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. Continue reading

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. Continue reading

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. Continue reading

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. Continue reading

Market Reforms Roundup: New Report on State Action on 2014 Market Reforms

In our most recent issue brief for the Commonwealth Fund, CHIR researchers studied the progress states have made to date in implementing the 2014 market reforms and found that most states have yet to move forward with changes they need. Katie Keith discusses the actions that states have taken so far and what our findings mean for federal and state regulators as they implement the Affordable Care Act. Continue reading

Will New Laws in States with Federally Run Health Insurance Marketplaces Hinder Outreach?

Although the federal government will play a primary role in administering the navigator program in the 33 states with a federally facilitated exchange, many state legislatures have enacted or considered legislation that subjects navigators to state requirements. In a post that originally appeared on The Commonwealth Fund Blog, Katie Keith, Kevin Lucia, and Christine Monahan describe the role of navigators and well as the potentially detrimental impact of this recent state legislative activity on effective consumer outreach. Continue reading

A Busy Week in Health Policy

While we have certainly seen some busy weeks for Affordable Care Act implementation, we had not expected this week to be so filled with new federal guidance and key events on exchange development and other insurance reform issues. To help you (and us) keep up, Katie Keith has a quick guide on what is happening this week on Affordable Care Act implementation. Continue reading

Potential Costs and Challenges in Boston

With much of the country still reeling from the Boston marathon bombings, many of the victims, as well as their families and friends, have already begun the long road to recovery. With estimates that total medical costs could be as high as $9 million, Katie Keith considers some of the costs and challenges that the victims might face in obtaining the care they need. Continue reading

New Guidance: Federal Regulators Allow “Collaborative Arrangements” for Enforcement

On March 15, 2013, federal regulators released guidance on how the Affordable Care Act’s new market reforms will be enforced. In a post that originally appeared on The Commonwealth Fund Blog, Katie Keith and Kevin Lucia describe how the new guidance fits into the Affordable Care Act’s enforcement framework and what the new guidance means for enforcement of the law’s most significant reforms. Continue reading