Resources
This section of the NHPF Web site provides easily accessible, basic information about key health policies and programs. The documents below offer information on Health Reform, Medicare, Medicaid, Health Insurance & the Uninsured, CHIP, the Safety Net, Public Health, Aging & Long-Term Care, and Workforce issues, in a variety of formats.
The Basics are short primers that answer basic questions on programs and practices. Glossaries and lists of acronyms define commonly used health care terms, and help navigate the alphabet soup and short-hand of health care and health policy. Briefing Books provide background materials offered at Forum-sponsored fundamentals briefings on Medicare, Medicaid, CHIP, and private insurance. Background Papers are in-depth syntheses of market analysis or research findings on a particular topic or program initiative.
Health Reform
Forum Session — OCTOBER 29, 2010
Focus on Reform: Medicaid Long-Term Services and Supports (LTSS) Provisions in PPACA
Manager: Carol V. O'Shaughnessy
Forum Session — SEPTEMBER 17, 2010
Focus on Reform: Employer-Sponsored Insurance
Manager: Kathryn Linehan
Forum Session — JULY 22, 2010
Focus on Reform: How a Law Becomes a Reg —
Regulatory Processes to Implement Legislation
Manager: Judith D. Moore
Forum Session — JULY 16, 2010
Focus on Reform: Health Care Safety Net-Related Provisions
Manager: Jessamy Taylor
Forum Session — JUNE 25, 2010
Focus on Reform: Public Health Provisions
Managers: Jessamy Taylor & Michele J. Orza, ScD
Forum Session — JUNE 18, 2010
Focus on Reform: Long-Term Services and Supports (LTSS) and the CLASS Act
Manager: Carol V. O'Shaughnessy
The Basics — JUNE 9, 2010
The Community Living Assistance Services and Supports (CLASS) Act: Major Legislative Provisions
Author: Carol V. O'Shaughnessy
Forum Session — MAY 14, 2010
Focus on Reform: Private Health Insurance Provisions
Manager: Kathryn Linehan
Forum Session — MAY 7, 2010
Focus on Reform: Medicaid Coverage Expansions
Manager: Christie Provost Peters
Forum Session — JUNE 26, 2009
Proposals to Reform the Individual Health Insurance Market
Manager: Kathryn Linehan
Forum Session — JUNE 19, 2009
Medicaid Disproportionate Share Hospital Payments and Health Care Reform
Manager: Christie Provost Peters
Issue Brief No. 832 — JUNE 5, 2009
A Health Insurance Exchange: Prototypes and Design Issues
Author: Mark Merlis, Consultant
Small-Group Session — MAY 8, 2009
Issues in Health Insurance Reform: Federal/State Regulatory Roles, Subsidy Administration
Manager: Sally Coberly, PhD, and Kathryn Linehan
Small-Group Session — APRIL 15, 2009
Issues in Health Insurance Reform: More on Insurance Exchanges
Manager: Sally Coberly, PhD
Small-Group Session — APRIL 7, 2009
Issues in Health Insurance Reform: Actuarial Equivalence
Manager: Sally Coberly, PhD
Small-Group Session — MARCH 20, 2009
Issues in Health Insurance Reform: Rating in the Small Group Market, Merging the Individual and Small Group Markets, and Risk Adjustment
Manager: Sally Coberly, PhD
Small-Group Session — MARCH 6, 2009
Issues in Health Insurance Reform: Health Insurance Exchanges
Manager: Sally Coberly, PhD
Small-Group Session — FEBRUARY 19, 2009
Issues in Health Insurance Reform: The Nuts and Bolts of Rating Rules in the Individual Insurance Market
Manager: Sally Coberly, PhD
Small-Group Session — DECEMBER 3, 2008
Issues in Health Insurance Reform: Underwriting, Rating, and Regulation in the Individual Market
Manager: Sally Coberly, PhD
Briefing Book — APRIL 8, 2011
Health Policy Essentials
Forum Staff
Fundamentals Briefing — MARCH 4, 2011
Health Policy Essentials: The Fundamentals of the SGR:
Getting a Fix on Medicare's Physician Spending
Manager: Laura A. Dummit
Fundamentals Briefing — FEBRUARY 11, 2011
Health Policy Essentials: The Fundamentals of Medicare, Medicaid, and CHIP
Managers: Sally Coberly, PhD, Laura A. Dummit & Kathryn Linehan
The Basics — FEBRUARY 7, 2011
The Medicare Drug Benefit Coverage Gap
Author: Mary Ellen Stahlman
The Basics — JANUARY 24, 2011
Medicare
Author: Mary Ellen Stahlman
The Basics — JANUARY 24, 2011
The Medicare Drug Benefit (Part D)
Author: Mary Ellen Stahlman
The Basics — SEPTEMBER 23, 2010
Medicare Part B Premiums and Social Security Benefits
Author: Kathryn Linehan
The Basics — OCTOBER 14, 2009
Discharge Planning and Medical Social Services for Fee-for-Service Medicare
Author: Kathryn Linehan
Background Paper No. 70 — AUGUST 31, 2009
Coverage and Payment for Prescription Drugs Under Medicare Part B: A Complex Patchwork
Author: Amanda Cassidy, Consultant
The Basics — JULY 29, 2009
Paying the Bills: Medicare Administrative Contractors
Author: Laura A. Dummit
The Basics — FEBRUARY 12, 2009
Relative Value Units (RVUs)
Author: Laura A. Dummit
The Basics — JULY 30, 2008
Medicare Demonstrations
Author: Amanda Cassidy, Consultant
Background Paper No. 63 — JULY 22, 2008
The Fundamentals of Medicare Demonstrations
Author: Amanda Cassidy, Consultant
Briefing Book — APRIL 8, 2011
Health Policy Essentials
Forum Staff
Fundamentals Briefing — FEBRUARY 11, 2011
Health Policy Essentials: The Fundamentals of Medicare, Medicaid, and CHIP
Managers: Sally Coberly, PhD, Laura A. Dummit & Kathryn Linehan
The Basics — FEBRAURY 4, 2011
Medicaid Financing
Author: Kathryn Linehan
The Basics — JANUARY 28, 2011
Medicaid Eligibility and Benefits
Author: Kathryn Linehan
Forum Session — MAY 7, 2010
Focus on Reform: Medicaid Coverage Expansions
Manager: Christie Provost Peters
The Basics — AUGUST 26, 2009
Medicaid Waivers and Budget Neutrality
Author: Cynthia Shirk, Consultant
The Basics — JUNE 15, 2009
Medicaid Disproportionate Share Hospital (DSH) Payments
Author: Christie Provost Peters
The Basics — MAY 26, 2009
Citizenship Documentation in Medicaid and CHIP
Author: Jennifer Ryan
The Basics — APRIL 13, 2009
The Medicaid Drug Rebate Program
Author: Christie Provost Peters
The Basics — JULY 30, 2008
Medicaid and SCHIP Waivers
Author: Cynthia Shirk, Consultant
Background Paper No. 64 — JULY 22, 2008
Shaping Medicaid and SCHIP through Waivers: The Fundamentals
Author: Cynthia Shirk, Consultant
Background Paper — MARCH 3, 2006
Rebalancing Long-Term Care:
The Role of the Medicaid HCBS Waiver Program
Author: Cynthia Shirk, Consultant
Health Insurance & the Uninsured
Briefing Book — APRIL 8, 2011
Health Policy Essentials
Forum Staff
Fundamentals Briefing — FEBRUARY 25, 2011
Health Policy Essentials: The Fundamentals of Private Health Insurance
Manager: Kathryn Linehan
Issue Brief No. 837 — JUNE 24, 2010
Keeping Health Insurance After a Job Loss: COBRA Continuation Coverage and Subsidies
Author: Kathryn Linehan
Forum Session — MAY 14, 2010
Focus on Reform: Private Health Insurance Provisions
Manager: Kathryn Linehan
Issue Brief No. 832 — JUNE 5, 2009
A Health Insurance Exchange: Prototypes and Design Issues
Author: Mark Merlis, Consultant
Background Paper No. 69 — JUNE 4, 2009
Underwriting in the Non-Group Health Insurance Market: The Fundamentals
Author: Kathryn Linehan
The Basics — MARCH 25, 2008
HIPAA Coverage Provisions
Author: Lisa Sprague
Briefing Book — FEBRUARY 21-22, 2008
Insurance 101: The Fundamentals of Private Health Insurance
Author: Sally Coberly, PhD & Lisa Sprague
Glossary — DECEMBER 12, 2008
Glossary of Health Insurance Terms
Background Paper — APRIL 23, 2007
The Fundamentals of Health Savings Accounts and High-Deductible Health Plans
Author: Beth Fuchs, PhD & Lisa Potetz, Consultants
Background Paper — APRIL 19, 2005
Health Insurance Coverage for Small Employers
Author: Dawn M. Gencarelli
Background Paper — APRIL 13, 2005
Fundamentals of Underwriting in the Nongroup Health Insurance Market:
Access to Coverage and Options for Reform
Author: Mark Merlis, Consultant
Background Paper — APRIL 11, 2005
Health Savings Accounts: The Fundamentals
Author: Beth Fuchs, PhD & Julia A. James, Consultants
Background Paper — AUGUST 28, 2002
Expanding Health Coverage for the Uninsured:
Fundamentals of the Tax Credit Option
Author: Beth Fuchs, PhD, Mark Merlis & Julie James, Consultants
Briefing Book — APRIL 8, 2011
Health Policy Essentials
Forum Staff
Fundamentals Briefing — FEBRUARY 11, 2011
Health Policy Essentials: The Fundamentals of Medicare, Medicaid, and CHIP
Managers: Sally Coberly, PhD, Laura A. Dummit & Kathryn Linehan
Forum Session — MARCH 19, 2010
CHIPRA One Year Later: Where Does Implementation Stand?
Manager: Judith D. Moore
The Basics — MAY 26, 2009
Citizenship Documentation in Medicaid and CHIP
Author: Jennifer Ryan
Issue Brief No. 829 — JANUARY 15, 2009
Reauthorizing SCHIP: A Summary of Selected Issues
Author: Jennifer Ryan
Background Paper No. 68 — APRIL 23, 2009
The Children's Health Insurance Program (CHIP): The Fundamentals
Author: Jennifer Ryan
The Basics — JULY 30, 2008
Medicaid and SCHIP Waivers
Author: Cynthia Shirk, Consultant
Background Paper No. 64 — JULY 22, 2008
Shaping Medicaid and SCHIP through Waivers: The Fundamentals
Author: Cynthia Shirk, Consultant
Background Paper No. 79 — SEPTEMBER 28, 2010
The Primary Care Safety Net: Strained Transitioning, Critical
Author: Jessamy Taylor
Background Paper No. 75 — JUNE 4, 2010
Health Care Shortage Designations: HPSA, MUA, and TBD
Author: Eileen Salinsky, Consultant
The Basics — MARCH 10, 2010
The Ryan White HIV/AIDS Treatment Program
Author: Jessamy Taylor
The Basics — SEPTEMBER 24, 2007
The Title V Maternal and Child Health Block Grant Program
Author: Christie Provost Peters
Background Paper — MAY 9, 2007
The Prescription Drug Safety Net: Access to Pharmaceuticals for the Uninsured
Author: Jack Hoadley, PhD, Consultant
Background Paper — AUGUST 22, 2005
Caring for "Ryan White": The Fundamentals of HIV/AIDS Treatment Policy
Author: Jessamy Taylor
Background Paper — AUGUST 31, 2004
Fundamentals of Community Health Centers
Author: Jessamy Taylor
Briefing Book — APRIL 8, 2011
Health Policy Essentials
Forum Staff
Fundamentals Briefing — MARCH 11, 2011
Health Policy Essentials: The Fundamentals of Public Health
Managers: Michele J. Orza, ScD & Jessamy Taylor
Background Paper No. 78 — SEPTEMBER 27, 2010
High Hopes: Public Health Approaches to Reducing the Need for
Health Care
Author: Michele J. Orza, ScD
Background Paper No. 77 — AUGUST 18, 2010
Governmental Public Health: An Overview of State and Local Public Health Agencies
Author: Eileen Salinsky, Consultant
The Basics — JULY 20, 2005
The Public Health Service
Author: Jessamy Taylor
Background Paper — APRIL 3, 2002
Public Health Emergency Preparedness: Fundamentals of the "System"
Author: Eileen Salinsky
Briefing Book — APRIL 8, 2011
Health Policy Essentials
Forum Staff
Fundamentals Briefing — MARCH 15, 2010
Health Policy Essentials: The Fundamentals of Long-Term Services and Supports
Manager: Carol V. O'Shaughnessy
The Basics — MARCH 15, 2010
National Spending for Long-Term Services and Supports (LTSS)
Author: Carol V. O'Shaughnessy
Background Paper No. 81 — NOVEMBER 19, 2010
Aging and Disability Resource Centers (ADRCs): Federal and State Efforts to Guide Consumers Through the Long-Term Services and Supports Maze
Author: Carol V. O'Shaughnessy
The Basics — JULY 9, 2010
Older Americans Act of 1965
Author: Carol V. O'Shaughnessy
Forum Session — JUNE 18, 2010
Focus on Reform: Long-Term Services and Supports (LTSS)
and the CLASS Act
Manager: Carol V. O'Shaughnessy
The Basics — JUNE 9, 2010
The Community Living Assistance Services and Supports (CLASS) Act: Major Legislative Provisions
Author: Carol V. O'Shaughnessy
The Basics — MARCH 29, 2010
The State Health Insurance Assistance Program (SHIP)
Author: Carol V. O'Shaughnessy
Background Paper No. 71 — DECEMBER 2, 2009
The Role of Ombudsmen in Assuring Quality for Residents of Long-Term Care Facilities: Straining to Make Ends Meet
Author: Carol V. O'Shaughnessy
The Basics — APRIL 21, 2008
Older Americans Act of 1965
Author: Carol V. O'Shaughnessy
Background Paper — APRIL 11, 2008
The Aging Services Network: Accomplishments and Challenges in
Serving a Growing Elderly Population
Author: Carol V. O'Shaughnessy
Background Paper — MARCH 3, 2006
Rebalancing Long-Term Care:
The Role of the Medicaid HCBS Waiver Program
Author: Cynthia Shirk, Consultant
Background Paper No. 76 — JULY 6, 2010
Tapping the Potential of the Health Care Workforce: Scope-of-Practice and Payment Policies for Advanced Practice Nurses and Physician Assistants
Author: Robert Cunningham, Consultant
Background Paper No. 74 — MAY 11, 2010
Physician Assessment: Measuring Competence and Performance
Author: Lisa Sprague
Background Paper No. 73 — FEBRUARY 10, 2010
The Medical Education of Physicians
Author: Jonathan Saxton, Consultant
Background Paper — APRIL 11, 2003
The U.S. Health Workforce: Definitions, Dollars, and Dilemmas
Author: Karen Matherlee, Consultant
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