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by on 07/06/2012

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Health Care After the Supreme Court Decision: What’s Next?

*Registration for this briefing is closed.

The Supreme Court has ruled on the constitutionality of the health reform law. Now it remains for stakeholders, policymakers, analysts and taxpayers to take it from here. Shifts in health care delivery towards more coordinated care to improve quality and efficiency are already taking place in the public and private sector. But many provisions in the law require specific actions to be taken and deadlines to be met by states, providers and others in order to implement various aspects of health reform scheduled to take effect in January, 2014.

How many states will be ready to open the doors of their health insurance exchanges on schedule? Is the federal government prepared to administer such exchanges in states that are not building their own? Will information systems be ready to determine eligibility for Medicaid or subsidized health insurance? What about the movement between the two as consumers’ incomes vary across the year? Will some states continue to slow implementation efforts until after the November national elections?

What does the court’s ruling mean for those without health insurance? Will states that choose to participate in the Medicaid expansion be ready to cover nearly all non-disabled adults under age 65 with household incomes at or below 133 percent of the federal poverty level as of January, 2014? Will some states likely choose not to participate in the expansion now that the court has removed the most severe penalty for not doing so?

Panelists are: Sheila Burke, Harvard UniversityChristopher Jennings, Jennings Policy Strategies; MaryBeth Musumeci, Kaiser Family Foundation; and Joshua Sharfstein, Maryland Department of Health and Mental HygieneDiane Rowland of Kaiser and Ed Howard of the Alliance will co-moderate.

WHEN:   Monday, July 9, 12:15 PM to 2:00 PM (Lunch available at noon)
WHERE:  Room G-50, Dirksen Senate Office Bldg.
Source Materials

Supreme Court Decision on the Health Reform Law: Selected Experts and Resources (Adobe Acrobat PDF), Alliance for Health Reform,  6/27/2012
Materials List (Adobe Acrobat PDF), 7/9/2012
Source List (Adobe Acrobat PDF), 7/9/2012
Maryland’s Progress with Coverage Expansion Under the ACA (Adobe Acrobat PDF), 7/9/2012
Maryland’s Progress with Coverage Expansion Under the ACA (Adobe Acrobat PDF), 7/9/2012
Offsite Materials (briefing documents saved on other websites)

We lost on health care. But the constitution won., Washington Post, Outlook, 7/1/2012
– Barnett, Randy
Hail to the Chief (John Roberts, That Is): Thoughts on the Legislative Implications of Today’s Ruling., Brookings, 6/28/2012
– Binder, Sarah
The Individual Mandate: How Sweeping?, Kaiser Family Foundation, 3/21/2012
– Cox, Cynthia and Larry Levitt
Establishing Health Insurance Exchanges: An Overview of State Efforts, Kaiser Family Foundation, 7/1/2012
Obamacare Silver Linings: A Limited Victory for Limited Government, The Heritage Foundation, 6/28/2012
– Gaziano, Todd
Health Insurance Market Reforms: Guaranteed Issue (Adobe Acrobat PDF),Kaiser Family Foundation, 6/1/2012
Health Insurance Market Reforms: Rate Restrictions (Adobe Acrobat PDF),Kaiser Family Foundation, 6/1/2012
Supreme Court Lets Health Law Largely Stand, New York Times, 6/28/2012
– Liptak, Adam and John Cushman Jr. 
For Health Sector: Forward, March, The Wall Street Journal, 6/29/2012
– Mathews, Anna W
A Guide to the Supreme Court’s Affordable Care Act Decision (Adobe Acrobat PDF),Kaiser Family Foundation, 7/1/2012
– Musumeci, MaryBeth
The Supreme Court’s Medicaid Ruling: ‘A Shift In Kind, Not Merely Degree’, Health Affairs Blog, 6/28/2012
– Rosenbaum, Sara
Decision Time for States on the Affordable Care Act.” , Health Affairs Blog, 7/2/2012
– Weil, Alan
ACA Implementation-Monitoring and Tracking: Maryland Site Visit Report (Adobe Acrobat PDF),The Urban Institute, 3/1/2012
– Blumberg, Linda
A Mid-Year State Medicaid Budget Update for FY 2012 & A Look Forward to FY 2013, The Kaiser Commission on Medicaid and Uninsured, 2/1/2012
What Supreme Court health care ruling means to business, Post Tribune, 6/28/2012
– Knowles, Francine, Monifa Thomas, and Sandra Guy
National Federation of Independent Business et al. v. Sebelius, Secretary of Health and Human Services, et al (Adobe Acrobat PDF),The Supreme Court of the United States, 6/28/2012
– Opinion of the Supreme Court of the United States
Where States Stand on Implementing Health Care Law, , 6/28/2012


Health Care Costs: The Role of Technology and Chronic Conditions

Many factors have been cited as health care cost drivers, including demography, geography, economics and health status. But there is little agreement on how much each factor contributes to overall costs. This briefing offered an in-depth look at two of the most-often cited cost drivers — technology and chronic conditions. Cosponsored by the Alliance and nine other groups.

 Read More

New Issue Brief — Cost Drivers in Health Care

Almost two dozen factors are contributing to the high cost of health care, according to a new issue brief from the Alliance. Drafted by Jack Ebeler of Health Policy Alternatives and supported by a grant from Eli Lilly, the four-page publication divides the drivers into three groups: national demographic and economic factors, determinants of the health of individuals and societies, and health system factors. To download, click here.

 Read More

Issue Brief — Local Quality Collaboratives

The latest Alliance issue brief reports on how collaboratives are working at the local level to improve care in ways tailored to each community’s needs. Written by the Alliance’s Deanna Okrent and supported by the Robert Wood Johnson Foundation. To download, click here.

 Read More

Community Collaboratives at a Glance

This side-by-side chart compares three types of community quality initiatives: 1) Aligning Forces for Quality communities, funded by the Robert Wood Johnson Foundation, 2) Beacon Communities, funded by the Office of the National Coordinator for Health Information Technology, and 3) Chartered Value Exchanges, funded by the federal Agency for Healthcare Research and Quality.

 Read More

New Edition of “Covering Health Issues” Available Online

The completely updated 200-page Alliance sourcebook, “Covering Health Issues, 6th Edition” is now available online. Written with reporters in mind,”Covering Health Issues” is useful for anyone looking for concise information on health policy issues, and experts from across the political spectrum. Chapters contain fast facts, background, tips for reporters, story ideas and experts with contact information. The book also includes an extensive glossary and ideas for TV and radio reporters. Supported by a grant from the Robert Wood Johnson Foundation. To see a video demonstration of the book by Julie Rovner of NPR, click here. To go to the table of contents, click here. To download the entire sourcebook as a PDF, click here.

 Read More

Experts and Resources for Post-Supreme Court Decision

To help you assess the impact of the Supreme Court’s decision about the Patient Protection and Affordable Care Act, the Alliance for Health Reform has compiled a list of selected experts and websites. To download, go to

Also, please mark your calendar for Alliance briefings on the decision and its aftermath — July 9 for all audiences and July 19 for reporters only. Webcasts of both briefings will be available within 48 hours after the events.

 Read More

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