Category: Implementing the Affordable Care Act
Federal Court Ruling: Navigator Laws Cannot Impose Additional Requirements on Navigators and Other Assisters in Federal Marketplace States

A federal court has decisively struck down a Missouri law requiring navigators and other consumer assisters to be licensed and pay a fee. Our Georgetown University Center for Children and Families colleague, Tricia Brooks, takes a look at the ruling and what it might mean for navigator laws in other states.
The ACA: No Coverage for Biting Off Your Nose to Spite Your Face
Relief – and New Options – for High Risk Pool Enrollees

High risk pool enrollees face particular challenges transitioning to new coverage when their coverage ends. But announcements in the past week provide relief to both PCIP enrollees as well as those in state-based high risk pools. JoAnn Volk takes a look at what those announcements mean for consumers.
The Affordable Care Act’s Disclosure Rules: Can They Improve Coverage, Raise Care Quality, and Cut Costs?

The Affordable Care Act is designed to expand access to affordable and adequate health insurance, improve the quality and efficiency of care, and constrain rising health costs. While the closely watched insurance marketplaces are key to these efforts, among the most promising provisions is the law’s new transparency framework. In this latest in a series of blogs for the Commonwealth Fund, Justin Giovannelli, Kevin Lucia and Sarah Dash take a look at one important but overlooked tool.
The ACA in 2014: Helping Consumers Transition to New Coverage

The start of 2014 marks the transition to new health plans that must meet ACA standards for adequacy and affordability. But, as with any transition, there can be disruptions, particularly for people who are in the middle of treatment or need drugs that may not be on a new plan’s formulary. HHS has recently released fact sheets and an interim final rule to help consumers and health plans make a smooth transition. JoAnn Volk has this overview – and answers some common consumer questions.
New Report Looks At Factors Leading to Medical Debt Among People With Insurance
2014 Brings New Protections for Consumers – and New Oversight Responsibilities for States

2014 brings sweeping new health insurance protections for consumers, but for those reforms to be realized state insurance regulators need to make sure health plans comply with the law. A recent report released by the NAIC consumer representatives details best practices and provides recommendations to states to improve enforcement and better protect consumers. Sabrina Corlette has this overview.
Another Shift in Health Insurance Rules: Helping Consumers Keep Up

On the eve of the December 23 deadline to sign up for health insurance coverage, the Administration announced that people whose previous health plans had been cancelled will now be allowed to enroll in alternative, bare-bones coverage. Consumers and those charged with helping them enroll – navigators, brokers, application assisters and others – are likely to have questions about the change. Sabrina Corlette provides answers here.
High Risk Pool Enrollees Get a Reprieve – and We Have Answers to What’s Next.

Last week the Administration announced plans to extend the Pre-existing Condition Insurance Plans (PCIPs) into 2014 to help ensure enrollees don’t face a gap in coverage. Recently CHIR released a set of frequently asked questions about transitioning out of high risk pool coverage and CHIR’s JoAnn Volk provides an update here.