Category: Implementing the Affordable Care Act

The Proposed 2023 Notice of Benefit & Payment Parameters: Implications for States

The Biden administration has proposed a range of new standards and policies for the Affordable Care Act’s health insurance marketplaces. In her latest Expert Perspective for the Robert Wood Johnson Foundation’s State Health & Value Strategies project, Sabrina Corlette breaks down provisions that are of particular importance to states.

Navigator Guide FAQs of the Week: Understanding Common Consumer Notices When Applying for Marketplace Coverage

Happy New Year! In most states, consumers have until January 15 to sign up for marketplace coverage for 2022. In this weekly installment of FAQs from CHIR’s updated Navigator Resource Guide, we highlight questions about common notices consumers may receive when applying for health insurance, and how they can respond in order to successfully enroll in coverage.

ACA Section 1557 as a Tool for Anti-racist Health Care

The Affordable Care Act (ACA) has narrowed racial and ethnic health disparities. But significant gaps persist, driven in no small part by structural racism. In a new piece for Health Affairs Forefront, Jamille Fields Allsbrook and CHIR faculty Katie Keith discuss how the Biden administration can use its existing authority under Section 1557 of the ACA and Title VI of the Civil Rights Act to better ensure anti-racist health care and insurance.

Navigator Guide FAQs of the Week: Will My Plan Deliver the Care I Need?

Provider networks and prescription drug coverage are important consideration for consumers when choosing a plan. As part of CHIR’s weekly series highlighting FAQs from our updated Navigator Resource Guide, this week we discuss how to make sure your plan provides access to the doctors, prescription drugs, and culturally competent care that you need.

Consumers Have More Time to Shop for a 2022 Health Insurance Plan

For the past four years, December 15 has been the deadline for most Americans to enroll in the Affordable Care Act marketplaces for coverage effective the following year. This year the Biden administration has extended the sign-up window for an extra four weeks. CHIR’s Rachel Schwab takes a look at the benefits – and potential risks – of giving people more time to enroll.

November Research Roundup: What We’re Reading

For November’s monthly roundup of new health policy research, CHIR’s Emma Walsh-Alker reviewed studies about insurer participation in the Affordable Care Act marketplaces, how private equity ownership of air ambulances impacts surprise bills, and how pending legislation to fill the Medicaid “coverage gap” could affect hospital finances.

Navigator Guide FAQs of the Week: What Does My Marketplace Plan Cover?

Enrolling in coverage on the marketplace requires comparing different health plans and decide which one best fits their needs for the upcoming year. To avoid unwelcome surprises, it’s crucial that consumers have an accurate understanding of plan options will and will not cover. This week, we highlight FAQs from CHIR’s updated Navigator Resource Guide about marketplace plans’ coverage standards.

Encouraging Signs for the Public Option in Washington State: Improved Availability and Affordability of Plans in 2022

This open enrollment, Washington State residents can once again purchase first-in-the-nation public option-style plans. Last year, Washington’s publicly procured plans—touted as a mechanism to improve affordability and competition in the marketplace—were less available and more expensive than proponents had hoped. In 2022, the second year of the program, these plans will offer average rate decreases and are available in a greater number of counties, an encouraging sign for the viability of Washington’s public option.

The State of COVID-19 Testing Coverage and Accessibility

Insurers are still required to fully cover COVID-19 testing, but finding a free test is a lot more difficult than it was last year. As we approach holiday gatherings, the need for affordable and accessible COVID-19 testing is critical. CHIR’s Megan Houston reviews the current state of COVID-19 testing coverage and considers what might be done to improve accessibility.

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.