Author Archive: Katie Keith

Averting Premium Shock for Marketplace Consumers

The American Rescue Plan Act has led to record-high marketplace enrollment and significant savings for millions of consumers. But the law’s enhanced marketplace subsidies are set to lapse at the end of the year. In a new post for the Commonwealth Fund’s To the Point blog, Katie Keith explains why there is urgency for Congress to act sooner rather than later.

Fixing the Family Glitch and Other Priorities: The Next Wave of Federal Administrative Action to Enhance the Affordable Care Act

The federal government has taken a series of actions to strengthen the Affordable Care Act (ACA) and Medicaid, and the Biden administration has announced its intent to do more in this arena. Stakeholders have aided federal policy efforts by suggesting administrative options for increasing access to affordable, comprehensive health insurance and promoting health equity. In her latest post for the Commonwealth Fund’s To the Point blog, Georgetown’s Katie Keith identifies thirteen high-priority administrative policies to strengthen the ACA and Medicaid and evaluates their current status.

ACA Section 1557 as a Tool for Anti-racist Health Care

The Affordable Care Act (ACA) has narrowed racial and ethnic health disparities. But significant gaps persist, driven in no small part by structural racism. In a new piece for Health Affairs Forefront, Jamille Fields Allsbrook and CHIR faculty Katie Keith discuss how the Biden administration can use its existing authority under Section 1557 of the ACA and Title VI of the Civil Rights Act to better ensure anti-racist health care and insurance.

Unpacking Colorado’s New Guidance on Transgender Health

The Affordable Care Act improved insurance coverage of gender-affirming care, but insurers still impose coverage restrictions that result in discriminatory barriers for transgender people seeking health care services. In a new post for the Commonwealth Fund, Katie Keith reviews the history and current landscape of insurance coverage of gender-affirming care, including Colorado’s changes to its Essential Health Benefits benchmark plan that are aimed at closing coverage gaps.

The Affordable Care Act in the Biden Era: Identifying Federal Priorities for Administrative Action

The Biden administration has pledged to use its executive authority to build on and improve the Affordable Care Act. In a new issue brief for the Commonwealth Fund, Katie Keith analyzes recommendations to the Biden–Harris presidential transition team made by patient and consumer advocates, health insurers, hospitals, physicians, state marketplace officials, and state insurance commissioners to identify high-priority policy changes.

Proposed 2019 Affordable Care Act Payment Rule: A Big Role for States

The U.S. Department of Health & Human Services published an annual set of proposed rules for the Affordable Care Act marketplaces on October 27. Called the “Notice of Benefit and Payment Parameters,” the rules set out expectations for insurers and the states that regulate them. In her latest post for CHIR, Katie Keith highlights key areas in which this administration would give states new autonomy and authority.

15 States and DC Now Prohibit Transgender Insurance Exclusions

Three years ago, only 3 states and DC prohibited insurance companies from excluding care for transgendered individuals from health plans. Today, that number has grown to 15 states, signalling that state policymakers are increasingly recognizing that transgender policy exclusions fly in the face of medical evidence and laws prohibiting discrimination based on gender identity. Our former CHIR colleague, Katie Keith, shares findings from an assessment of state actions and their impacts.

New Report on Key Lessons for LGBT Outreach and Enrollment under the Affordable Care Act

Today, Out2Enroll—a nationwide campaign dedicated to connecting LGBT people with their health insurance coverage options—released a new report exploring the extent to which this year’s outreach and enrollment efforts met the needs of the lesbian, gay, bisexual, and transgender (LGBT) community. Katie Keith provides an overview of the report’s major findings in this guest post.

Breaking Down the NAIC’s Comments

In comments to federal regulators on recent proposed rules, the NAIC added its voice to the chorus of stakeholders who have weighed in on some of the Affordable Care Act’s most significant protections. Katie Keith has highlights from the NAIC's four comment letters on the 2014 market reforms, essential health benefits, multi-state plans, and the rate review template.

The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.