Understanding Consumers’ Experience with Health Insurance: New California Report on Complaints Provides Insights

Implementing the ACA

Earlier this month, the California Office of the Patient Advocate (OPA) released its first annual report cataloguing consumer complaints and inquiries about their health plans across four California state health agencies. The report examines 27,028 consumer complaints that were closed in 2014. CHIR’s Hannah Ellison explores highlights of the report and discusses its potential for impact. Continue reading

The Next Stage in Health Reform

Implementing the ACA

Health reform is entering a new stage. Going forward, federal and state policymakers must decide how to use the powers and tools granted them under the Affordable Care Act to stabilize risk pools, improve competition, and promote effective risk management. In this blog post Brookings scholar Henry Aaron and CHIR faculty Kevin Lucia and Justin Giovannelli discuss the challenges and opportunities ahead for the ACA’s marketplaces. Continue reading

Open Enrollment IV (OE4) is Just around the Corner: Things to Watch

Implementing the ACA

While it seems like we just finished open enrollment, the next round for 2017 coverage is right around the corner. For open enrollment IV, officials will be implementing new policy changes in an effort to ensure not just a better shopping experience, but also to minimize disruptions of coverage and financial assistance. CHIR’s Sandy Ahn and Sabrina Corlette summarize some of the 2017 changes for FFMs below. Continue reading

New Rules on Special Enrollment Periods: What Do They Mean for Consumers and the Assisters Who Help Them?

Implementing the ACA

What triggers a special enrollment period to allow someone to enroll on the individual market outside of open enrollment has been a hot debated topic of late. Recently the administration issued a new rule tightening what life events trigger a special enrollment period. CHIR’s Sandy Ahn summarizes the new rule and what it means for consumers and the assisters that help them. Continue reading

Taking a Look at ACA Non-Discrimination Rules: When Does Medical Management Cross the Line?

Implementing the ACA

The ACA prohibits benefit limits and cost sharing that discriminate against individuals based on health status and other factors, but federal rules also stress that insurers can continue to use reasonable medical management, which would allow benefit limits based on certain circumstances. JoAnn Volk looks at what this may mean for regulators and consumers trying to tell the difference.
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New Georgetown Report: Understanding the Consumer Enrollment Experience in the Affordable Care Act Marketplaces

Implementing the ACA

A new report released by Georgetown CHIR researchers used call center data from the Assister Help Resource Center to provide insights into consumer experiences enrolling in the Affordable Care Act marketplaces during the 2016 enrollment season. Authors Sabrina Corlette, Sandy Ahn and Hannah Ellison share some of their top findings. Continue reading