Author Archive: CHIR Faculty
Understanding Federal Guidance on Reference Pricing: A New Primer from Georgetown’s Center on Health Insurance Reforms
Some employer health plans have begun to respond to dramatic differences in the cost of medical procedures through reference pricing. CHIR’s Kayla Connor shares a new primer prepared for the Robert Wood Johnson Foundation’s State Health Reform Assistance Network that helps insurance regulators understand the latest federal rules on reference pricing and potential consumer protection issues.
Regulatory Activity in Two States Restricts How Plans Structure Specialty Drug Coverage
Two state insurance regulators, Florida and Montana, have taken recent regulatory action to address concerns raised by advocacy groups about the way specialty drugs are covered in pharmacy benefit plans offered in their states. Sally McCarty provides details of those actions and related updates on the oversight of discriminatory benefit designs.
The First Tax Filing Season under the Affordable Care Act is Approaching: What Do Marketplace Consumers Need to Know?
The 2014 tax season will be the first time tax filers will have to report on their health insurance coverage. Marketplace consumers, particularly those receiving premium tax credits, will need to take a few more steps when completing their 2014 taxes. Sandy Ahn provides a short summary of tax forms that marketplace consumers will be using.
Are People in Immigrant Families Gaining Coverage Under Health Reform?
Although we are in the midst of the second open enrollment period under health care reform, we still don’t have good data on whether people in immigrant families are gaining access to coverage. What we do know suggests we’re making some progress, but that challenges remain. Our Georgetown colleague Sonya Schwartz gets us up to speed.
Marketplace Coverage Renewals: Variation in State Approaches May Affect Consumers’ Finances
Auto-renewal through the health insurance marketplaces is an important mechanism for consumers to avoid a gap in coverage, but variations in state and federal approaches could impact consumers’ premiums and tax credits. In their latest blog post for the Commonwealth Fund, CHIR experts compare the renewal processes chosen by 17 state-based marketplaces and assess their impact on consumers’ finances.
Health Savings Accounts: Understanding the Basics
There are various routes to getting health insurance coverage for you and your family. One possible option is to have a health savings account (HSA), which must be paired with a high-deductible health plan. In today’s post, Sandy Ahn goes over the basics of a HSA and some things to consider when looking at this option.
MEC and MV: Keeping it All Straight When it Comes to Employer Plans
Open enrollment in the Health Insurance Marketplaces overlaps this year with many employer plan open enrollment periods, which has prompted some employees to ask questions about how their offer of employer coverage may affect their eligibility for premium tax credits. CHIR’s JoAnn Volk and Sandy Ahn take a look at what consumers need to know, especially if they’re offered a plan that doesn’t offer much coverage.
Embedded Deductibles: Source of Consumer Confusion
Understanding how health insurance works can be confusing, particularly when it comes to deductibles, a topic we’ve had a lot of questions about. In today’s post, Sandy Ahn discusses how an embedded deductible works in a health plan for family coverage and compares that to an aggregate deductible. This information is also included in our online Navigator Resource Guide released last month.
State-Based Marketplaces Offer More Health Plan Choices for 2015 Coverage
One of the goals of the Affordable Care Act is to make health insurance more affordable and accessible, in part by increasing health plan competition. In their latest blog post for the Commonwealth Fund, CHIR faculty Sean Miskell, Kevin Lucia and Justin Giovannelli find that competition is in fact increasing, and consumers shopping on the state-based marketplaces have more choices among insurers than they did last year.