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Health Care Reform Engagement Party

Don't miss our party in Annapolis September 19th. Agenda will include Maryland's initiatives to improve population health and health outcomes and reduce costs. We will also discuss a consumer and engagement campaign. See the agenda and Register Now!

Maryland’s Insurance Commissioner approves rates for 2015 Health Insurance Plans

In response to recent news, the Coalition Chair said,  “The Coalition is pleased that, in considering the requested rates, the Commissioner put the interests of consumers above those of the insurance carriers.  We anticipate that, once again, Maryland will have among the lowest premium rates in the country.”  Read the MIA’s press release and see the approved rates.

Look Back. Move Forward.

On July 21, 2014, the Coalition and the Primary Care Coalition of Montgomery County, with support from the Maryland Health Benefit Exchange, hosted a convening for representatives from Maryland's Connector Entities and others providing consumer assistance on July 21, 2014. The final report and more information and resources are now avaliable.

Resources to Ensure Equitable Coverage for Mental Health and Drug Treatment

The Maryland Parity Project, with the University of Maryland Carey School of Law Drug Policy and Public Health Strategies Clinic, analyzed the Qualified Health Plans (QHPs) for sale on the Maryland Health Connection to determine their compliance with the Mental Health Parity and Addiction Equity Act (MHPAEA). Learn more about their findings.

The Clinic has also developed two useful resources - Parity Act Resource Guide  - and the flyer, Equitable Insurance Coverage for Mental Health and Drug Treatment.  Both contain  information on how to file an appeal.   

The Maryland Parity Project worked with the University of Maryland Drug Policy Clinic to analyze the Qualified Health Plans (QHPs) for sale on the Maryland Health Connection to determine their compliance with the Mental Health Parity and Addiction Equity Act (MHPAEA). The Clinic reviewed all 85 QHPs for sale by 4 insurance carriers in the Fall of 2013.  Two clinic students obtained all available plan documents and the plans’ Summary of Benefits and Coverage, from the Maryland Insurance Administration (MIA) via a Public Information Act request and then conducted a review of the financial requirements and treatment limitations to determine plan compliance.`Learn more about their findings.

In addition, student-attorneys of the University of Maryland Carey School of Law Drug Policy Clinic, have created a Parity Act Resource Guide to assist providers and consumers with federal and state parity regulations that are currently in place. The Guide also has tips for identifying parity violations, disclosure provisions and how to submit appeals through your insurer.

MD Health Benefit Exchange

As Maryland Health Connection moves to a new IT platform it closed its current portal on July 18, 2014.   But, you may be eligible for a special enrollment before the next open enrollment period starting onNovember 15, 2014.  Learn more – link to that page w/ info.  Medicaid and CHIP eligible individuals can enroll at any time.  Contact the local connector entity (link), health department or department of social services or call 1.855.642.8572.

The Exchange’s July 26 report cited that 332,504 individuals had enrolled in Medicaid and 78,930 individuals were enrolled in a Qualified Health Plan (QHP).

Making Health Care Delivery Work for Consumers

The Affordable Care Act creates new opportunities to promote a more cost-effective and patient-centered approaches to the delivery of health care.  As advocates, we are working to make sure that these work for consumers.  

State Innovation Model (SIM)

DHMH recently submitted to the Centers for Medicare and Medicaid (CMS) its State Healthcare Innovation Plan, (SIM) with a proposal for a Community Integrated Medical Home model. Read our comments. The next step in the process is for DHMH to respond by late July to an official "Funding Opportunity Application." Further information will be posted as available.

All-Payer Hospital System Modernization (Medicare Waiver)

Maryland has received a waiver from CMS, which modernizes the state’s  unique all-payer rate-setting system for hospital services. View a presentation about the project.  

Learn more about Maryland’s payment and delivery system reform initiatives.