Category: CHIR

COVID “Long Haulers” Can Carry Additional Burden of Getting Insurers to Cover Care

COVID-19 survivors may experience new symptoms well after their initial infection. Health systems offer these patients help with managing their conditions, but COVID-19 is a novel disease, and research demonstrating effectiveness of treatments for many post-COVID conditions is sparse. Karen Davenport takes a look at some of insurance implications of the dearth of information on “long COVID.”

State-Based Marketplaces Eye Health Equity, Expanding Enrollment Under New Federal Grants

Last month, the Centers for Medicare & Medicaid Services announced $20 million in grant funding for the 21 state-based marketplaces (SBM). The federal funding, allocated under the American Rescue Plan, will allow SBMs to modernize their technology platforms, outreach programs, and other systems and operations to ensure compliance with federal requirements, including the temporary expansion of marketplace subsidies. CHIR’s Rachel Schwab takes a look at some of the initiatives SBMs are planning with the new grant funding.

September Research Roundup: What We’re Reading

In our newest monthly roundup of health policy research, CHIR’s Rachel Swindle reviews studies on consumer knowledge of marketplace options, the consequences of allowing the American Rescue Plan’s marketplace subsidies to expire, and downstream impacts of cost sharing trends. 

Limited Plans with Minimal Coverage Are Being Sold as Primary Coverage, Leaving Consumers at Risk

People shopping for health insurance online are often directed to websites using misleading or deceptive practices to steer them to products that are not compliant with the Affordable Care Act, such as fixed indemnity policies. In a new post for the Commonwealth Fund’s To the Point blog, CHIR’s Dania Palanker and Kevin Lucia discuss the marketing of limited plans as a primary form of coverage and the risks these products pose to consumers. 

The No Surprises Act Proposed Rule on Air Ambulances and Enforcement: Implications for States

This month the Biden administration released a second rule implementing the No Surprises Act, the new federal law banning balance bills in certain care settings and circumstances starting in 2022. In an Expert Perspective for the State Health & Value Strategies project, CHIR experts JoAnn Volk and Sabrina Corlette review provisions of the proposed rules of particular import to state-based marketplaces and state insurance regulators.

Building a Better Transparency Mousetrap: Recommendations to Optimize Hospital and Health Plan Price Disclosures

Amidst high and rising health care costs, recent federal regulations require hospitals and health plans to publicly post their prices. Such data can be useful for those seeking to control costs and improve affordability, but lack of compliance with the new requirements and data accessibility have made analysis difficult. To gain insights into the potential for this data and generate ideas for how to optimize the information to help reduce health system costs, CHIR convened a meeting of health care researchers, purchasers, and insurance regulators from around the country.

Public Input on How to Design a Federal Public Option

Congressional leaders requested input from the public on how to design a federal public health insurance option. CHIR’s Christine Monahan compiled and reviewed dozens of publicly available responses and shares key takeaways, as well as links so you can take a closer look.

August Research Roundup: What We’re Reading

For the latest monthly roundup of health policy research, CHIR’s Rachel Swindle takes a look at studies published in August on the how the uninsured rate has held steady during the COVID-19 pandemic and expiration of cost-sharing waivers for COVID-19 treatment.

State “Easy Enrollment” Programs Gain Momentum, Lay Groundwork for Additional Efforts to Expand Coverage

The American Rescue Plan made health insurance more affordable, but covering the 30 million remaining uninsured will require innovative efforts to broadcast and facilitate enrollment in subsidized insurance. To that end, several states, following an inaugural effort in Maryland, have proposed or are implementing a new avenue to enrollment through the tax-filing process. In a new post for the Commonwealth Fund’s To the Point blog, CHIR experts take a look at states that are operating or implementing “Easy Enrollment” programs, and how they may offer a bridge to more ambitious initiatives like automatic enrollment.

A Fixer Upper: Washington State Enacts Legislation to Boost its Public Option

Washington State enacted a first-of-its-kind public option, with the state-procured plans available beginning in 2020. But the inaugural year yielded underwhelming results, with fewer than 2,000 people enrolled in the plans and premiums that were on average higher than the prior year’s rates. After identifying several barriers to the program’s success, Washington enacted legislation this year to bolster the state’s public option.

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.