Category: Implementing the Affordable Care Act
New Georgetown Report Reviews State Efforts to Enforce Mental Health Parity
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The Mental Health Parity and Addiction Equity Act (MHPAEA) aims to remove insurance-related obstacles to mental health and substance use disorder treatment, but inadequate compliance has raised questions about health plan enrollees’ ability to access critical behavioral health services. In a new issue brief, CHIR experts look at current barriers to effective state enforcement and identify opportunities to improve MHPAEA compliance.
September Research Roundup: What We’re Reading
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It’s officially fall, and along with the new season came an autumnal bounty of new health policy research. This month, we reviewed studies on the connection between medical debt and social determinants of health, private equity acquisition of physician practices, and controlling health care costs through state surprise billing laws.
What’s New for 2023 Marketplace Enrollment?
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The annual open enrollment period for Marketplace coverage is right around the corner, running from November 1 through January 15 in most states. There are many new policies impacting the Marketplace in 2023, including an extension of enhanced financial assistance through the Inflation Reduction Act; a federal fix to the “family glitch” that will create more affordable coverage opportunities for families; and tools to make shopping for a Marketplace plan more consumer-friendly. CHIR’s Emma Walsh-Alker summarizes these and other recent policy changes that consumers may encounter this year.
Hospital And Insurer Price Transparency Rules Now In Effect But Compliance Is Still Far Away
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Hospitals and health insurers are now required to publicly post their prices for health care services. However, as Maanasa Kona and Sabrina Corlette observe in their latest Health Affairs Forefront blog, the new disclosure requirements have not – yet – translated into data that can be used to identify the drivers of health care cost growth. Their piece identifies options for federal and state regulators to improve compliance and ultimately help support informed health care purchasing and policy decisions.
Federal Court Decision Threatens the ACA’s Preventive Services Benefit: State Options to Mitigate Harm to Consumers
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A federal judge in Texas has ruled that Affordable Care Act requirements that insurers cover and waive cost-sharing for preventive services is unconstitutional. While the case is likely to be appealed, states can act now to preserve residents’ access to affordable and often life-saving preventive care. In a new Expert Perspective for the State Health & Value Strategies project, Sabrina Corlette and Justin Giovannelli outline how.
August Research Roundup: What We’re Reading
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For the August edition of our monthly research roundup, CHIR said farewell to summer by reviewing the latest health policy research. This month, we summarize studies on how the end of the COVID-19 public health emergency (PHE) will impact health coverage, global efforts to achieve universal health coverage, and the effects of eliminating nominal marketplace premiums.
Third Time is the Charm? Proposed Regulations Strengthen Nondiscrimination Protections for Health Insurance Enrollees
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For the third time, the Department of Health and Human Services’ Office of Civil Rights has proposed rules to effectuate the application of civil rights protections to the health care industry under Section 1557 of the Affordable Care Act. If finalized, the regulation will have significant implications for health insurers and provide important nondiscrimination protections for insurance enrollees.
Amidst Rising Overdose Deaths, Policymakers Look for Ways to Expand Access to Proven Opioid Use Disorder Treatment
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As the number of opioid-related overdose fatalities remains alarmingly high, access to medication-assisted treatment (MAT) is inconsistent. Private insurance does not always cover the full range of MAT options, and when it does provide coverage cost sharing can be prohibitive. CHIR’s Rachel Swindle takes a look at state and federal reforms that can help lessen private insurance related barriers to treatment.
Healthcare Provisions in the Inflation Reduction Act: Implications for States
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Congress is poised to enact the Inflation Reduction Act, a $740 billion reconciliation package that includes sweeping climate change, deficit reduction, and health policy provisions. In her latest Expert Perspective for the State Health & Value Strategies project, Sabrina Corlette reviews the health care changes and their implications for states.