Paying for Miracles – The High Cost of Cures

Implementing the ACA

It is every patient’s dream to hear the words, “You’re cured.” Yet the ability to cure can come with a high cost, one that health insurers are often reluctant to cover. Georgetown University medical student Joshua Barrett examines recent proposals for unique payment mechanisms for high-cost interventions that could perhaps change the way they are priced and financed. Continue reading

Shop to Renew During Open Enrollment

Implementing the ACA

While many consumers with marketplace coverage will be eligible for automatic renewal, there are many reasons for all consumers to shop to renew this year. For example, price changes to health plans as well as changes to the health plans themselves will impact the amount of premium tax credits and coverage for many consumers. We go over the reasons why all consumers should shop to renew this open enrollment. Continue reading

Open Enrollment Begins, Kinks in the Cost Calculator Tool on and Other OE News

Implementing the ACA

Open Enrollment 3 (OE3) is now underway and by all accounts, things are going smoothly. There are a few minor kinks with the out-of-pocket cost calculator, which officials have fixed or are working on fixing now. CHIR highlights two consumer facing tools that is pilot testing and should be available to all users before the end of open enrollment. Continue reading

States Revisit Essential Health Benefit Requirements, but Have Little Data on Consumers’ Experiences

State of the States

Federal Affordable Care Act rules require the states to revisit the standard scope of benefits for individual and small business health plans – called essential health benefits or EHB – and determine whether revisions are needed. In a new blog post for the Commonwealth Fund, CHIR experts examine how the states approached this task, and what it might mean for consumers. Continue reading

Updated Navigator Resource Guide

Open Enrollment_Section3 (1)

CHIR is pleased to release an updated online Navigator Guide on Private Health Insurance and Health Insurance Marketplaces with searchable frequently asked questions (FAQs) and easy-to-read background information on key health insurance and marketplace issues. With Open Enrollment just a few days away, get your Guide on! Continue reading