Author Archive: CHIR Faculty
Telemedicine: Another Tool in the Toolkit to Meet Network Adequacy Standards?
Health plans have been increasingly narrowing their provider networks, raising concerns about gaps in access to services for consumers, particularly in areas with provider shortages. Could telemedicine be used to help fill those gaps? CHIR authors say not yet and summarizes key findings from a new report published in partnership with the Urban Institute and with funding from the Robert Wood Johnson Foundation.
Repeal of Small Business Provision of the ACA Creates Natural Experiment in States
Congress recently passed legislation allowing states to decide on the shape of the market for small business health insurance. Which states took action, and how? In their latest blog post for the Commonwealth Fund, CHIR researchers Sabrina Corlette, Ashley Williams and Kevin Lucia share findings from a 50-state review.
President Obama’s Budget Takes State-Level Debates over Surprise Out-of-Network Bills to National Policymakers
President Obama’s 2017 budget includes a new proposal to help protect consumers from unexpected charges by out-of-network providers. In a recent blog post for Health Affairs, Sandy Ahn, Jack Hoadley and Sabrina Corlette discuss the proposal in the context of recent state actions to counter balance billing.
Report Provides (Some) Insight on Network Adequacy as New Regulations Promise More
A new report from the Government Accountability Office (GAO) analyzes the relative adequacy of provider networks of health plans sold through the new insurance marketplaces and those offered through state Children’s Health Insurance Programs (CHIP). Sean Miskell, our colleague at Georgetown’s Center for Children and Families, takes a look.
Tax Filing Preparation: FAQs in the Navigator Resource Guide
As Self-Funding Increases in Popularity, Two States Step up to Address Potential Stop-Loss Policy Concerns
In the wake of the Affordable Care Act’s insurance market reforms, policy experts have raised concerns that there could be greater incentives for small businesses to self-fund their health plans. Self-funding can be attractive for some small groups, but also can pose significant risks. In the wake of a white paper from the National Association of Insurance Commissioners, two states have stepped up to address concerns. Ashley Williams has the latest.
IRS Issues Guidance on Overlapping Medicaid and Marketplace Coverage
Final Rules Make Expanded Role Official for Some Navigators in 2018
When the administration finalized Marketplace regulations for 2017 and beyond earlier this week, it officially expanded roles for Navigators. While much of what CHIRblog had previously described under the proposed rule from November has been retained in the final rules, Sandy Ahn provides a brief update of the additional Navigator duties.
A Roadmap For Getting Enrollment Right for Immigrant Families
The Affordable Care Act brought the promise of affordable coverage to many lawfully present immigrants but many continue to face challenges when applying through healthcare.gov. Our colleague Sonya Schwartz of Georgetown’s Center for Children and Families shares the top takeaways from her recently published report, which provides a roadmap that the marketplaces can use to to smooth the path to enrollment for immigrant families.