Category: Health reform
New Georgetown CHIR Report: Taking the Disputes out of Dispute Resolution
The U.S. Congress enacted the No Surprises Act in 2020 to protect patients from surprise out-of-network medical bills. Now the federal agencies need to set up a process to resolve disputes between these providers and insurance companies. CHIR experts examine the experience in four states with similar dispute resolution programs and share lessons that can be applied at the national level.
American Rescue Plan Act Will Strengthen Public and Private Health Insurance
The American Rescue Plan Act of 2021 provides the largest expansion of public and private health insurance coverage since the Affordable Care Act was enacted in 2010. CHIR’s Sabrina Corlette and the Georgetown Center for Children & Families’ Edwin Park break down its key provisions in a new explainer.
An Opportunity to Protect Consumers and Ensure a Level Playing Field: Reversing Trump-era Rules on Association Health Plans
An executive order from President Biden is likely to prompt a review of Trump administration rules encouraging association health plans (AHPs) exempt from critical Affordable Care Act protections. CHIR’s Sabrina Corlette and Kevin Lucia assess what’s at stake and share thoughts on optimal federal policy going forward.
Workplace Wellness Programs Have Overlooked Health Equity
One of President Biden’s first executive actions was to require the U.S. Equal Employment Opportunity Commission to withdraw regulations governing workplace wellness programs. CHIR’s Julie Zuckerbrod considers how these programs can exacerbate racial and ethnic inequities in health care access and outcomes, and opportunities for the Biden administration to advance equity-focused regulations.
FTC’s Opportunity to Protect Consumers from Deceptively Marketed Alternative Coverage Arrangements
Expanded Coverage For COVID-19 Testing Must Include Limits On Costs
President Biden has issued an Executive Order likely to expand the mandate for private insurers to cover, and waive cost-sharing, for COVID-19 testing. However, the Brookings Institution’s Loren Adler and Sabrina Corlette argue in a new blog post for Health Affairs that Congress will also need to act to ensure that the mandate doesn’t encourage price gouging by providers, and to fully eliminate cost barriers to universal testing.
The No Surprises Act: Implications for States
In the waning days of 2020, Congress enacted the No Surprises Act, which provides, for the first time, protections for consumers against surprise bills from out-of-network medical providers. The legislation has numerous implications for states that have their own balance billing protections, as well as for those that do not. In their latest Expert Perspective article for the State Health & Value Strategies program, JoAnn Volk and Sabrina Corlette review some of the more critical issues state regulators will need to consider as this new federal law is implemented.
Unpacking The No Surprises Act: An Opportunity To Protect Millions
Congress included the No Surprises Act in the omnibus spending bill that was passed and signed into law by President Trump on December 27, 2020. The bill protects patients from unexpected bills for out-of-network emergency and other services consumers are unable to agree to in advance. Georgetown experts Jack Hoadley, Katie Keith, and Kevin Lucia unpack the legislation in a blog post for Health Affairs.
2020 – It’s a Wrap. CHIR Takes Stock of a Tumultuous, but Busy Year
We at Georgetown CHIR look back at this tumultuous, tragic, and eventful year and are thankful we have the opportunity to do the work we do. When the world went on lock down in early March, our team quickly pivoted to researching and writing about the government response to COVID-19 and its impact on health care coverage. We also wrote about surprise balance billing, junk insurance, and trends in provider-payer dynamics We share some of the highlights from our work here.
