Value-based payment models are promoted as a way to transform our health care system from one that rewards value rather than the volume of health care services delivered. These models require providers to accept the risk of financial losses should spending on patients in their care exceed targeted levels. A new brief from State Health and Value Strategies, authored by researchers at Bailit Health and CHIR, explores potential state approaches to oversight of provider organizations that accept financial risk. Continue reading
In a report released this week by the National Alliance for Mental Illness (NAMI), Georgetown researchers Dania Palanker, JoAnn Volk and Kevin Lucia document the many ways that individual market plans available before the Affordable Care Act (ACA) fell far short of providing adequate, affordable coverage for people with mental illness and substance use disorders. Continue reading
In the fourth of a multi-part blog series on state options in the wake of federal actions to roll back or relax Affordable Care Act regulation, JoAnn Volk reviews recent changes to an enrollment pathway that may prove helpful in boosting enrollment, but also comes with potential risks for consumers. She discusses what state insurance regulators can do to ensure consumers are protected from pitfalls. Continue reading
September 27th marks the day most insurers have to formally decide whether they’ll stay in the Affordable Care Act marketplaces in 2018. While the danger of bare counties seems to have subsided, many more counties appear likely to have just one insurer offering marketplace coverage. In their latest blog post for the Commonwealth Fund, CHIR experts look at the policy options for ensuring access and competition. Continue reading
State insurance regulators met for the NAIC’s annual summer meeting in Philadelphia last week amidst continued uncertainty over the future of the Affordable Care Act. CHIR’s JoAnn Volk was there to observe the action and report out on how states are working to protect consumers and keep their insurance markets stable in spite of many unanswered questions from federal officials. Continue reading
New ACA rules give insurers greater flexibility to meet metal level targets and increase cost-sharing. In this post, JoAnn Volk looks at what that means for consumers and state options for implementing the rule.
The National Association of Insurance Commissioners wrapped up its Spring National meeting, and the ACA was on the agenda – but it was definitely a moving target. That’s because the meeting agenda was set before the House of Representatives pulled a bill to repeal and replace the ACA. As a result, the planned discussion over the AHCA had to be adjusted to encompass a broader look at potential administrative, legislative, and market factors that could affect the ACA’s future. CHIR’s JoAnn Volk shares some highlights from the meeting. Continue reading
Job-based plans cover 150 million people in the U.S. If the ACA is repealed, they stand to lose critical consumer protections that many have come to expect of their employer plan.
The NAIC wrapped up its Fall National Meeting last week, and although there was little of the upcoming ACA debate on the official agenda, the topic dominated the hallway chatter. JoAnn Volk provides a report on the meeting.
Access to prescription drugs is critically important to millions of individuals and families nationwide, but too often cost places them out of reach. At the NAIC’s summer national meeting, the consumer representatives to the NAIC released a report on state and federal regulatory options for promoting access to prescription drugs. JoAnn Volk shares highlights here. Continue reading