Consumers are increasingly being exposed to a new expense when they seek outpatient medical care: hospital facility fees. In a new report and issue brief supported by West Health, CHIR’s Christine Monahan, Karen Davenport, and Rachel Swindle explore outpatient facility fee billing in the commercial sector, including the impact of these fees on consumers and how states are responding.
State employee health plans are uniquely situated to tackle the health care cost growth that is reducing health care affordability. CHIR’s 50-state survey of state employee health plans has key findings about their cost containment strategies, and the implications for other employer purchasers.
The rising costs of employer-sponsored insurance are placing financial pressure on employers and workers alike. In a four-part series, CHIR experts have reviewed the evidence supporting a range of policy options to improve the affordability this critical coverage option. This, their fourth and final post in the series, focuses on health care price transparency.
The U.S. House of Representatives Education and Workforce Health Subcommittee held a hearing on health care costs, competition, and transparency. CHIR’s Christine Monahan testified before the committee regarding consolidation in health care markets.
The U.S. House of Representatives’ Education & Workforce Committee is poised to advance H.R. 2813, legislation that would expand self-funded employer plans in the small group market and preempt state insurance regulation. CHIR’s Sabrina Corlette testified about the bill at an April 26, 2023 committee hearing.
CHIR is thrilled to welcome Hanan Rakine, M.P.H., as our newest faculty member.
The Affordable Care Act established health insurance Marketplaces to facilitate enrollment in comprehensive and affordable health insurance. Most states rely on the federal government to run their Marketplace, but recently, several states have expressed interest in taking over Marketplace operations. With Marketplace enrollment at an all-time high, and millions more people poised to transition from Medicaid to commercial insurance, the role of the Marketplaces as a coverage safety net has never been more pivotal. But federal rules impose few standards for states launching and maintaining a Marketplace. It may be time for the federal government to establish a stronger federal floor.
Washington, Colorado, and Nevada are partnering with private health insurance carriers to offer new “public option” plans. In a post for the Commonwealth Fund’s To the Point blog, CHIR’s Christine Monahan and Madeline O’Brien compare state approaches to selecting insurance carriers to offer the new state plans.
The U.S. House of Representatives’ Education & Workforce Committee is considering several bills affecting the affordability and accessibility of employer-sponsored insurance. CHIR’s Sabrina Corlette was invited to testify on these proposals and the state of private insurance generally.
Under the No Surprises Act, consumers are held harmless beyond in-network cost sharing when they receive certain kinds of out-of-network care. In these scenarios, to determine the provider’s payment, payers and providers may enter independent dispute resolution (IDR). Recently, federal agencies released an initial report on the No Surprises Act’s IDR process. In a post for Health Affairs Forefront, CHIR experts Jack Hoadley and Kevin Lucia analyze the new report and discuss what it suggests about the No Surprises Act.
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.
