New Georgetown Issue Brief: 50-state Survey of State Action to Protect Consumers from Surprise Medical Bills

Balance billing occurs when a consumer who is treated by an out-of-network provider is subsequently billed by that provider for the difference between what their health plan paid and what the provider charges. In their latest issue brief published by the Commonwealth Fund, Kevin Lucia, Jack Hoadley, and Ashley Williams analyzed laws in all fifty states and the District of Columbia to understand the current scope of state laws that protect consumers from balance billing. Continue reading

Georgetown Experts Help States Weigh Solutions to Protect Consumers from Unexpected Medical Bills

As reports of patient encounters with unexpected provider bills continue to make headlines, state and federal policymakers are working to find solutions to the problem of surprise out-of-network billing. A recent Georgetown report on the issue caught the eye of two states – Pennsylvania and Florida – that are attempting to set new standards to protect consumers from balance bills. CHIR’s Ashley Williams shares a summary of what these states heard from our report’s lead authors. Continue reading

New Georgetown Report: Assessing Consumers’ Experience with ACA Coverage through the Eyes of State Consumer Assistance Programs

While the ACA has successfully resulted in 16.4 million newly insured people, we don’t yet know a lot about how that new coverage is working for them. However, state consumer assistance programs (CAPs) have the eyes and ears on the ground to help identify problems or gaps in private insurance coverage. Georgetown researchers surveyed 10 state CAPs and found many common issues for consumers’ coverage experiences, pre- and post-ACA. Continue reading