Narrow Networks: Who’s Looking Out for Consumers?

Media outlets are reporting on a trend towards narrow network health plans offered through the Affordable Care Act’s health insurance marketplaces. Max Farris and Sally McCarty provide context for this emerging issue and discuss the state role in ensuring consumers have access to a sufficient number of primary care and specialty care physicians, facilities, and other providers. Continue reading

Market Reforms Roundup: New Report on State Action on 2014 Market Reforms

In our most recent issue brief for the Commonwealth Fund, CHIR researchers studied the progress states have made to date in implementing the 2014 market reforms and found that most states have yet to move forward with changes they need. Katie Keith discusses the actions that states have taken so far and what our findings mean for federal and state regulators as they implement the Affordable Care Act. Continue reading

Florida’s Changes to Rate Review: Heading Backward?

Of the many consumer protection tools available to health insurance regulators, one of the most powerful is the ability to review premium rates. Yet, some states have made recent decisions to abdicate this authority to federal regulators. Sally McCarty discusses recently enacted legislation in Florida that suspends the state’s rate review requirements – and what it means for insurers, regulators, and consumers. Continue reading

A Busy Week in Health Policy

While we have certainly seen some busy weeks for Affordable Care Act implementation, we had not expected this week to be so filled with new federal guidance and key events on exchange development and other insurance reform issues. To help you (and us) keep up, Katie Keith has a quick guide on what is happening this week on Affordable Care Act implementation. Continue reading