Hard to believe, but open enrollment for 2016 coverage is just four months away. As we get closer to the start of OE 2016 – November 1, 2015 to January 31, 2016 – CHIR’s Sandy Ahn highlights some of the FFM’s approach to redeterminations and re-enrollments.
On July 7 the Senate Health Education Labor and Pensions Committee held a roundtable discussion about challenges and opportunities facing the small business health insurance market. CHIR Senior Research Fellow Sabrina Corlette was invited to join the conversation about the SHOP marketplaces, self-funded plans, the change in the definition of the small group market, and more.
State insurance regulators face the challenge of sustaining staffing levels achieved thanks to Affordable Care Act rate review grants. As these grant programs wind down, state officials get some helpful advice in Sally McCarty’s account of how she dealt with a similar challenge when she was Indiana’s insurance commissioner.
The faculty and staff of CHIR wish a fond farewell to their retiring colleague, Sally McCarty. Sally is leaving CHIR on a high note, having had a successful career as an academic expert, state and federal insurance regulator, and tireless advocate for consumers.
In the wake of the Supreme Court’s decision in King v. Burwell, our colleague at Georgetown University Law Center’s O’Neill Institute, Tim Westmoreland, considers the case. He finds that, for all the accompanying politics and drama, it never passed the laugh test.
A new report from Georgetown University researchers examines the phenomenon of surprise bills for out-of-network medical services, often called “balance billing.” These unexpected charges can often be significant and cause great stress for patients. Several states have implemented consumer protections, but they take different approaches with varying effectiveness. Jack Hoadley provides the highlights.
There’s been some renewed attention to the status and future of the small business health insurance market, particularly as an Affordable Care Act reform scheduled to go into effect in 2016 could cause some disruption. Last week CHIR researchers contributed to three great new resources to help policymakers and others understand changes in the market and some of the challenges ahead.
Beginning in 2016, the Affordable Care Act requires states to change the definition of “small employer” from one with up to 50 employees to up to 100 employees. Such a change could affect health insurance coverage and prices for small businesses and their workers. However, many states are taking advantage of a transition period offered by the Obama Administration that would delay this change. Ashley Williams and Sabrina Corlette, in their latest blog post for the Commonwealth Fund, report on the results of a 50-state survey and the implications for the small group insurance market.
Some states are making policies related to the emergence of telemedicine or the delivery of health care services through telecommunication technology. While states are taking varying approaches, telemedicine can increase access to specialty services such as mental health services and help address network adequacy concerns. CHIR’s Sandy Ahn highlights some of the issues related to telemedicine.
The Affordable Care Act requires most health plans to cover preventive services without cost sharing and enables consumers to access evidence-based medical care such as cancer screenings and immunizations for children. Implementation of this requirement, however, has raised questions and caused confusion among insurers, providers and consumers. Sandy Ahn reviews the Administration’s most recent guidance on this critical ACA provision, designed to clarify for insurers what they must do to comply and ensure that consumers receive the benefits they are promised under the law.
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.
