As U.S. health care spending continues to spiral higher, states are using a variety of tools to push back. In a new book of essays, CHIR experts examine the impacts and limitations of three mechanisms through which states are leveraging their role as a contractor to lower health care prices in the private health insurance market and to advance broader policy goals.
Recent proposals from the Trump administration and Congress would shorten or eliminate the windows of opportunity for people to enroll in the Affordable Care Act Marketplaces. In a recent article for the Commonwealth Fund, CHIR’s Sabrina Corlette and Rachel Swindle discuss how such policies would result in reduced access to coverage and higher costs for Marketplace enrollees.
Pharmacy benefit managers have received significant public attention for their exploitative, cost increasing practices, but similar practices of third-party administrators (TPAs) have received relatively little public attention. In their latest piece for Health Affairs Forefront, Karen Handorf, Christine Monahan, and Kennah Watts argue that understanding TPA business models and how they generate profits requires looking under the hood at their agreements with health care providers and other third-party intermediaries.
While the health plan price transparency data available under current guidance and enforcement have proven challenging to access and use, a renewed focus under the Trump administration aims to improve Transparency in Coverage (TiC) data. In this blog, CHIR experts Stacey Pogue and Nadia Stovicek present insights into known issues with TiC machine-readable files, a recent executive order’s implications, and the issues that limit access to publicly available TiC data.
As Congress debates policies that would disenroll millions of people from both Medicaid and marketplace coverage, young adults living with diabetes could face coverage losses and challenges finding private insurance that is both comprehensive and affordable. In their latest piece for Health Affairs, Amy Killelea and Christine Monahan explore how variations in health insurance coverage can make health coverage transitions difficult for these young adults.
An obscure provision in the U.S. House reconciliation bill could have major consequences for the Affordable Care Act Marketplaces. In a guest post for CHIRblog, the Urban Institute’s Jason Levitis and Brookings’ Visiting Fellow Christen Linke-Young dig into how this provision could radically change people’s ability to access and maintain affordable health insurance.
The U.S. House of Representatives is poised to take up legislation that, if enacted, would be tantamount to a repeal of the Affordable Care Act (ACA) for millions of Americans who will lose their health insurance, and for millions more who will be required to submit to red tape and higher costs to retain their coverage. CHIR experts Sabrina Corlette, Karen Davenport, and Stacey Pogue dive into what the bill includes and what it means for the 24 million Americans who are covered through the ACA Marketplaces.
The Trump administration’s proposed “Marketplace Integrity” rule has generated almost 26,000 public comments. In this fourth in a 4-part blog series summarizing comments from a range of key stakeholders, CHIR’s Leila Sullivan digs into the responses and recommendations from consumer and patient advocate organizations.
The Trump administration’s proposed “Marketplace Integrity” rule has generated almost 26,000 public comments. In this third in a 4-part blog series summarizing comments from a range of key stakeholders, CHIR’s Stacey Pogue digs into the responses and recommendations from state-based Marketplaces and insurance departments.
The Trump administration’s proposed “Marketplace Integrity” rule has generated almost 26,000 public comments. In this second in a 4-part blog series summarizing comments from a range of key stakeholders, CHIR’s Karen Davenport digs into the responses and recommendations from provider representatives.
The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.
