Yesterday, the Department of Health and Human Services' (HHS) Center for Consumer Information and Insurance Oversight released the final Blueprint for Approval of Affordable State-based and State Partnership Insurance Exchanges. Most qualified health plans offered in these exchanges must offer plans that included the 10 mandatory categories of essential health benefits as mandated by the Affordable Care Act, which include rehabilitative and habilitative services.
The guidance sets out timelines and requirements for state exchange documents (ie, "blueprints") each state must file with HHS. The document explains what type of exchange the state will run and how it will comply with the requirements.
A complete blueprint and declaration letter (specifying the chosen exchange model) must be submitted no later than November 16 for states seeking to operate a state-based or state partnership exchange for plan year 2016. Those states that submit letters more than 20 business days before the submission of their blueprints may request additional consultation and support from the Centers for Medicare and Medicaid Services to assist in blueprint preparation.
States that intend to operate in a federally-facilitated exchange but retain control of their own reinsurance programs also must submit a declaration letter by November 16.
HHS will begin plans to implement a fully federally-facilitated exchange in states that do not submit a blueprint and declaration letter before or by November 16.
The final guidance was released in conjunction with the first of 4 regional implementation forums that HHS is holding this month in the District of Columbia, Atlanta, Chicago, and Denver.
In 2011, rates of adult obesity remained high, with state estimates ranging from 20.7% in Colorado to 34.9% in Mississippi, according to new data from the Centers for Disease Control and Prevention (CDC). Twelve 12 states reported a prevalence of 30% or more. The South had the highest prevalence of adult obesity (29.5%), followed by the Midwest (29%), the Northeast (25.3%), and the West (24.3%).
In 2011, CDC made several changes to its Behavioral Risk Factor Surveillance System (BRFSS) that affect estimates of state-level adult obesity prevalence. First, there was an overall change in the BRFSS methodology, including the incorporation of cell phone-only households and a new weighting process. These changes in methodology were made to ensure that the sample better represents the population in each state. Second, to generate more accurate estimates of obesity prevalence, small changes were made to the criteria used to determine which respondents are included in the data analysis.
Because of these changes in methodology, estimates of obesity prevalence from 2011 forward cannot be compared to estimates from previous years. Data collected in 2011 will provide a new baseline for obesity prevalence data collected in subsequent years.
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