Category: CHIR

Navigator Guide FAQs of the Week: Who is Eligible for Marketplace Coverage?

November 1 marked the first day of the Marketplace Open Enrollment Period in most states. CHIR recently updated its Navigator Resource Guide, and we’ll be highlighting frequently asked questions (FAQs) from the Navigator Guide throughout the annual enrollment window. This week, we’re taking a look at who is eligible for Marketplace plans.

Facility Fees 101: What is all the Fuss About?

Consumers are facing higher out-of-pocket costs when they receive outpatient care due to hospital “facility fees.” In a post for Health Affairs Forefront, Linda Blumberg and Christine Monahan provide a primer on facility fees, including the trend of hospital consolidation driving these fees and federal policy options to protect consumers from rising costs in outpatient settings.

State Health Equity Initiatives Confront Decades of Racism in the Insurance Industry

As another Marketplace Open Enrollment Period begins, millions of Americans will turn to insurance brokers to guide them to affordable and comprehensive health insurance. In a new post for the Commonwealth Fund, CHIR’s Jalisa Clark and Christine Monahan look into the underrepresentation of people of color in the broker profession and the clients they serve, including the historical origins of these racial disparities and how the Affordable Care Act Marketplaces are intervening.

Uneven Ground: Differences in Language Access Across State-Based Marketplaces

The annual Marketplace Open Enrollment Period is just around the corner. Enrolling in health insurance can be a challenge, especially for the millions of Americans with limited English proficiency (LEP). In a new issue brief for the Commonwealth Fund, CHIR experts document how the Affordable Care Act’s Marketplaces are facilitating access to health insurance information for LEP individuals, identify persistent gaps in language services, and recommend federal policies to improve language access in the Marketplaces.

September Research Roundup: What We’re Reading

As we fall into autumn weather, CHIR continues to keep up with the latest health policy research. In September, we read about trends in individual market enrollment, mental health care networks available through the Affordable Care Act’s (ACA) Marketplace, and employers’ ability to negotiate lower prices for health care services.

Policy Experts Discuss Strategies to Keep Employer-Sponsored Health Insurance Afloat

On October 3, CHIR held the first in a series of in-person policy briefings on the future of employer-sponsored insurance (ESI), sponsored by Arnold Ventures and West Health. The event, featuring remarks from U.S. Senator Maggie Hassan and a panel discussion moderated by Sarah Kliff of The New York Times, spotlighted state cost containment policies and employer strategies to inform the federal policy process concerning ESI, which covers almost half of all Americans.

State Protections Against Medical Debt: A Look at Policies Across the U.S.

Medical debt is one of the leading causes of bankruptcy in the United States. Though federal law provides some protection against medical debt and its downstream consequences, the federal framework has significant gaps. In a new report for the Commonwealth Fund, CHIR’s Maanasa Kona and Vrudhi Raimugia examine how states are filling gaps in federal law.

Reforming Abusive Billing Practices, One Step At A Time

As hospitals expand and take over outpatient care settings, consumers are facing additional charges in the form of facility fees when they see physicians and other providers. In a new post for Health Affairs Forefront, Christine Monahan and Linda Blumberg detail congressional proposals to reform billing practices that expose consumers to facility fees.

August Research Roundup: What We’re Reading

As summer was winding down, CHIR was reading up on the latest health policy research. In August, we read about differences between Medicare Advantage and commercial plans’ negotiated hospital prices, the affordability of employer-sponsored insurance for older adults, and the expected growth of 2024 Affordable Care Act Marketplace premiums.

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.