Author Archive: CHIR Faculty

Stakeholder Perspectives on CMS’s 2025 Notice of Benefit and Payment Parameters: State Insurance Departments and Marketplaces

Posted by

In November, the Biden administration released the proposed Notice of Benefits and Payment Parameters for plan year 2025, an annual rule setting standards for the Affordable Care Act (ACA) Marketplaces and health insurers. For CHIR’s third and final blog summarizing stakeholder comments on the proposed rule, Maanasa Kona and Rachel Schwab reviewed letters submitted by state insurance departments and state-based Marketplaces.

Stakeholder Perspectives on CMS’s 2025 Notice of Benefits and Payment Parameters: Consumer Advocates

Posted by

The Biden administration will soon finalize its annual rulemaking for the Affordable Care Act Marketplaces. To better understand the impact of the proposed changes, CHIR reviewed the public comments submitted by key stakeholder groups. In the second post in a 3-part blog series, CHIR’s Karen Davenport and Emma Walsh-Alker review the feedback provided by consumer advocates.

December–January Research Roundup: What We’re Reading

Posted by

This winter, CHIR curled up with some good reads: the latest in health policy research. In December and January, we read studies on trends in employer-sponsored insurance, expanding insurance options for non-citizens, and state efforts to improve provider directory accuracy.

Dental Coverage under the ACA: Marketplace Rule Would Give States the Opportunity to Expand Coverage

Posted by

Dental care is an important element of comprehensive health care. The Affordable Care Act (ACA) requires coverage of pediatric dental services in many commercial plans, but the law has had less of an impact on adult dental coverage. This first blog in a new series on dental coverage in the ACA Marketplaces summarizes the legal framework of dental coverage and potentially forthcoming changes under the proposed Notice of Benefit and Payment Parameters for 2025.

State Public Option Plans Are Making Progress on Reducing Consumer Costs

Posted by

States remain motivated to adopt reforms that improve affordability and expand access to coverage for populations that still lack access to care. State public option–style plans are a key candidate for consideration. In a post for the Commonwealth Fund, CHIR experts provide an update on states that have established or are laying groundwork for public option–style plans.

Policy Innovations in the Affordable Care Act Marketplaces

Posted by

The Affordable Care Act’s Marketplaces have seen record signups for 2024. Marketplaces can pursue innovative and consumer-friendly policies that bolster this crucial source of coverage. In a recent issue brief for the Commonwealth Fund, CHIR experts reviewed policy decisions across state-run Marketplaces and the federally facilitated Marketplace.

Looking Under the Hood: “Enhanced” Rate Review to Improve Affordability

Posted by

A handful of states are working to improve health insurance affordability by boosting their insurance department’s rate review authority and empowering regulators to look “under the hood” at the prices commercial insurance companies negotiate for health care goods and services. In a recently released report, CHIR experts share findings from a 50-state assessment of rate review programs.

Navigator Guide FAQs of the Week: Post-Enrollment Issues

Posted by

Open enrollment for the Affordable Care Act’s Marketplaces has ended in most states, with a record number of people selecting a Marketplace plan for 2024. This week, we’re highlighting answers to common post-enrollment questions from our Navigator Resource Guide.

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.