Nicole Fisher


Posts by Nicole Fisher (page 3)

  • Health Reforms Impact on State Budgets

    It isn’t news to anyone that states are having great trouble paying for their current Medicaid programs, even with large Federal contributions. However, the severity to which states are expecting to suffer under federal Health Reform is surprising. A new National Governors Association Fiscal Survey of States released a couple…
    Nicole Fisher, June 20, 2011
  • State Employee Health Benefit Premiums

    When she vetoed the original State Employee Health Plan (SB265) North Carolina…
    Nicole Fisher, June 6, 2011
  • How To Politely Talk About The Health Reform Act, Without Lying

    Given the difficulty Democrats seem to be having positively discussing and promoting Obama’s Health Reform Act without lying I thought I would pass along this list of purposefully ambiguous recommendations. Although targeted for a job applicant letter of recommendation, it demonstrates how one can easily alter vague…
    Nicole Fisher, June 2, 2011
  • How PPACA Penalizes You For Being Married

    It may sound crazy in theory, but the Patient Protection and Affordable Care Act (PPACA) actually has in place two penalties that target those who are married. The first penalty strongly encourages individuals to cohabitate instead of marrying. For health insurance, two singles living together who each earn $30,000 would…
    Nicole Fisher, May 25, 2011
  • Waivers, Waivers and More Waivers

    Late last week the White House released a blog (I assume in response to my blog post) addressing the many waivers it has issued in the few months since the Patient Protection and Affordable Care Act (PPACA) was passed. In the blog post, the White House says…
    Nicole Fisher, May 23, 2011
  • BHA, Humbug

    Ten years after Mental Health Reform started, we know some things that work in local care managers (LMEs) and in state-run hospitals, but not enough. Legislators and regulators continue to experiment with how care is provided and paid for. The latest experiment is called a “behavioral health authority” (BHA) and…
    Nicole Fisher, May 18, 2011
  • Be still my heart, Medicaid Waivers are Trending on Twitter!

    When a topic is “trending” on twitter, you know it’s either getting a lot of media attention or people are really interested in discussing the issue. Those “trending” topics almost never overlap with my career interests, so I couldn’t be more proud than when this happens about an issue I’ve…
    Nicole Fisher, May 17, 2011
  • “Hatch”ing a plan for Medicaid Reform

    It’s not new information that Medicaid costs and requirements are crippling state and federal budgets. What is new is that federal action is now being taken to repeal these burdensome requirements. U.S. Senator Orrin Hatch (R-Utah) announced on May 3rd, 2011 Senate Bill 868, known as the State Flexibility…
    Nicole Fisher, May 13, 2011