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NEW JERSEY HEALTH CARE (directly below, followed by NATIONAL HEALTH CARE)

NATIONAL HEALTH CARE

Consumer Health Helpline info opens in new window

NJCA in the News

"Obamacare To The Rescue In Atlantic City" (Star-Ledger – September 5, 2014)

"Singer Holding Off On Previously Announced Amendment Of Bill To Regulate MEWAs" (NJBIZ – August 18, 2014)

"Thousands Could Lose Health Coverage In New Jersey Because Of Unclear Immigration Status" (NJ Spotlight – August 18, 2014)

"Want VIP treatment From Doctors? It'll Cost You" (Asbury Park Press – August 15, 2014)

"State Board Recommends Sale Of St. Clare's" (Daily Record – August 8, 2014)

"Hearing On Plan To Sell St. Clare's Draws Big Crowd" (Daily Record – July 24, 2014)

"It's Urgent That Physicians Screen And Intervene In Opiate Abuse" (The Times of Trenton – July 24, 2014)

"Judge Approves Sale Of St. Mary's Hospital In Passaic" (The Record / NorthJersey.com – July 23, 2014)

"Consumer Advocates Warn Proposed Bill Could Cripple ACA in New Jersey" (NJ Spotlight – July 11, 2014)

"Controversial N.J. Insurance Bill Hits Wall In Senate" (Star-Ledger – July 10, 2014)

"Health Plan Legislation Meets With Resistance" (NJBIZ – July 10, 2014)

"State Approves Sale Of St. Mary's Hospital In Passaic To For-Profit Chain" (The Record / NorthJersey.com – June 14, 2014)

"Despite Initial Missteps, New Jersey Passes First Enrollment Test" (Star-Ledger – May 15, 2014)

"Gov. Chris Christie Wrong To Make Cancer A Political Football" (Star-Ledger – May 6, 2014)

"Exchange Signs Up More Than Expected In New Jersey" (The Washington Times – May 1, 2014)

"Staff Cuts Felt At St. Mary's Hospital In Passaic Before Takeover Approval" (The Record / NorthJersey.com – April 2, 2014)

"Obamacare Is Off To A Strong Start In NJ, Despite Naysayers" (Star-Ledger – April 2, 2014)

"Where Do New Jerseyans Without Health Insurance Live?" (Star-Ledger – March 27, 2014)

"In New Jersey, A Dash To The Health-Care Deadline" (The Wall Street Journal – March 27, 2014)

"Christie Calls Obamacare A 'Failed Federal Program'" (Star-Ledger – March 18, 2014 VIDEO)

"Christie Gets In Heated Town Hall Battle With Obamacare Advocate" (Mediaite – March 18, 2014)

"For Christie, More Protests, A More Visible Police Presence" (Star-Ledger – March 18, 2014)

"Prime Healthcare Services Could Rob NJ Taxpayers Of Millions: Opinion" (Star-Ledger – March 16, 2014)

"NJ Citzen Action And Newark Teacher's Union Both Back Baraka" (PolitickerNJ – March 12, 2014)

"Free Community Forum On The Affordable Care Act" (Asbury Park Press – March 10, 2014)

"Groups Launch Effort To Promote Obamacare To N.J. Uninsured" (The Record / NorthJersey.com – March 5, 2014)

"N.J. Health Care Coalition Outlines State ACA Enrollment Goals" (NJBIZ – March 5, 2014)

"Christie In Public But Still Private As He Doesn't Address Media At Appearances" (The Record / NorthJersey.com – March 4, 2014)

"Hospital Clears Key Hurdle" (Herald News – February 22, 2014)

"NJ Health Board Recommends For-Profit Company Buy Passaic Hospital" (Star-Ledger – February 21, 2014)

"NJ Loses $7.6 Million In Obamacare Aid As Grant Expires" (The Record / NorthJersey.com – February 21, 2014)

"N.J. To Forfeit $7.6M In U.S. Health Care Aid" (Asbury Park Press – February 21, 2014)

"NAACP Partners With Advocacy Group To Present Affordable Care Act Information Sessions" (Home News Tribune / MyCentralJersey.com – February 17, 2014)

"Nonprofit Group Reaches Uninsured When They Come For Tax Help" (NJ Spotlight – February 12, 2014)

"State Urged To Use Health Grant" (Philadelphia Inquirer – February 7, 2014)

"$7.6M On Table For ACA On N.J." (Courier-Post – February 6, 2014)

"Advocates Urge Christie To Spend $7.6 Million On 'Obamacare' Outreach" (Burlington County Times – February 5, 2014)

"Advocates, Congressmen Urge N.J. Not To Waste A $7.6M Health Insurance Grant" (The Record / NorthJersey.com – February 5, 2014)

"Consumer Groups Urge NJ To Meet Feb. 20 Deadline To Use Money To Boost Obamacare Enrollment" (Star-Ledger – February 5, 2014)

"Plan To Sell St. Mary's Hospital In Passaic To For-Profit Chain Gets Mixed Reviews At Hearing" (The Record / NorthJersey.com – January 15, 2014)

"Community Calls For Monitor If Christie Administration Approves Sale Of Passaic Hospital" (Star-Ledger – January 14, 2014)

"Health Plan Creates Both 'Winners And Losers' In South Jersey" (Courier-Post – January 12, 2014)

"Grants Awarded" (New Jersey Jewish News – December 19, 2013)

"Deadline Looms For Insurance Coverage Beginning With New Year" (NJ Spotlight – December 20, 2013)

"N.J. Steps Up Health Care Push; Teaneck Case Leads To A Meeting With Obama" (The Record / NorthJersey.com – December 19, 2013)

"N.J. Insurance Chief Quizzed On Obamacare Options" (Philly.com – December 6, 2013)

"N.J. Advocates Call For Education On Obamacare" (Courier-Post – December 5, 2013)

"Analysis: Optimism And Doubt Surround Health Care Law" (The Record / NorthJersey.com – December 5, 2013)

"Christie Sitting On Federal Grant Funds Given To Help Explain Obamacare, Critics Say" (Star-Ledger – December 4, 2013)

"Advocacy Group Says NJ Consumers Can Still Renew Insurance Plans" (Burlington County Times – December 4, 2013)

"Medicaid Applications Up 35 Percent Since Obamacare Exchange Opened" (Star-Ledger – November 24, 2013)

"Rep. Rush Holt To Speak At Forum On Affordable Care Act In Trenton" (The Times of Trenton – November 23, 2013)

"N.J. Medicaid Patients Struggle To Find Doctors" (Courier-Post – November 17, 2013)

"Help To Register For Affordable Care" (Courier-Post – November 4, 2013)

"The Good News: Medicaid Applications Are On The Rise, And State's Website Has Been Flawless" (Star-Ledger – November 3, 2013)

"Health Care in Action: What You Need to Know" (Star-Ledger – November 3, 2013)

"NJ Coalition Of Non-Profits Help Enroll Uninsured In New Health Coverage Despite Web Site Glitches" (The Record / NorthJersey.com – October 31, 2013)

"HMO Termination Creates Crisis For South Jersey Medicaid Patients" (Courier-Post – October 27, 2013)

"Rep. Holt, Health Care Advocates Converge For Central Jersey 'Obamacare' Roundtable" (Princeton Patch – October 22, 2013)

"Working To Overcome Health Care Law Confusion" (The Record / NorthJersey.com – October 3, 2013)

"North Jersey Consumers Frustrated As Day 2 Of Computer Glitches Continue With Affordable Care Act Site" (The Record / NorthJersey.com – October 2, 2013)

"As 'Obamacare' Debuts, Uninsured Residents Sign Up For Health Insurance" (Press of Atlantic City – October 1, 2013)

"First Job Under New Health Law: Getting The Word Out" (Philadelphia Inquirer – October 1, 2013)

"Health Plan Price List Has N.J. Guessing" (The Record / NorthJersey.com – September 25, 2013)

"Obamacare Confusion: New Health Care Choices For Workers, With Or Without Insurance" (Star-Ledger – September 25, 2013)

"Healthcare Advocates Not So Sure Insurance Sign-Ups Will Go Smoothly" (NJ Spotlight – September 10, 2013)

"N.J. Gets $2M In Grants For Health Care Navigators" (NJBIZ – August 15, 2013)

"Women Leaders Make Strong Case To Support Earned Sick Days In New Jersey" (New Jersey Newsroom – August 8, 2013)

"Advocacy Group Wants NJ To Perform Outreach About Obamacare" (phillyBurbs.com – August 2, 2013)

"Advocates Urge Use Of Federal Funds To Advertise Insurance Marketplace" (NJ Spotlight – August 1, 2013)

"Will Christie Refuse To Help Make Health Insurance Affordable?" (NJ.com – July 9, 2013)

"In NJ, Hard To Get Word Out About Obamacare Marketplace" (Philly.com – July 6, 2013)

"'Navigators' to Spread Word About ObamaCare" (NBC 10 Philadelphia – June 7, 2013)

"N.J. Lawmakers Hear Calls For Closer Monitoring Of Hospital Takeovers" (The Record / NorthJersey.com – May 20, 2013)

"Navigating The Obamacare Landscape" (NJBIZ – May 6, 2013)

"New Volley In Battle To Block Prime From NJ" (NJBIZ – May 6, 2013)

"Saint Clare's Hospitals Prime For Takeover: California Chain Continues Its Buying Spree In N.J." (Star-Ledger – May 3, 2013)

"Seeking More Money To Better Navigate N.J.'s Uninsured Population" (NJBIZ – April 29, 2013)

"Seeing Healthy Profits From Ailing Hospitals, 2 Groups Have Big Plans For N.J." (Star-Ledger – April 21, 2013)

"Opponents of Hospital Purchase Seek Repeat of Successful Fight to Stymie St. Mary's Sale" (NJ Spotlight – April 12, 2013)

"Foes Of Sale Of St. Mary's Hospital In Passaic, St. Michael's Medical Center In Newark Seek Delay"(The Record / NorthJersey.com – April 11, 2013)

"As Execs Trade Blows, Hospitals Get The Black Eye" (NJBIZ – April 1, 2013)

"N.J. Appellate Panel: Judge Can't Limit Expert Witnesses In Medical Malpractice Suit" (Star-Ledger – March 28, 2013)

"GOP-Backed Benefit Cuts Called Harmful To Small Businesses In NJ" (NJ Spotlight – March 27, 2013)

"Health Care Reform" (Star-Ledger – March 26, 2013)

"Praise And Criticism For Christie's Health Budget" (Star-Ledger – March 12, 2013)

"Few Jabs At Gov. Christie's $32.9B Budget" (Courier-Post – March 5, 2013)

"What To Expect From Christie's Budget Address" (Asbury Park Press – February 27, 2013)

"Christie Makes Reluctant Decision To Expand Medicaid"(The Record / NorthJersey.com – February 26, 2013)

"Christie Urged To Expand Medicaid"(The Record / NorthJersey.com – February 25, 2013)

"Advocates Urge Christie To Accept Medicaid Expansion"(The Record / NorthJersey.com – February 25, 2013)

"Health Care Industry Awaits Announcement On 'Navigators' For Exchange" (NJBIZ – February 25, 2013)

"Christie's Decision on Health-Benefits Exchange Probably Won't Change Insurance Choices" (NJ Spotlight – February 19, 2013)

"Proposed Bill Could Leave College Students Without Health Insurance" (NJ Spotlight – February 15, 2013)

"States Make Decisions About Roles In Insurance Marketplaces" (The Washington Post – February 15, 2013)

"Citizen Action Education Fund Connects Small Businesses To Sandy Recovery Resources With Store-To-Store Outreach Program" (MyCentralJersey.com – February 13, 2013)

"Pressure Growing On Christie To Approve Medicaid Expansion" (phillyBurbs.com – February 6, 2013)

"NJ Medical Community Tepid On Medicaid Expansion" (NorthJersey.com – January 27, 2013)

"States In Health-Care Tug Of War With Washington Over Program For Uninsured" (The Record / NorthJersey.com – January 23, 2013)

"Medicaid Expansion Would Insure 175,000 New Jerseyans" (The Record / NorthJersey.com – January 10, 2013)

"Report: Nearly 177,000 Uninsured Workers Could Obtain Coverage If NJ Expands Medicaid" (phillyBurbs.com – January 10, 2013)

"Advocates Argue Expanding Medicaid Eligibility Would Benefit NJ" (NJ Spotlight – January 10, 2013)

"177K Working N.J. Residents Could Get Health Care Under Expanded Medicaid Program" (NJ.com – January 9, 2013)

"Fiscal Cliff A Scary Prospect For N.J. Hospitals, Nursing Homes" (Newsworks – December 20, 2012)

"Gov. Christie Vetoes Legislation Establishing State-Run Health Insurance Exchange" (Press of Atlantic City – December 7, 2012)

"Citing New Concerns About Costs, Christie Vetoes Health Benefit Exchange Bill — Again" (NJ Spotlight – December 7, 2012)

"How New Jersey, New York And Connecticut Are Preparing For Obamacare" (NJTV / NJ Today With Mike Schneider – December 6, 2012)

"Christie Blocks Plan For N.J. Health Exchange" (Newsworks – December 6, 2012)

"Christie Vetoes Bill To Create State-Run Health Insurance Exchange" (NJBIZ – December 6, 2012)

"Christie Vetoes New Jersey-Run Health Insurance Exchange" (Asbury Park Press – December 6, 2012)

"How The Tri-State Area Is Preparing For Obamacare" (MetroFocus | THIRTEEN WNET – December 5, 2012)

"Report Says Early Years Of Medicaid Expansion In NJ Won't Break The Bank" (NJ Spotlight – November 29, 2012)

"Medicaid Expansion Supporters Build Case On Potential Savings" (NJ Spotlight – November 21, 2012)

"Decision Time Arrives For Christie On State-Run Health-Insurance Exchange" (NJ Spotlight – November 14, 2012)

"New Jersey Needs A Health-Insurance Exchange" (The Record / NorthJersey.com – November 13, 2012)

"Christie's Obamacare Decision Can Be Stormy" (New Jersey Newsroom – November 13, 2012)

"Critical Decision On NJ Health-Insurance Exchange Due This Week" (The Record / NorthJersey.com – November 12, 2012)

"Outcome Of Election Will Determine Direction Of Health Care Reform" (The Record / NorthJersey.com – October 24, 2012)

"Outcome Of Election Will Determine Direction Of Health Care Reform" (The Record / NorthJersey.com – October 24, 2012)

"Better Care, Lower Cost Under Obama Medicare" (The Record / NorthJersey.com – October 23, 2012)

"Don't Be Disabled By Disabilities" (Huffington Post – October 22, 2012)

"Combine Or Decline: Mergers And Consolidations Impact The Health Care Ecosystem" (New Jersey Monthly – October 15, 2012)

"NJ Health Insurance Exchange Clears Committee" (NJ Spotlight – October 2, 2012)

"Small-Business Owners Press For Health Care Exchange Law" (The Record / NorthJersey.com – September 19, 2012)

"N.J. Business Owners Urge Christie To Set Up Health Insurance Exchange" (Newsworks – September 19, 2012)

"Medicare Cuts Could Have NJ Healthcare Hemorrhaging Jobs" (NJ Spotlight – September 19, 2012)

"Poverty Rate In N.J. Rises For 4th Straight Year" (The Record / NorthJersey.com – September 12, 2012)

"Uninsured And Under 65 In New Jersey" (NJ Spotlight – August 31, 2012)

"Paul Ryan Gets Mixed Reviews From Shore Residents" (Asbury Park Press – August 14, 2012)

"Seniors' Reaction Mixed To Romney's VP Pick" (Asbury Park Press – August 13, 2012)

"Hospital Finance Bill Conditionally Vetoed" (Asbury Park Press – August 9, 2012)

"Will Governor Sign Hospital Financial Disclosure Rules?" (NJ Spotlight – August 1, 2012)

"Court Decision On Health Law Doesn't End Political Fighting" (Asbury Park Press – June 29, 2012)

"'Joyous Day' For S.J. Backers" (Courier-Post – June 29, 2012)

"Rejection Of Health Care Law Could Hamper NJ Plans To Insure More People" (The Record / NorthJersey.com – June 26, 2012)

"The Affordable Care Act: Prescription For Change In NJ Healthcare" (NJ Spotlight – June 18, 2012)

"Executive Order Could Give Christie the Online Health Insurance Exchange He Wants" (NJ Spotlight – May 30, 2012)

"New Jersey Citizen Action Special Award To Paul Bellon Boyer, Save Christ Hospital Coalition" (Health Professionals and Allied Employees News – May 14, 2012)

"Christie Nixes Health Exchange Bill" (Politico – May 10, 2012)

"Business Community Split On Christie's Veto Of Health Exchanges" (NJBIZ – May 10, 2012)

"New Jersey To Gain Nonprofit Health Insurance Company" (NJ Spotlight – May 7, 2012)

"Recent ACA-based Planning And Legislation In New Jersey" (Moorestown Sun – April 3, 2012)

"Celebrating The Affordable Care Act At Hat City Kitchen" (South Orange Patch – March 27, 2012)

"New Jersey Health Exchange Bill Is On Its Way To The Governor's Desk" (NJ Spotlight – March 16, 2012)

"Decision Time: Health Insurance Exchange Act Comes Up for Vote" (NJ Spotlight – March 14, 2012)

"N.J. Readies Vote On Health Insurance Market As White House Unveils Exchange Blueprint" (New Jersey Policy Perspective – March 13, 2012)

"N.J. Lawmakers Pushed On Setting Up Health Insurance Exchange" (Newsworks – March 13, 2012)

"N.J. Readies Vote On Health Insurance Market As White House Unveils Exchange Blueprint" (NorthJersey.com – March 13, 2012)

MEDIA ADVISORY: NJ Consumer Health Care Advocates to Hold Press Conference in Support of New Jersey Health Benefit Exchange Act — March 12, 2012

"Bill Seeks Financial Transparency For All NJ Hospitals" (NJ Spotlight – March 9, 2012)

"NJ Poised To Vote On Health Insurance Exchange" (New Jersey Policy Perspective – March 1, 2012)

"New Jersey Citizen Action Supports 'The New Jersey Health Benefit Exchange Act'" (Small Business Owners – March 1, 2012)

"NJ Poised To Vote On Health Insurance Exchange" (NJ Spotlight – February 28, 2012)

"What Obamacare Means For New Jersey" (U.S.1 – February 22, 2012)

"Protect Consumers! Take Action and Defend the New Jersey Health Benefits Exchange Act!" (BlueWaveNJ – February 21, 2012)

"Pallone Visits Drug Plant in Support of Pending Generics Legislation" (New Brunswick Patch – February 14, 2012)

"Pallone Visits Pharmaceutical Company To Highlight Legislation To Bring Low-Cost Generic Drugs To Market Faster" (MyCentralJersey.com – February 13, 2012)

"Is Christ Hospital Still For Sale?" (The Hudson Reporter – February 12, 2012)

"Closer To A Health Exchange In New Jersey" (Newsworks – February 8, 2012)

"Hospital's Bankruptcy Stokes Talks On Merger In Hudson County" (NJ Spotlight – February 8, 2012)

"Assembly Panel Moves Forward With Key Component Of Health Care Reform" (phillyBurbs.com – February 7, 2012)

"Assembly Committee Clears Health Insurance Exchange Bill" (NJ Spotlight – February 7, 2012)

"Christie Calls For Restructuring Of Research Universities" (NJ Spotlight – January 26, 2012)

"Jersey City Neighborhood Associations Form 'Community Oversight Board' To Monitor Christ Hospital Sale" (The Hudson Reporter – January 24, 2012)

"Countdown To NJ's Health Insurance Exchange" (NJ Spotlight – January 3, 2012)

NOTE: Read earlier Quality Health Care For All news articles at NJCA in the News. NEW! Also read All Health Care News.

Quality Health Care for All Campaign

NEW JERSEY HEALTH CARE

**UPDATE** Affordable Care Act – Marketplace

The Open Enrollment period under the ACA is now closed. But the Marketplace remains open for those with special circumstances — Go to CoverNJ.org (click here) for details.

ACAThe Open Enrollment period under the Affordable Care Act is now closed. But the Marketplace remains open for those with special circumstances, including:

  1. You have a qualifying life event, like having a baby, getting married, or losing other coverage, or
  2. You have other complicated situations, including an unexpected hospitalization or temporary cognitive disability, a natural disaster such as an earthquake or massive flooding, misconduct by a non-Marketplace enrollment assistor like an insurance company or broker, a technical malfunction during enrollment, domestic abuse, errors related to immigration status, Medicaid/Marketplace transfers, or several additional factors.

For details, including links and contact information, go to CoverNJ.org (click here).

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New Jersey Health Insurance Exchange

Health Insurance ExchangeWhat is a Health Insurance Exchange?

The Affordable Care Act (ACA) makes great improvements to access and affordability in our health care system. One major way that the law does this is by establishing new state health insurance exchanges. A health insurance exchange is a virtual marketplace intended to make purchasing health insurance more transparent and affordable for consumers. An ideal health insurance exchange would create competition, transparency and accountability in the insurance market, therefore bringing down the cost of insurance premiums for consumers.

Under the ACA, states are required to establish these state level health insurance exchanges or allow the federal government to establish an exchange for their state. It is also the only provision in the law that requires states to include stakeholders in the planning process. On January 1st, 2013, all 50 states must submit a proposal for their own health insurance exchange to the federal government and by 2014 all exchanges must be implemented. So far New Jersey has received $1 million to begin planning for a New Jersey exchange. The NJ for Health Care Coalition believes that a good exchange must meet the following principles:

Principles for Establishing a Pro-Consumer NJ Health Insurance Exchange

The Patient Protection and Affordable Care Act (ACA) greatly improves access and affordability in our health care system. State health insurance exchanges are a cornerstone of this law, providing a way to promote competition, transparency and accountability in the insurance market and bring down the cost of insurance premiums for consumers.

The new exchange must meet the following principles:

Resources

For more information contact: Dena Mottola Jaborska — dena@njcitizenaction.org or 732-246-4772 ext. 20.

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Citizen Action's New Consumer Health Helpline

imageGOT HEALTHCARE QUESTIONS?

Call Us Toll Free at

1-888-NJ GET WELL  (1-888-654-3893)

The NJ Consumer Health Helpline is a Free Health Care Consumer Assistance Program working to ensure that consumers are able to access affordable, quality health care and effectively navigate the often complex health insurance system. The Helpline also provides vital information to policy makers by identifying and addressing health care related problems as they occur in real time in our communities.

imageOur Helpline Counselors are trained and have up-to-date information about healthcare coverage in New Jersey, where to go if you have a problem with your insurance company and how to access other health related programs. NJCA is an independent, statewide education and advocacy organization. We are not a government agency. We work to ensure that all New Jersey residents have access to high quality and affordable health care.

For more information contact Yarrow Willman-Cole at yarrow@njcitizenaction.org. Download this program's flyer in English or flyer in Spanish. Funding for the New Jersey for Health Care Consumer Helpline Project was provided by the Healthcare Foundation of New Jersey. Like the Health Helpline on Facebook!

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Save Our Community Hospitals For the Community — Not For Profit

ImageThe Campaign to Protect Community Healthcare represents New Jersey residents, health care advocates, community leaders, elected officials, healthcare and insurance providers, unions representing health care workers and policy experts working together to protect and advance access to quality and affordable health care for all New Jerseyans.

We believe that the growing and aggressive expansion of certain health care business models in our communities threatens access to care for many residents, shifts costs to other consumers and providers, weakens quality standards and diminishes the standard of living for the healthcare workforce.

TAKE ACTION! Please click here to sign our petition being sent to Department of Health Commissioner Mary O'Dowd about Prime Healthcare Services and the sale of our community hospitals.

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New Payment Reform Principles

The passage of the Affordable Care Act creates opportunities for our state and our country to pursue innovative health care payment reform models designed to promote accessible, coordinated, patient-centered care that focuses on health and disease prevention and reduces health care costs. As payment reform models are advanced, a number of critical concerns, particularly for health care consumers, must be addressed by any legislation or other efforts to implement payment reform.

The NJ for Health Care Coalition has adopted the following 12 patient priorities that any payment reform model, including Accountable Care Organizations (ACO) and Medical Homes must incorporate to ensure that the health and rights of consumers are protected.

image

Payment Reform: 12 Patient Priorities

Any payment reform model, including Accountable Care Organizations (ACO) and Medical Homes must incorporate the following principles to ensure that the health and rights of consumers are protected.

  1. Transparency: Measures of care and incentives built into the payment system must be open, transparent, and understandable by patients. The legislation should provide for an open process through which there is full disclosure, capacity for public review, and explanation of all payment criteria.

  2. Protect Vulnerable Consumers: Payment policies should take into account the higher costs of patients whose needs are affected by high medical utilization, socio-economic status, language and other social/cultural factors. Patients with high medical utilization should be protected by global payments.

  3. Consumer Voice: There must be a substantial number of consumer representatives on the Board of any Accountable Care Organization (ACO). Any government body that regulates, sets policies, or approves payment plans for ACOs must establish a process in which the public has the opportunity to review and comment.

  4. Savings Shared With Consumers: Any cost savings must be used by the ACO to expand access and improve the quality of services provided in addition to providing savings to taxpayers.

  5. Patient Choice and Care Accessibility: The payment system should ensure patient choice of primary care and other providers such as specialists, nurse practitioners and mental health professionals. Patients must have access to caregivers with linguistic and cultural capacity to provide effective care. Payment systems must promote patients' continuity of care with their providers. Patients must have access to medically necessary out-of-network care.

  6. Improve Quality: Any gain-sharing payments made to an ACO must be based on improved outcomes.

  7. Evaluation and Monitoring: The legislation must include independent, meaningful and frequent monitoring and evaluation of the payment system focusing on quality of care, including outcomes, patient satisfaction and quality of life. The evaluation must be public.

  8. Patient Empowerment: A number of patient activation and patient empowerment methods have been shown to lead to better health outcomes, reduced disparities, and better satisfaction with one's health care, as well as reduced costs. Models such as chronic disease self-management, ideal medical practice, shared decision-making, and others must be supported by the payment system employed by the ACO.

  9. Promote Public and Community Health: Payment reform must be accompanied by a commitment to fund public and community health initiatives. Any ACO must be inclusive of community based providers such as health departments, community health clinics, mental health providers and homeless shelters. New resources must be added to current public health spending for payment reform to be successful.

  10. Patient-Centered Primary Care: Payment reform legislation should align incentives so that patient-centered primary care is the center of our health care system. The payment system should support teams that can deliver culturally-competent, coordinated preventive and primary care that focuses on the patient's physical and behavioral health. The system should encourage development of a robust adequate primary care workforce. Providers must receive on-going training and evaluation to ensure competency and accountability.

  11. Care by Appropriate Providers: Care must be provided by the most appropriate caregiver, practicing within their scope of practice and specialty. Health professionals must have workplace rights, whistleblower protection, and serve on committees developing practice models, reviewing outcomes and care management.

  12. Public Benefit Driven Motives: Any ACO must be a non-profit entity and all employees of the non-profit must have reasonable salaries.

(You can also download these 12 Patient Priorities.)

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New Report Demonstrates How the Affordable Care Act Will Benefit NJ's Working Families

imageOn March 17, 2011 NJ Citizen Action Education Fund and NJ for Health Care released a new report by New Jersey Policy Perspective, analyzing the impact of the Affordable Care Act (ACA) on New Jersey's struggling working families.

The Report (click here)"Good Medicine: The Impact of the Patient Protection and Affordable Care Act on New Jersey's Working Families with Children" — identifies specific benefits of the ACA and makes recommendations about how New Jersey can maximize its benefit under the new law. Complete details here.

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NJCA's Community Petition Drive in Jersey City to Help Save Christ Hospital

Christ HospitalIn response to the proposed sale of Christ Hospital to a for-profit company, NJCA launched a petition drive to protect the mission of the community hospital. The people of Jersey City need to know that Christ Hospital, its services, and health care providers will always be here for Jersey City families.

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National Health Care Reform — Making It Work for New Jersey

imageA Statewide Health Care Implementation Conference

Thank you for attending the Health Care Implementation Conference on June 8, 2010 and making it a huge success! Special thanks to Community Catalyst, all the panelists, our planning committee, and all the conference participants — your breadth of knowledge, diversity, thoughtful questions, and feedback made this a truly dynamic and substantive event.

Now that we have set the stage for implementation in our state, it is time to roll up our sleeves and get the work done. Please join us in taking the next steps to support implementation by joining our NJ for Health Care Coalition. With your help we can ensure that our state maximizes the benefits available to us through the federal health reform law. Please sign on to the NJ for Health Care coalition to get more involved.

News Coverage: "Young Adults Get Big Benefit Under New Health Care Law" (The Record / NorthJersey.com — June 10, 2010) and "How Controversial Federal Healthcare Law Will Affect Garden State" (NJ Spotlight — June 9, 2010).

Materials from Conference

Download all materials, from all six sections, in a single 4 MB zip file. Also, you can download each individual document below.

Table of Contents

At-A-Glance Agenda: WHAT NEXT? Making it Work for New Jersey, A Statewide Health Care Reform Implementation Conference (download)

SECTION ONE
National Health Care Reform: What does it mean for New Jersey, and what comes next?

  1. Community Catalyst, PPT presentation (June 2010). "National Health Care Reform: What does it mean for New Jersey, and what comes next?" (download)
  2. Community Catalyst (March 2010). "Summary of National Health Care Reform Legislation and Reconciliation Amendment." (download)
  3. The Henry J. Kaiser Family Foundation (April, 2010). "Focus on Health Reform: Health Reform Implementation Timeline." (download)
  4. Community Catalyst (June 2010). What National Health Care Reform Means for New Jersey (download)
  5. Star Ledger (March 2010). "NJ Tea Party Protest on 'unchecked' government, health care bill in New Jersey." (download)
  6. Statehouse Bureau (April 15, 2010). "NJ Tea Party searching for political control, unified message" (download)
  7. Community Catalyst (April 2010). "Quick Wins: Who Will Be Helped Right Away By the New Health Care Reform Law?" (download)
  8. Community Catalyst (May 2010). "Health Care Reform Will Secure Coverage and Improve Quality of Care." (download)

SECTION TWO
Implementing Reform in New Jersey

  1. National Academy for State Health Policy (November 2009). "A State Policymakers' Guide To Federal Health Reform: Part I: Anticipating How Federal Health Reform Will Affect State Roles." (download)
  2. National Academy for State Health Policy (November 2009). "Briefing: Supporting State Policymakers' Implementation of Federal Health Reform." (download)
  3. New Jersey Policy Perspective (February 2010). "Estimated Impact of Health Reform Bills Passed by the House and Senate on New Jersey" (download)
  4. New Jersey for Health Care (May 2010). "Establishing a High Risk Pool for New Jersey" (download)

SECTION THREE
National Health Reform and Cost-Quality: How Can New Jersey Utilize the New Reforms to Move the State Health Care Agenda?

  1. Community Catalyst, PPT presentation (May 2010). "Delivery System Change in Health Reform: Improving Quality, Controlling Costs" (download)
  2. Community Catalyst (2010). "National Health Reform and Cost-Quality: How Can New Jersey Utilize the New Reforms to Move the State Health Care Agenda?" (download)
  3. Community Catalyst (2010). "Campaign for Better Care Overview" (download)
  4. Dr. Brenner, Power Point Presentation (June 2010) on Camden ACO project (download)
  5. John Jacobi, Power Point Presentation (June 2010) on Cost, Quality, and Consumer Benefit (download)

SECTION FOUR
Promoting Health Equity Through Health Care Reform

  1. Community Catalyst, PPT presentation (June 2010). "National Health Reform and Reducing Health Disparities in New Jersey" (download)
  2. Community Catalyst (March 2010). "Community Benefits: Protect Consumers and Strengthen Dialogue between Hospitals and Communities" (download)
  3. Community Catalyst (March 2010). "Protect and Target Federal Funding for Safety Net Hospitals" (download)
  4. Community Catalyst (March 2010). "Improving the Health of our Communities: Promote the Availability of Healthy Food in All Neighborhoods" (download)
  5. Community Catalyst (March 2010). "Using Data to Track and Reduce Health Disparities in Medicaid" (download)
  6. Community Catalyst (March 2010). "Promoting Cultural Awareness and Language Assistance in Health Care" (download)
  7. National Immigration Law Center (April 2010). "How Are Immigrants Included in Health Reform?" (download)

SECTION FIVE
Communicating the Patient Protection and Affordable Care Act to the Public

  1. Herndon Alliance, PPT presentation (June 2010). "Implementing Health Reform: Context and Climate." (download)

SECTION SIX
Additional Resources

  1. Community Catalyst (January 2010). "Building on the foundation: Consumer Advocacy's role in Successful Health Care Reform." Executive Summary (download)
  2. Trust for America's Health. "Patient Protection and Affordable Care Act (HR 3590) Selected Prevention, Public Health & Workforce Provisions." (download)
  3. U.S. Department of Health & Human Services (2010). "Young Adults and The Affordable Care Act: Protecting Young Adults and Eliminating Burdens on Businesses and Families." (download)
  4. Community Catalyst - New England Alliance for Children's Health (April 2010). "Overview of Children's Provision in National Health Reform." (download)
  5. National Academy for State Health Policy (April 2010). "Briefing: Long Term Services and Supports and Chronic Care Coordination: Policy Advances Enacted by the Patient Protection and Affordable Care Act." (download)

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NJ For Health Care Opposes Governor Christie's Cuts to FamilyCare and Charity Care

ChristieOn Monday, March 8, 2010, members of the NJ For Health Care Coalition were joined by State Senator Loretta Weinberg (D-37), Chair of the NJ Senate Health, Human Services and Senior Citizens Committee and State Senator Joseph Vitale (D-19), Vice Chair of the NJ Senate Health, Human Services and Senior Citizens Committee at a Statehouse Press Conference to call on NJ Governor Chris Christie to stop cuts to NJ's FamilyCare and Charity Care programs which he enacted through Executive Order.

In addition to speakers from NJ Citizen Action, NJ Policy Perspective, the NJ Primary Care Association, the NJ Immigration Policy Network, and the Middlesex County Advocates, partners including the Health Professionals and Allied Employees, the Association for Children of NJ, AARP NJ, Legal Services of NJ, the Association for the Betterment of Citizens with Disabilities, and the NJ Catholic Conference attended the event.

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New Jersey's Under 31 Insurance Law

ImageThe Patient Protection and Affordable Health Care Act allows young adults to obtain health coverage through their parents' insurance plan up to age 26. However, in NJ young adults can stay on their parents' insurance policies up to the age of 31 if they meet the flowing criteria.

Your Plan:

A Parent:

If the parent's employer offers coverage subject to the law, then the young adult's parent:

A Young Adult:

If both the employer's plan and the young adult's parent meet the above requirements, the young adult may enroll if he or she:

For a more information on the NJ Law visit the NJ Department of Banking and Insurance website.

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NJ Main Street Alliance

ImageThe NJ Main Street Alliance brings together hundreds of small business owners who want real health care reform!

Small businesses are the heart of New Jersey's economy and the heart of our communities. No one knows as well as small business owners do how badly our health care system is broken. Small businesses are routinely left vulnerable to the premium hikes, benefit cuts, coverage denials and administrative nightmares that are commonplace in the health care system today.

Join united small business owners across the state coming together to fix the broken health care system. Learn more about the NJ Main Street Alliance.

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Support Children's Health Insurance – SCHIP

graphicThe State Children's Health Insurance Program (SCHIP), enacted with bi-partisan support a decade ago as part of the Balanced Budget Act of 1997 (BBA), is designed to build on Medicaid by providing insurance to low-income children who are uninsured, but ineligible for Medicaid.

New Jersey's SCHIP program is called NJ FamilyCare.

The NJ For Health Care Campaign supports full funding for SCHIP.

Feds Back Down on Bad Policy

DoctorNJ For Health Care fought against restrictive rules promulgated by the Bush administration through an August 17, 2007 directive issued by the Centers for Medicare & Medicaid Services (CMS) would have impeded New Jersey's ability to provide health insurance for thousands of low-income children have been put on hold.

New Jersey Citizen Action, New Jersey Appleseed Public Interest Law Center, Alliance for the Betterment of Citizens with Disabilities (ABCD), Alliance for Disabled in Action (ADA), BlueWaveNJ, Catholic Charities Diocese of Trenton, CWA Local 1034, CWA Local 1037, the Elder Rights Alliance of NJ, Family Voices of NJ, Health Care for All/NJ, Health Professionals and Allied Employees (HPAE), National Association of Social Workers (NASW) of NJ, National Organization for Women (NOW)—Morris County Chapter, Next Step (incorporated as People with Disabilities for Social and Economic Justice), the Statewide Parent Advocacy Network (SPAN), and the Workmen's Circle/Arbeter Ring NJ Region submitted an amicus brief in support of the State's Complaint. Read the amicus brief.

Resources


NATIONAL HEALTH CARE

Recent Event Highlights

Rally Celebrates & Informs: 6-Month Anniversary of Affordable Care Act

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On September 23, 2010, NJ Citizen Action, NJ for Health Care, NJPIRG Student Chapters, and the NJ Main Street Alliance hosted a rally, at Rutgers University in New Brunswick, to celebrate the new benefits of the Affordable Care Act, and help to educate our peers about the new law. It is now six months old and several new provisions officially take effect.

The "R U Insured?" Rally brought together students, health care advocates, small business owners, and seniors to celebrate the Affordable Care Act's six-month anniversary. The focus of the event was on what health care reform means for each of us, and to help spread the word. People shared first-hand stories about how they are benefiting from the new law. Participants also distributed healthcare-themed zines and a new report on the health benefits for young adults to students and faculty.

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Thank You Senator Robert Menendez Event

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On Monday, March 29, 2010 health care advocates from across the state gathered at Englewood Hospital to thank US Senator Robert Menendez for his leadership in the winning fight for comprehensive national health care reform. Senator Menendez is a proven health reform champion for New Jersey and has demonstrated his commitment to quality, affordable health care for all time and time again. Hard work millions of New Jerseyans can look forward to the security of good health care at a price we can afford. Tens of thousands of residents will no longer have to worry about being denied care or going bankrupt trying to pay for the care we need.

Contact Information

For more information contact: Dena Mottola Jaborska — dena@njcitizenaction.org or 732-246-4772 ext. 20.

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