The Next Frontier: Insurance Marketplaces That Promote Quality Improvement

State of the States

While most state-based marketplaces in 2014 are rightly focused on the operational challenges of connecting people with coverage, over time technical improvements will allow them to prioritize providing better quality, more cost-effective care to enrollees. CHIR experts Sabrina Corlette and Sarah Dash, in their latest blog post for the Commonwealth Fund, discuss the opportunities and challenges for states working to implement the ACA’s quality improvement initiatives. Continue reading

New Issue Brief Examines Specialty Drugs in Tiered Pharmacy Benefit Structures

Implementing the ACA

Health plans have been increasingly using tiered pharmacy benefit designs. These new designs raise challenges for consumers and the state insurance regulators responsible for reviewing and approving plans for sale. CHIR faculty members Sally McCarty and David Cusano explore these issues in a new brief for the Robert Wood Johnson Foundation’s State Health Reform Assistance Network. Continue reading

CHIR Launches First in Video Series: Coffee Conversations on Timely Health Insurance Topics

Implementing the ACA

We at the Center on Health Insurance Reforms are excited to share the first of an upcoming video series on timely health insurance topics. In our debut video, CHIR experts Sabrina Corlette, JoAnn Volk, and Dave Cusano provide a preview of upcoming action at the National Association of Insurance Commissioners’ (NAIC) national meeting to address concerns about network adequacy of health plans offered through the new health insurance Marketplaces. Continue reading

After Halbig: Considerations for States Revisiting the Option to Establish a State-Based Marketplace

State of the States

A federal appeals court’s ruling that premium subsidies aren’t available for consumers who purchase health coverage through one of the ACA’s federally run insurance marketplaces could have drastic consequences. But policymakers in the 34 states with a federal marketplace have options for protecting their residents. In one of CHIR’s blogs for the Commonwealth Fund, Kevin Lucia and Justin Giovannelli discuss those options here. Continue reading

New Report Reviews State Action on Quality Improvement in State-Based Marketplaces

State of the States

The Affordable Care Act envisions that the new health insurance marketplaces will encourage plans to provide better quality, more cost-effective care. But achieving that is easier said than done. A recent report by CHIR faculty Sarah Dash and Sabrina Corlette charts action by the state-based marketplaces to achieve quality improvements and assesses future prospects. Ashley Williams provides an overview. Continue reading

ACA Days of Summer

Implementing the ACA

It’s getting to be a summer tradition: a new set of court decisions on the Affordable Care Act. This past week two courts reached opposite conclusions on whether the IRS can issue subsidies through the federally facilitated marketplaces, affecting potentially 7.3 million people. Research Fellow Sandy Ahn talks about these decisions and their impact on the ACA’s ability to address the “three As” of health coverage: access, affordability, and adequacy. Continue reading