing for Health Reform: Contracting with Insurers

    Many previously uninsured or underinsured people will have expanded access to health insurance through the Affordable Care Act (ACA). This guide provides physicians and medical practices with basic information to help them successfully navigate the rapidly evolving health insurance market.

    Preparing for ACA’s Health Care Coverage Expansion: Key Terms

    Open enrollment in the Medicaid expansion and the health insurance Marketplaces begins October 1, 2013, for health coverage that takes effect January 1, 2014. This document is a reference for information on common terms related to the Affordable Care Act’s (ACA) health care coverage expansion.

    Preparing for Health Reform: Enrollment Information for HIV Providers

    Part of HIVMA’s ongoing series, this latest fact sheet includes resources to help providers prepare for the coverage expansion and ensure their patients have access to care. Enrollment in the new Health Insurance Marketplaces will begin Oct. 1, 2013, for health coverage that takes effect Jan. 1, 2014.

    Essential Community Providers Fact Sheet - Updated June 2013

    The Patient Protection and Affordable Care Act (ACA) requires Marketplace (or Exchange) plans to contract with some Essential Community Providers (ECP) – providers with experience caring for medically underserved populations.

    HIV Medical Clinics – Health Reform Webinar: Preparing for 2014

    Many people with HIV who currently rely on the Ryan White HIV/AIDS Program will begin enrolling in Medicaid or new marketplace coverage in October 2013 for coverage effective in January 2014.

    New Coverage Options and Health Care Reform Fact Sheet

    Enrollment will begin in October 2013 for coverage beginning January 2014. At this time, uninsured or underinsured individuals and families will have more health coverage options. This fact sheet provides information for HIV providers on how their patients may be affected.

    Preparing for Health Coverage Expansion Fact Sheet

    In 2014, many uninsured patients with HIV will have health insurance for the first time, and others will transfer to new health coverage. For patients to continue to see their HIV medical providers, their providers will need to contract with the plan offering this coverage.

    Medicaid Primary Care Payment Rate Increase Fact Sheet

    The Patient Protection and Affordable Care Act (ACA) increased Medicaid payment rates to Medicare levels for primary care services for 2013 and 2014. Many HIV physicians that provide primary care services will be eligible for the enhanced payment rates.

    Fair Antiretroviral Drug Pricing and Robust Coverage for Antiretrovirals: Critical Factors in Ending the HIV Pandemic

    Unprecedented scientific achievements have produced effective HIV treatment and prevention tools that allow leaders worldwide to envision an AIDS-free generation three decades into the HIV pandemic. The evidence is overwhelming that early and ongoing access to HIV treatment not only saves the lives of HIV-infected individuals but also dramatically reduces their risk of transmitting the virus, which heightens the urgency to improve access to HIV care and treatment.

    Making Health Care Reform Work

    While the federal government is setting broad standards for implementing the ACA, many of the important details will be decided at the state level. HIV medical providers can play a unique role in educating state policymakers.

    Fact Sheet: How Does the Affordable Care Act Help People Living with HIV/AIDS? (PDF)

    The law makes significant progress in addressing these concerns and in advancing the rights of PLWHAs consistent with the goals of the President’s National HIV/AIDS Strategy.

    New Rules Facilitate Enrollment in Pre-Existing Condition Insurance Plans

    On May 31st the Department of Health and Human Services announced new eligibility standards and lower premiums in some states that will now make this program, created by the Affordable Care Act, available to many more Americans.

    New Pre-existing Condition Insurance Program Resources

    Fact sheet and chart that offers details on the new program for people denied health coverage due to a pre-existing condition. Developed by the HIV Health Care Access Working Group.

    HIVMA's Health Care Reform Principles and New Health Reform Law

    A comparison of the House and Senate health care reform bills and assessment of how they stack up with respect to HIVMA’s policy priorities.


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