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Basic Health Program; federal funding methodology for program year 2016. Final methodology.

Federal Register

|March 5, 2015

Summary

This document outlines how federal payments were calculated for states establishing Basic Health Programs in 2016. These programs offer health coverage to low-income individuals via the Affordable Insurance Exchanges.

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Area of Science:

Health Policy
Public Health
Health Economics

Background:

The Affordable Care Act enables states to create Basic Health Programs.
These programs provide subsidized health insurance to low-income populations.
Eligibility for these programs is linked to the Affordable Insurance Exchanges.

Purpose of the Study:

To detail the methodology for calculating federal payments to states for Basic Health Programs in 2016.
To identify the data sources used in determining these federal payment amounts.

Main Methods:

The document describes the specific formulas and criteria used for federal reimbursement.
It outlines the data collection and validation processes for program year 2016.

Main Results:

Federal payment calculations were based on state-specific program parameters and enrollment data.
The methodology ensures accurate financial support for states offering Basic Health Programs.

Conclusions:

The described methodology provides a transparent framework for federal funding of Basic Health Programs.
Accurate determination of federal payments is crucial for the sustainability of these programs.