Author Archive: CHIR Faculty

How Do Updated 2014 Federal Poverty Level Thresholds Impact Medicaid, CHIP & Premium Tax Credit Eligibility?

The Administration recently released updated federal poverty level thresholds for 2014. With eligibility for Medicaid, CHIP and premium tax credits under the Affordable Care Act at stake, consumers and those assisting them need to understand what these new thresholds mean. Here to explain is our colleague at Georgetown University’s Center for Children and Families, Martha Heberlein.

Here’s the Latest on Mandate Exemptions

Now that 2014 is here, the ACA’s individual mandate is in effect. In the last few months the Administration has issued some more guidance about how the mandate works, and our colleague Joe Touschner at Georgetown University’s Center for Children and Families provides this update.

Republican Health Proposal Likely Means Less Coverage, Higher Costs, Fewer Consumer Protections

A trio of Republican Senators have introduced legislation repealing the Affordable Care Act and detailing alternative reforms to the health care system. However, as noted in this blog by Edwin Park of the Center on Budget and Policy Priorities, the bill rolls back important insurance reforms, makes coverage less affordable for low income people, and hobbles the Medicaid program.

How the “3 Rs” Contributed to the Success of Medicare Part D

Opponents of the Affordable Care Act are latching onto the law’s “3Rs” (risk corridors, risk adjustment, and reinsurance) as a “bailout” for insurers. Yet one of the models for the 3Rs is the Medicare Part D drug benefit, where these programs have been working for years to help stabilize premiums. Georgetown University Health Policy Institute’s Jack Hoadley provides some context – and strong evidence that the 3Rs are in place to protect beneficiaries and taxpayers – not bail out health plans.

Update: State Decisions on the Policy Cancellation Fix

Implementation of the President’s proposed fix for health insurance policy cancellations rests with state officials and insurance companies. In this blog update for The Commonwealth Fund, Kevin Lucia, Katie Keith, and Sabrina Corlette provide the latest on states’ decisions, as well as an accompanying U.S. map.

How States are Simplifying Plan Choice in State-Based Marketplaces

Choosing the health plan that best meets your needs is no easy task, with much at stake in terms of both financial protection and access to care. In a new issue brief for The Commonwealth Fund, Christine Monahan, Sarah Dash, Kevin Lucia, and Sabrina Corlette examine the actions taken by state-based health insurance marketplaces to simplify health plan choices.

Patience and Flexibility Needed as Those with New Insurance Start Using Health Care Services January 1

Now that healthcare.gov is finally working, attention is turning to challenges people might face as they start seeking health care services. In his latest blog, Georgetown University Health Policy Institute’s Jack Hoadley discusses how Medicare officials responded to post-enrollment glitches in Part D – and provides some lessons learned for the ACA roll out.

Changing Health Plans, Changing Provider Networks: What They Mean for Consumers and How States Can Help

Did the President tell the truth when he told the American people: “If you like your doctor, you can keep your doctor”? Are health plans narrowing their provider networks and if so, what does it mean for consumers and the state officials charged with protecting them? CHIR experts Sabrina Corlette and Sally McCarty tackle these thorny issues in their latest blog.

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.