Stakeholder Perspectives on CMS’s 2022 Notice of Benefit and Payment Parameters. Part 2: State Insurance Departments and Marketplaces

In one of the Trump administration’s last acts, the Centers for Medicare and Medicaid Services finalized some of the major provisions of the 2022 Notice of Benefit and Payment Parameters. In the second part of our blog series reviewing stakeholder comments, CHIR’s Rachel Schwab takes a look at how state insurance departments and state-based marketplaces responded to some of the recently finalized proposals. Continue reading

The No Surprises Act: Implications for States

In the waning days of 2020, Congress enacted the No Surprises Act, which provides, for the first time, protections for consumers against surprise bills from out-of-network medical providers. The legislation has numerous implications for states that have their own balance billing protections, as well as for those that do not. In their latest Expert Perspective article for the State Health & Value Strategies program, JoAnn Volk and Sabrina Corlette review some of the more critical issues state regulators will need to consider as this new federal law is implemented. Continue reading

Unpacking The No Surprises Act: An Opportunity To Protect Millions

Congress included the No Surprises Act in the omnibus spending bill that was passed and signed into law by President Trump on December 27, 2020. The bill protects patients from unexpected bills for out-of-network emergency and other services consumers are unable to agree to in advance. Georgetown experts Jack Hoadley, Katie Keith, and Kevin Lucia unpack the legislation in a blog post for Health Affairs. Continue reading

Navigator Guide FAQs of the Week: Who Qualifies for a Special Enrollment Period?

Open Enrollment has ended  in most states, and many consumers have signed up for a health insurance plan offered on the marketplace. For those who haven’t, there may still be an opportunity to enroll in an ACA-compliant health insurance plan during a Special Enrollment Period (SEP), which are available in some states and to some consumers, depending on their eligibility. For more information, check out our state-by-state guide, which provides information on state specific policies toward health coverage. Continue reading

Surprise Billing Protections: Help Finally Arrives for Millions of Americans

Congress enacted the “No Surprises Act” as part of the $900 billion COVID-19 relief and government spending bill. The Act will protect millions of patients from surprise out-of-network medical bills. In their latest To the Point post for the Commonwealth Fund, CHIR experts Jack Hoadley, Kevin Lucia, and Beth Fuchs unpack the legislation and what it means for patients. Continue reading

2020 – It’s a Wrap. CHIR Takes Stock of a Tumultuous, but Busy Year

We at Georgetown CHIR look back at this tumultuous, tragic, and eventful year and are thankful we have the opportunity to do the work we do. When the world went on lock down in early March, our team quickly pivoted to researching and writing about the government response to COVID-19 and its impact on health care coverage. We also wrote about surprise balance billing, junk insurance, and trends in provider-payer dynamics We share some of the highlights from our work here. Continue reading

Navigator Guide FAQs of the Week: What to Expect When Expecting Health Insurance

Open Enrollment has ended  in most states, and many consumers have signed up for a health insurance plan offered on the marketplace. In this installation, the CHIR team has compiled a number of frequently asked questions (FAQs) from our Navigator Resource Guide to help inform enrolled consumers on the next steps they should take now that they have coverage.

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