Final 2025 Payment Notice: Marketplace Standards And Insurance Reforms

The U.S. Department of Health & Human Services recently released a final rule setting standards for the Affordable Care Act Marketplaces and health insurers for plan year 2025. In their latest Health Affairs Forefront article, Sabrina Corlette and Jason Levitis discuss the new Marketplace standards, insurance reforms, and policies concerning Advance Premium Tax Credits.

Biden Administration Finalizes Limits On Junk Health Plans

Last month the Biden administration finalized rules establishing new standards and disclosure requirements for certain limited benefit products. In one of her recent Health Affairs Forefront articles, Sabrina Corlette takes a look at what’s in the final regulations.

March Research Roundup: What We’re Reading

Thanks to daylight savings in March, CHIR had more time to keep up with the latest health policy research. Last month, we read studies about Affordable Care Act Marketplace plans and enrollee characteristics, Georgia’s reinsurance waiver, and Oregon’s hospital price cap.

Stakeholders Weigh in on a Proposal that Could Expand Adult Dental Coverage

The final Notice of Benefits and Payment Parameters for plan year 2025 is expected soon. The proposed rule included a provision that would permit states to require coverage of adult dental services as part of the Essential Health Benefits. As part of a CHIRblog series on Marketplace dental benefits, CHIR reviewed comments submitted in response to this proposal by select stakeholder groups.

States Expand Access to Affordable Private Coverage for Immigrant Populations

In the United States, immigrants are disproportionately likely to be uninsured. This disparity stems from systemic inequalities such as legal barriers to affordable coverage for noncitizens—especially undocumented immigrants. While state efforts to provide Medicaid-equivalent benefits to some populations of undocumented residents have helped expand access to coverage, many low- and moderate-income undocumented residents remain without affordable health insurance options. In a recent post for the Commonwealth Fund’s To the Point blog, CHIR’s Justin Giovannelli and Rachel Schwab explore recent state actions to fill this gap.

State Options for Making Hospital Financial Assistance Programs More Accessible

According to recent estimates, almost 100 million people have debt because of medical or dental bills. To mitigate this problem, nineteen states and the District of Columbia require hospitals to provide financial assistance to low-income populations, but the process of applying for financial assistance is often cumbersome and inaccessible. In a recent post for the Commonwealth Fund’s To the Point blog, CHIR’s Maanasa Kona discusses how some states have made the financial assistance application process easier for their residents.

February Research Roundup: What We’re Reading 

In February, CHIR used Leap Day to catch up on the latest health policy research. This month we read studies on the uninsurance rate, dynamics between the small-group market and individual Marketplace, and the availability of mental telehealth services.

No Surprises Act: Exploring the Impact on Employees, Employers and Costs

On March 7, CHIR hosted the second event in a series of policy briefings on the future of employer-sponsored health insurance, sponsored by Arnold Ventures. This event, featuring remarks from Congressman “Bobby” Scott and a panel discussion moderated by Julie Appleby of KFF Health News, focused on the No Surprises Act’s impact on consumers and implementation challenges associated with the independent dispute resolution process.

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.