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Health Care

Medicaid Reform

Implement prescription drug lists (PDL) and step therapy programs

• Federal Policy Options to Contain Medicaid Drug Costs (Gifford study)
  
• Medicaid Savings Ideas (Families USA)
  
• Prices for Brand-name Drugs Under Selected Federal Programs (CBO study)
  
• Step Therapy sample legislative language
  

Pool Rx Drug Purchasing

• State Pharmaceutical Bulk Purchasing in Medicaid (NCSL)
  
• Federal Policy Options to Contain Medicaid Drug Costs (Gifford study)
  
• Stretching State Health Care Dollars: Pooled and Evidence-Based Pharmaceutical Purchasing (Commonwealth Fund)
  
• Prices for Brand-name Drugs Under Selected Federal Programs (CBO study)
  

Implement Disease Management (DM)

• 50-State summary of disease management laws (NCSL)
  
• Targeted Care Management to Enhance Cost Effectiveness (CF Study)
  
• Medicare: Making it a Force for Innovation and Efficiency (CF study)
  
• CBO Analysis of the Literature on DM Programs
  
• Disease Management Association of America definition of DM
  
• State Medicaid Disease Management: Lessons Learned from Florida (Pfizer Foundation funded study)
  
• News story describing Florida study
  
• Federal/State Initiatives on Disease Management in Medicare and Medicaid (Connecticut General Assembly)
  
• World Health Organization Report on Preventing Chronic Diseases
  

Report Cost-Drivers

• Health Care Disclosure AFSCME model legislation
  
• Massachusetts 2004 Health Care Disclosure statute
  
• Colorado 2005 Health Care Disclosure legislation (vetoed)
  
• Washington State 2005 Health Care Disclosure legislation
  
• Illinois 2005 Public Health Program Beneficiary Employer Disclosure Act
  
• California 2005 Health Care Disclosure Legislation AB 89

Expand Access to Health Benefits and Reduce Costs

Encourage Employer-Based Health Insurance

• Fair Share AFSCME model legislation
  
• Maryland Fair Share Health Care Fund Act 2005 (repealed)
  
• Connecticut's Employee Health Security Act, SB 1147 (fair share proposal)
  
• California Health Insurance Act of 2003 (SB 2) (pay or play law, repealed by Prop 72)
  
• Hawaii Prepaid Health Care Act of 1974 (Statute, Chapter 393) (pay or play current law)
  
• Connecticut's Employee Health Security Act, SB 1147 (pay or play proposal)
  
• Kaiser Employer Health Benefits 2004 Annual Survey
  
• Maryland Fair Share Health Care Fund Act 2005 fiscal impact
  
• Ideas that Work: Expanding Health Coverage for Workers (Families USA)
  
• Universal Health Care: 2005 State Legislation (NCSL)
  
• Institute for Governmental Studies Library report on California Prop 72 referendum
  
• Revisiting Pay or Play: How States can Expand Employer-Based Coverage Within ERISA Constraints (2002 report)
  

Create Insurance Pools

• Maine Dirigo Health Plan statute
  
• Maine Dirigo Health Plan website
  
• Maine Small Business Alliance Fact Sheet on Dirigo Health
  
• Connecticut MEHIP government insurance pool research brief
  

Provide Catastrophic Claims Reinsurance

• State Coverage Initiatives Resources on State Reinsurance Programs
  
  
  
• 'Reinsurance: How States Can Make Health Coverage More Affordable for Employers and Workers' (Commonwealth Fund)
  
• 'Healthy New York' program which includes reinsurance
  

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