New Guidance Clarifying Preventive Services under the ACA

Implementing the ACA

The Affordable Care Act requires most health plans to cover preventive services without cost sharing and enables consumers to access evidence-based medical care like some cancer screenings and immunizations for children. Implementation of this requirement, however, has raised questions and confusion on the scope of this critical ACA provision. Sandy Ahn reviews the most recent guidance from the Administration that aims to shed light on some of the recent issues related to preventive services. Continue reading

The Affordable Care Act’s State Innovation Waivers: A Need for Transparency and a Role for Stakeholders

Implementing the ACA

Discussion of new “superwaiver” authority is a hot topic among many state and health policy circles. The Affordable Care Act allows states to modify key reforms beginning in 2017 through a so-called 1332 waiver application. States could also choose to coordinate this waiver with Medicaid and/or CHIP reforms through a 1115 waiver. CHIR’s Sabrina Corlette and Joan Alker of the Center for Children and Families assess the waiver process outlined to date and the need for transparency and stakeholder input on the critical policy decisions that will be required. Continue reading

Healthcare.gov Fixes System Glitch in Counting Social Security Income for Certain Tax Dependents

Implementing the ACA

The Centers for Medicare and Medicaid Services (CMS) recently announced that they had fixed a technical glitch in healthcare.gov that may have cost people thousands of dollars in subsidies. Our colleague at Georgetown’s Center for Children and Families, Tricia Brooks, helped to identify the problem early on and offers this take on what CMS can do to help the people affected by the error. Continue reading