J.D. Vance, candidate for Vice President of the United States, has called for replacing the ACA’s insurance reforms with “high risk pools” for people with pre-existing conditions. CHIR’s Sabrina Corlette revisits how high risk pools worked (or more often, didn’t work) for people, prior to the ACA.
A debate is looming for the U.S. Congress – whether or not to extend enhanced premium tax credits for Affordable Care Act insurance coverage. In their latest article for Health Affairs, Jason Levitis, Sabrina Corlette, and Claire O’Brien identify several reasons Congress needs to act as soon as possible to preserve coverage and prevent a spike in premiums.
A recently enacted law creates a streamlined pathway to health insurance for individuals who are found ineligible for Medi-Cal but are likely eligible for Marketplace subsidies. In a recent report, CHIR experts assess the critical policy and operational decisions to implement the program and how these choices have affected consumers’ coverage transitions.
The No Surprises Act (NSA) protects consumers from unexpected medical bills, with disputes between payers and providers settled through independent dispute resolution (IDR). CHIR’s Jack Hoadley and Kennah Watts review the latest results from the IDR process and discuss the ongoing legal and regulatory challenges affecting the NSA.
In response to widespread concerns about the impact of medical debt, the Consumer Financial Protection Bureau (CFPB) proposed a rule in June 2024 aimed at limiting the influence of medical debt on credit reports and preventing certain debt collection practices. Despite recent changes by credit agencies to exclude small medical debts from reports, many Americans still face significant medical debt, particularly affecting vulnerable populations. In a recent piece for Health Affairs Forefront, Georgetown experts examine this proposed rule and the effect it could have on consumers.
Health insurers use of prior authorization appears to be on the rise. A recent report by CHIR researchers examines four states’ prior authorization policies for the commercial market to identify potential reform strategies to ease provider burden and improve patient access without also increasing insurers’ costs.
July is rate review season for state insurance departments. Proposed premiums for 2025 can help reveal how health insurers are responding to market trends, policy changes, and underlying drivers of health care cost growth. In her latest article for CHIRblog, Sabrina Corlette digs into the projected premium changes for 2025 and what’s driving them.
Two national health insurers recently discussed their plans to invest in “ICHRAs,” tax advantaged accounts that workers use to purchase individual market health insurance. CHIR’s Hanan Rakine explores what a greater use of ICHRAs could mean for workers, and for the stability of insurance markets.
Easy-enrollment programs offer states an efficient, low-cost mechanism for connecting residents with comprehensive, affordable health care coverage. In a recent post for the Commonwealth Fund, CHIR experts Rachel Swindle, Rachel Schwab, and Justin Giovannelli review state efforts and effective strategies for improving easy enrollment programs and boosting healthcare enrollment.
The U.S. significantly under-invests in primary care, even though the benefits of primary care access are well known. Several states are now using their health insurance rate review authority to push insurers to increase their investment. CHIR’s Maanasa Kona and Sabrina Corlette review these states’ strategies and their impact to date.
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.
