Health Plan Narrow Networks: Highlighting Transparency Deficiencies for Consumers

A recent conference hosted by the Robert Wood Johnson Foundation on health system transparency allowed a diverse group of stakeholders – state and federal regulators, an insurance industry executive, a provider, and CHIR’s own Sabrina Corlette to discuss how the emergence of narrow provider networks on the Affordable Care Act’s marketplaces has spotlighted deficiencies in the information available for consumers to make good plan choices. Sabrina Corlette shares some of the issues debated and discussed. Continue reading

Our Heartfelt Thanks to Affordable Care Act Navigators and Assisters – and a New Resource

We’ve wrapped up the Affordable Care Act’s second open enrollment season and sign-ups exceeded expectations, in large part thanks to the hard work of navigators and assisters. As part of a Robert Wood Johnson Foundation-funded project, navigators in five states send us their toughest and most complicated cases. To help others facing similar issues, we’ve created a new compilation of our most frequently asked questions during open enrollment. The Georgetown technical assistance team shares it here. Continue reading

Understanding Federal Guidance on Reference Pricing: A New Primer from Georgetown’s Center on Health Insurance Reforms

Some employer health plans have begun to respond to dramatic differences in the cost of medical procedures through reference pricing. CHIR’s Kayla Connor shares a new primer prepared for the Robert Wood Johnson Foundation’s State Health Reform Assistance Network that helps insurance regulators understand the latest federal rules on reference pricing and potential consumer protection issues. Continue reading

New Online Resource Provides Answers to Common Health Insurance and Marketplace Questions

This week, CHIR is releasing an online version of the Navigator Resource Guide, with close to 300 searchable FAQs and easy-to-read background information on key health insurance and marketplace issues. Although designed with the needs of Navigators in mind, the Guide is a hands-on, practical resource for anyone who needs to communicate with consumers about the Affordable Care Act. Continue reading

Georgetown Navigator Technical Assistance Project: Lessons Learned and Recommendations for Future Enrollment

Georgetown University experts from the Center on Health Insurance Reforms and the Center for Children and Families released this week a report documenting the experiences over the past year working with Navigators, Certified Application Counselors, and others working to enroll consumers in the health insurance marketplaces. JoAnn Volk, Sandy Ahn, Sabrina Corlette and Tricia Brooks share lessons learned and recommendations for future enrollments in a comprehensive report and two video clips. Continue reading

Shifting into Post-Enrollment Issues: Fielding New Questions from Consumers

As we approach the end of open enrollment into new coverage options under the Affordable Care Act, many consumers have questions about their new health plans – what benefits are covered, what doctors are included in their networks, and what to do if there’s a problem. JoAnn Volk has them covered, with a series of frequently asked questions about post-enrollment issues, excerpted from our Navigator Resource Guide. Continue reading

Changing Health Plans, Changing Provider Networks: What They Mean for Consumers and How States Can Help

Did the President tell the truth when he told the American people: “If you like your doctor, you can keep your doctor”? Are health plans narrowing their provider networks and if so, what does it mean for consumers and the state officials charged with protecting them? CHIR experts Sabrina Corlette and Sally McCarty tackle these thorny issues in their latest blog. Continue reading