First Compliance Review Focused on Policies and Procedures, but a Better Approach Exists to Assess Health Plan Compliance

The administration recently published the results of its compliance review of health plans participating in federally facilitated marketplaces. The review, however, focused more on process, such as whether plans have the appropriate policies and procedures in place. While this information is somewhat helpful, CHIR’s Sabrina Corlette and Sandy Ahn discuss why these types of compliance reviews fall short of helping regulators assess whether plans are meeting the ACA’s patient protection standards. Continue reading

Big Data and Baby Steps: Two Very Different Approaches to Data Collection

Most Americans see the need for more data about health insurance and how it’s working for consumers, and the insurance industry itself seems to recognize the importance of collecting and analyzing data. But it’s not clear that our government regulators do. JoAnn Volk looks at the mismatch between what insurers are undertaking and what federal rules will require for data collection. Continue reading

New Healthcare.Gov Screener Tool Needs Fixes to Avoid Confusing Consumers

Now that open enrollment into the new health insurance marketplaces is over, the only way people can enroll in marketplace coverage is by qualifying for a special enrollment period because of a life change such as a birth, marriage, a move, or a divorce. Healthcare.gov recently made available a new “screener tool” to help consumers determine whether they qualify. CHIR’s Sabrina Corlette took the new tool for a test drive and has a few suggested improvements. Continue reading

RIP, PCIPs

On Friday, the Obama Administration announced that they were closing the Pre-existing Condition Insurance Plans (PCIPs) to new enrollment. Sabrina Corlette takes a look at the decision and what it means for consumers – and for implementation of the ACA. Continue reading

New Report Examines Early Indications of Insurer Participation and Competition in Health Insurance Exchanges

One of the key goals of the Affordable Care Act is to make health insurance coverage more affordable and consumer-friendly by managing competition among health insurers through the creation of health insurance exchanges. A new report from researchers at the Urban Institute and CHIR released by the Robert Wood Johnson Foundation explores state actions to encourage or require participation on exchanges, and early indications of the level of competition among health insurers. Kevin Lucia highlights some of the findings from the report. Continue reading