AHRQ, CMS Award $13 Million to Test and Implement New Children's Quality Measures
The Agency for Healthcare Research and Quality (AHRQ) and the Centers for Medicare and Medicaid Services (CMS) recently announced $13.4 million in funding over four years to six new Pediatric Quality Measures Program (PQMP) grantees focused on implementing new pediatric quality measures developed by the PQMP Centers of Excellence (COE). The PQMP was initially established in 2011 by AHRQ and CMS under Title IV of the Children's Health Insurance Program Reauthorization Act; its aim was to increase the portfolio of evidence-based, consensus pediatric quality measures available to public and private purchasers of children's health care services. The initial phase of the seven PQMP-funded COEs was to develop original, innovative pediatric measures. This next phase of work will implement and test these newly developed pediatric measures in real-world settings to learn more about how they work when used in the front lines of care. Click here for more information.
New HHS Analysis Shows 2.5 Million Americans Buying Off-Marketplace Individual Health Coverage May be Eligible for Tax Credits
Since the Affordable Care Act became law, millions of Americans have gained coverage or found more affordable options thanks to premium tax credits available through the health insurance marketplace. The U.S. Department of Health and Human Services (HHS) released data showing that 2.5 million Americans who currently purchase off-marketplace individual market coverage may qualify for tax credits if they shop for 2017 coverage through the marketplace. Six states (California, Texas, Florida, North Carolina, Illinois and Pennsylvania) each have more than 100,000 individuals enrolled in off-marketplace individual market coverage whose incomes may qualify them for marketplace tax credits. During the upcoming open enrollment, HHS will place new emphasis on ensuring that people currently buying individual market coverage off-marketplace know their options.
Open Enrollment for Plan Year 2017 Launches Nov. 1
The health insurance marketplace will open for enrollments for the 2017 health plan year beginning Nov. 1. The marketplaces will remain open until Jan. 31. Outside of the open enrollment period, individuals can enroll in marketplace coverage only if they've experiences a qualifying life event triggering a special enrollment period. Title V agencies should refer uninsured women, children and families to their state Navigator grantees for assistance enrolling in a health plan. A complete list of Navigator grantees is available here and here. For more information on open enrollment, check out AMCHP's fact sheet here.