Health Plan Restrictions on Contraceptive Coverage: It’s like asking people to “renew their seat belt each month”

The Affordable Care Act (ACA) has lowered financial barriers to birth control by requiring health plans to cover contraceptives at no cost sharing, but restrictions limit the availability and affordability of certain methods. While we’ve come a long way in ensuring access to this essential service, one hundred years after Margaret Sanger opened the first Planned Parenthood clinic in Brooklyn, nearly half of all pregnancies in the U.S. are unplanned. Addressing the unmet need for contraceptives and enabling women to maintain consistent and accurate drug use is a public health issue that affects insurers, consumers, and providers. Continue reading

CHIR Expert Sabrina Corlette Talks Marketplace Problems, Possible Solutions at Alliance for Health Reform Briefing

On Monday, September 26th, CHIR’s very own Sabrina Corlette spoke at a briefing on the future of ACA marketplaces put on by the Alliance for Health Reform. Ms. Corlette joined representatives from Anthem, the American Action Forum, and Covered California to discuss the forecast for 2017 and potential policy solutions to expand coverage and access in the individual market. Continue reading

Quality Over Quantity? New Medicaid Network Adequacy Rules Illuminate Disparities Among Insurance Program Standards

Narrow network plans, or plans with a limited network of providers, present problems for consumers across the various coverage programs. In May, the Centers for Medicare & Medicaid Services released the final rule setting network adequacy standards for Medicaid and CHIP managed care plans. The new rule requires states to set quantitative standards for network adequacy; but since these standards don’t apply uniformly to other federal programs, network adequacy – and access to essential health services – varies greatly for consumers based on what program they fall under. Continue reading

The Sky is Not Falling: CHIR Expert Kevin Lucia Talks Trends in Coverage and Affordability on the ACA Marketplaces

On Friday, July 15, CHIR’s very own Kevin Lucia spoke at a briefing on ACA marketplaces put on by the Alliance for Health Reform. Mr. Lucia joined representatives from the Commonwealth Fund, the American Academy of Actuaries, and the Blue Cross Blue Shield Association to discuss the outlook for federally facilitated and state-based exchanges as the fourth open enrollment period approaches in November. Continue reading