It’s All About the Rating: Touted “Benefits” of Association Health Plans Ignore Key Facts

A recent Washington Post article touted the emergence of association health plans under recent Trump administration rules, noting their lower cost and generous benefits. But the truth is more complicated, as CHIR experts Kevin Lucia and Sabrina Corlette point out, noting that AHPs often rely on medical underwriting and low “teaser” rates to lure new members. As a result, history is littered with insolvencies and even fraud connected to these arrangements. Continue reading

Complacency Slows Aggressive Approaches to Health Care Cost Containment: A View from Three Markets

Consolidation among hospitals and physician practices is driving a steady rise in health care costs. Employers who purchase insurance and the payers that negotiate on their behalf have a limited set of tools available to counter providers’ demands, but they have also displayed a complacency that has allowed prices to rise with little resistance. In a post for the Health Affairs blog, Sabrina Corlette, Jack Hoadley, and Katie Keith share findings from a series of market-level case studies on responses to provider consolidation. Continue reading

Texas Court Ruling Throws Future of ACA’s Pre-existing Condition Protections, Coverage Gains into Doubt

A district court judge in Texas has issued a ruling that could throw close to one-fifth of the U.S. economy into chaos and upend health care for millions. While the case over the future of the Affordable Care Act wends its way through the courts, CHIR takes a moment to think about what the decision could mean for the consumers and families for whom the law has been a literal lifeline. Continue reading

Large Employer Strategies to Combat Increasing Healthcare Costs: Trends in Direct Contracting, On-Site Clinics and More

Employers currently insure 155 million people, but many are finding it increasingly challenging to maintain this benefit in the face of rising costs. One of the primary drivers of these costs is high provider prices. Some employers are taking matters into their own hands by disrupting traditional modes of care delivery. CHIR’s Emily Curran takes look at some of the tactics that have been gaining traction among employers. Continue reading

Navigator Guide FAQ of the Week: Eligibility for Premium Tax Credits

The midterm elections are over, but open enrollment for the Affordable Care Act marketplaces is in full swing. Georgetown CHIR has created a Navigator Resource Guide with 300+ answers to frequently asked questions (FAQ) about marketplace eligibility, enrollment, and coverage. For our FAQ of the Week we’re focusing on: Who is eligible for financial help with premiums? Continue reading