Charting the road to coverage. Enhancing value in health care.

The Robert Wood Johnson Foundation is committed to ensuring everyone in America has quality, affordable health insurance and access to high-quality care. To support improvements to systems of care and coverage, the Foundation funds robust programs that provide expert technical assistance to states across the country.

State Health Reform Assistance Network

The State Network supports 11 states as they implement coverage provisions of the Affordable Care Act, giving more Americans access to quality, affordable health insurance.

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State Health and Value Strategies

State Health and Value Strategies (SHVS) supports states’ efforts as they work to improve population health and reform the delivery of health care services.

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Our Most Recent Work

January 23, 2015

Recently Released Issue Briefs on Excepted Benefits and Reference Pricing

Georgetown University’s Center on Health Insurance Reforms recently released two issue briefs, one on reference pricing and the other on excepted benefits, for the Robert Wood Johnson Foundation’s State Health Reform Assistance Network. The briefs are in direct response to specific questions raised by several states on these two topics...
Jan 23, 2015 Issue Brief , Regulatory Analysis

Excepted benefits and short-term, limited-duration insurance are insurance products that are exempted from the Affordable Care Act’s (ACA) consumer protections. Recent questions from several states have indicated that some confusion exists about which insurance products qualify as “excepted benefits” and are therefore exempt from several requirements of the ACA, such as coverage for preventive health services, a prohibition on lifetime limits, and minimum value requirements...
Jan 23, 2015 Issue Brief

Reference pricing is intended to reduce medical costs both for insurers and for purchasers of health care services, encouraging enrollees to obtain services from lower-cost providers and motivates higher cost providers to lower their reimbursement rates for those same services. This issue brief, prepared by the Georgetown Health Policy Institute’s Center of Health Insurance Reforms, provides an overview of this pricing method and federal guidance that has been issued to date…