Health Reform

Health reform has not played such a dominant role in public debate and policymaking for nearly 20 years. While there is growing agreement that fundamental changes must be made given the growing costs of health care and the toll that takes on individuals and the economy, there is still wide disagreement on what meaningful reform should entail. KHI researchers and journalists monitor and report on health reform efforts at the state and federal levels.

Issue Brief: Insurance Marketplace Now Open—Plan and Cost Options for Kansans

0 | Health Reform

After more than three years of preparation and debate, the health insurance marketplace created by the Affordable Care Act opened this week in Kansas for enrollment in coverage starting as early as Jan. 1. While the initial rollout is likely to experience technical challenges and limited online functionality, the plans available and the prices for coverage in the marketplace are described in this brief.

Policy and Research

Issue Brief: Health Reform Likely to Increase Demand on Mental Health System

1 | May. 30, 2014 | Research, Health Insurance, Health Reform, Press Releases

Recently released federal data show the Kansas mental health system could expect up to 7,700 new patients due to expansion of insurance coverage under ObamaCare. This influx of patients could create strain on the mental health system in some Kansas communities.

Kansas Health Insurance Marketplace: An Insider's Look

0 | Feb. 21, 2014 | Health Insurance, Health Reform

Join us in a discussion of early experiences with implementation of the ACA in Kansas The Marketplace and how it is structured and operating in Kansas.

Issue Brief: Nearly 182,000 Kansans in the ‘Eligibility Gap’

0 | Feb. 11, 2014 | Health Reform, Medicaid-CHIP

The Affordable Care Act of 2010 aims to increase the number of people with health insurance by expanding both private and public coverage. The nonpartisan Congressional Budget Office estimates the law will reduce the number of uninsured Americans under age 65 by approximately 27 million by the year 2017. However, in Kansas, approximately 182,000 people fall into an eligibility gap, and 78,400 of them currently do not have health insurance. Nearly half of Kansans in the gap are also employed.

Video: KHI's St. Peter on the economic outlook for the healthcare industry

0 | Dec. 05, 2013 | Health Reform

The Center for Economic Development and Business Research at Wichita State University invited Robert St. Peter — president and CEO of the Kansas Health Institute — to present at its annual conference on the economic outlook for the healthcare industry.

KHI's St. Peter explains elements of ACA on NPR

0 | Dec. 04, 2013 | Health Reform

NPR recently interviewed KHI President and CEO Robert St. Peter for stories airing this week on the Affordable Care Act. As he explains, under the new federal health reform law, insurers can only set prices for an individual’s insurance based on three things: age and smoking, and where you live.

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News

Consumers will owe Uncle Sam if they mistakenly receive health insurance subsidies

0 | Aug. 29, 2014 | Health Reform, Insurance

The clarified rule could affect some of the 300,000 people facing a Sept. 5 deadline to submit additional documents to confirm their citizenship or immigration status, and could apply broadly to anyone ultimately deemed ineligible for subsidies.

HHS names new CEO of health insurance marketplace

0 | Aug. 26, 2014 | Health Reform, Insurance

Kevin Counihan will oversee healthcare.gov, the website that 36 states - including Kansas - use to sell Affordable Care Act insurance.

New federal birth control rules appear to track Supreme Court suggestion

0 | Aug. 26, 2014 | Courts, Health Reform

The new rules require organizations that have religious objections to providing some or all FDA-approved contraceptives to notify the government rather than their insurance carriers that they cannot provide the coverage.

Religious employers offered fix on birth control coverage rules

0 | Aug. 22, 2014 | Government, Health Reform

The measure will allow religious nonprofits and business owners to notify the government, rather than their insurance company, that birth control violates their religious beliefs.

HCF announces more than $345,000 for insurance marketplace outreach

0 | Aug. 22, 2014 | Foundations, Health Reform

The funding will be used to enroll the uninsured in the Kansas City area by providing enrollment counselors, increasing collaboration and recruiting additional enrollment partners.

Rural Kansas hospital focuses on 'mission-driven' medicine to recruit doctors

0 | Jul. 07, 2014 | Workforce, Rural Health

In Kearny County, on the High Plains near the Kansas-Colorado boundary where there are only about five residents per square mile, one small hospital has adopted a distinctive approach to recruitment that in a relatively short time has produced a staff that includes five doctors, five physician assistants and a growing volume of patients.

Switch to KanCare complicates Medicaid fraud detection

0 | Aug. 29, 2014 | Agencies, Legislature, KanCare

A national organization leader and a federal report say other governmental agencies tasked with rooting out Medicaid fraud also are struggling to adapt to the managed care model.

KanCare payment delays threaten rural hospital

1 | Aug. 27, 2014 | Hospitals, KanCare

Roger Warren, a surgeon and administrator at Hanover Hospital for 54 years, says the three managed care companies owe his hospital more than $140,000 in claims — or more than half of the hospital's monthly operating budget.

Overuse of antipsychotic drugs in some Kansas nursing homes endangering patients

0 | Aug. 25, 2014 | KDADS, Health Care Delivery

Experts say powerful antipsychotic drugs are used too much as “chemical restraints” or sedatives to control the behavior of Kansas nursing home residents suffering from dementia, and that efforts to curb the practice are showing weak results compared to other states.

Physician payment data put costly eye treatments under the microscope

0 | Sep. 01, 2014 | Government, Health Care Delivery

Many eye doctors say recently released Medicare payment information falsely creates the impression that ophthalmologists were getting rich off Medicare.

Negotiations on nursing practice bill off to good start

0 | Aug. 26, 2014 | Legislature, Health Care Delivery, Workforce

Representatives of Kansas doctor and nurse groups are negotiating on legislation allowing nurses with advanced training to practice on their own.

Kansas mental health system under increasing stress

15 | Aug. 18, 2014 | Mental Health

Directors at many of the 26 community mental health centers in Kansas say the system is breaking down because state funding hasn’t kept pace with the increasing demands for care in their communities.

KanCare payment delays threaten rural hospital

1 | Aug. 27, 2014 | Hospitals, KanCare

Roger Warren, a surgeon and administrator at Hanover Hospital for 54 years, says the three managed care companies owe his hospital more than $140,000 in claims — or more than half of the hospital's monthly operating budget.

Yoder stresses importance of federal funding for biomedical research

1 | Aug. 19, 2014 | Government, KU Medical Center, University of Kansas

Last year, KU and the University of Kansas Medical Center received more than $75 million in NIH funding.

KC public housing smoking ban puts onus on tenants

8 | May. 22, 2014 | Community Health, Government, Tobacco

A new policy aims to do away with smoking in city-owned housing, but many residents are not pleased.

New federal rules will disrupt care for disabled Kansans, state officials say

1 | Aug. 12, 2014 | KDADS, Health Care Delivery, KanCare

KDADS Secretary Kari Bruffett says with the changes, thousands of Kansans likely would need to move from home-based care to a nursing home setting.

Study: Rejection of Medicaid expansion costing Kansas, Missouri hospitals billions

1 | Aug. 08, 2014 | Health Reform, Hospitals, Medicaid-CHIP

The analysis says that without Medicaid expansion, Kansas hospitals stand to lose $2.6 billion between 2013 and 2022.

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