Trump Administration Pushes for Sale of Insurance Across State Lines

Recently, the Trump administration issued a request for information (RFI) seeking recommendations on ways to facilitate the sale of insurance across state lines, allowing insurers to bypass the insurance standards of states that have strong consumer protections and benefit requirements by headquartering in a state with few regulations in place. The policy is often touted as a way to reduce the cost of coverage and improve consumer choice, but states and insurers have been reluctant to embrace it. A CHIR study conducted after the ACA was signed into law sheds light on why. Continue reading

The FAA Reauthorization Bill – An Unexpected Vehicle for Relief from Surprise Medical Bills?

More often than not, air ambulance services are called in to serve people in severe physical distress who do not have the capacity at the time to provide consent. Yet many are later hit with huge surprise out-of-network charges for the flight. State departments of insurance and state legislators across the nation have taken notice of this issue and sought to protect consumers, but a federal law that has nothing to do with health care prevents them from regulating air ambulance providers. CHIR’s Maanasa Kona explains two potential federal remedies. Continue reading

Telemedicine: Another Tool in the Toolkit to Meet Network Adequacy Standards?

Health plans have been increasingly narrowing their provider networks, raising concerns about gaps in access to services for consumers, particularly in areas with provider shortages. Could telemedicine be used to help fill those gaps? CHIR authors say not yet and summarizes key findings from a new report published in partnership with the Urban Institute and with funding from the Robert Wood Johnson Foundation. Continue reading