ACA Executive Digest, 5th Issue

New Arizona ACA Website

Cover, is a new website for individuals and organizations directly involved in outreach and enrollment activities related to Medicaid (AHCCCS) and the new Insurance Marketplace.

This is a partner site (business to business); the aim is to have a one-stop site for those involved in assisting others. Your organization is invited to join one of our four Regional Coalitions. If interested, contact your closest Coalition. AACHC and several members are represented on the statewide steering committee and involved in the regional coalitions.

Western ACA Coalition
Counties represented: La Paz, Mohave and Yuma
Co-chairs:  Amanda Aquirre, Regional Center for Border Health – email:
Maria Chavoya, Cenpatico – email:
Meeting dates and times: Last Monday of the month from 11:00 to 12:00 AM MST

Southern ACA Coalition 
Counties represented: Cochise, Graham, Greenlee, Pima and Santa Cruz
Co-chair: Michal Goforth, Pima Community Access Program (PCAP) – email:
Meeting dates and times: Last Tuesday of the month from 9:00 to 10:00 AM MST

Central ACA Coalition 
Counties represented: Gila, Maricopa and Pinal
Co-chair: Cheri Tomlinson, Maricopa Integrated Health System – email:
Meeting dates and times: Last Wednesday of the month from 10:00 to 11:00 AM MST

Northern ACA Coalition
Counties represented: Apache, Coconino, Mohave, Navajo and Yavapai
Co-chair: Tammy Howell, North Country HealthCare – phone: 928-522-9501,
Meeting dates and times: Last Thursday of the month from 10:00 to 11:00 AM MST

Health Center Perspective on the State of Managed Care Webinar

Negotiating Managed Care Contracts?? Find out how NOT to lose your shirt in the process with this upcoming webinar series. Register for all five webinars, or pick and choose — you decide what’s right for you!

July 10, 2013, 2 – 3:30 PM  EDT
Registration deadline: June 8, 2013

NACHC, in collaboration with Feldesman Tucker Leifer Fidell LLP, is pleased to present the Managed Care Contracting Webinar Series. This is a timely series on negotiating managed care contracts that are fair and favorable to health centers. The series will provide an overview of critical issues that health centers should appreciate when negotiating with an MCO: it will highlight regulatory changes impacting managed care arrangements, describe problematic and easily overlooked clauses in these contracts, explain how to incorporate alternative payment methods in primary care contract discussions and identify key contracting issues related to the provision of high-quality patient care.

The Health Center Perspective on the State of Managed Care webinar is the first of the series and will highlight significant managed care trends that affect health centers. Beginning with MCOs that offer plans on state-run and federally-facilitated exchanges, the presenters will explain Federal requirements related to contracting with health centers.  They will also describe accountable care initiatives occurring across the country in Medicare, Medicaid, and the commercial marketplace.  Lastly, the presenters will recommend strategies for how health centers should position themselves to negotiate fair and favorable provider agreements with MCOs.Read more.

Starting Your Healthcare Reform Communications

HR could very easily meet its obligation by simply sending out a canned notice about employee- coverage options before Oct. 1 and be done with it, but taking the time to explain the changing benefits landscape will help employees make better choices and limit the amount of time you have to spend on follow-up questions.

By Justyn Harkin                 Wednesday, June 26, 2013

Let’s talk about healthcare reform. Are you and your company ready to explain all the coming changes to employees and their families? Should you have to? Maybe not — right now, you’re really only on the hook for explaining employee coverage options — but I think the pursuit’s worthwhile. Read more.

NPR Answers Your Questions on the ACA

A good article to help educate your staff members – read it or listen to it

The biggest changes in health insurance coverage under the Affordable Care Act are set to begin less than three months from now. Oct. 1 is when people can start signing up for coverage in new state health exchanges. The policies would kick in on Jan. 1, 2014.

It can all be a little confusing , we agree. So two weeks ago, we asked what you wanted to know about the health law.

You weren’t shy; our inbox was stuffed. Here are some answers. If you don’t see your question, or one like it, don’t despair. We’ll be doing this again periodically throughout the summer and fall. Read more.


Poll: Few Uninsured Have Heard About ObamaCare Exchanges

By Elise Viebeck – 06/19/13 10:44 AM ET

Few uninsured people have heard more than a little about ObamaCare’s new health insurance marketplaces, highlighting the task facing the Obama administration as it seeks to sell the law to this group.

According to a new poll, only about one in 10 uninsured people have heard “some” or “a lot” about the exchanges, which will begin signing up participants in October.

Another third say they’ve heard “only a little” about the new opportunity for healthcare coverage. Half say they’ve heard nothing at all. The survey was released Wednesday by the Kaiser Family Foundation (KFF).
Read more.

ObamaCare Premiums Lower Than Expected

By Sam Baker – 06/19/13 11:38 AM ET

The monthly cost of health insurance under President Obama’s healthcare law is consistently coming in lower than expected.

Premiums for a middle-of-the-road policy have come in below earlier estimates in all nine states that have released their initial rate information.

A new analysis from Avalere Health says the lower-than-expected prices show that the central piece of the healthcare law — new insurance exchanges in each state — is working as intended

“The initial data suggest that competition in exchanges is working to lower premiums, which will benefit nonsubsidized enrollees and the federal government,” said Caroline Pearson, vice president at Avalere Health.
Read more.