Category: Health reform
Navigator Guide FAQs of the Week: What to Know About Off-marketplace Plans

Although the deadline to enroll in a marketplace plan beginning January 1 has passed in most states, Open Enrollment is still ongoing. As consumers look for an affordable health plan, it can be tempting to search for plans online, which may lead people to products sold outside of the Affordable Care Act’s (ACA) marketplace. This week, as a part of CHIR’s weekly Navigator Resource Guide series, we’ve highlighted FAQs discussing some of the pitfalls of buying a plan off-marketplace.
Navigator Guide FAQs of the Week: Coverage of Reproductive Health Care

In most states, it’s the last week to sign up for marketplace plan that begins January 1. The Affordable Care Act expanded access to reproductive health services. As part of CHIR’s weekly installment of FAQs from our updated Navigator Resource Guide, we highlight questions about the marketplace and reproductive health care.
Supporting Continuity of Coverage from Medicaid into the Marketplace: Post-PHE Considerations for States

States are expected to resume redeterminations of Medicaid eligibility in early 2023, resulting in a projected 15 million people losing access to Medicaid. Ensuring these individuals transfer to another source of coverage smoothly and seamlessly is a particular challenge for states. In their latest Expert Perspective for the State Health & Value Strategies program, Jason Levitis and Sabrina Corlette delve into specific options for states to promote continuity of coverage.
Bridging the Gap: Oregon’s Proposal to Ease Coverage Transitions at the End of Public Health Emergency

At the end of the COVID-19 public health emergency, millions of people will lose Medicaid as states resume eligibility determinations. To help connect these consumers to a new source of affordable coverage, Oregon is considering an option under the ACA to leverage federal funding for health plans that cover lower-income consumers: a Basic Health Program (BHP). CHIR took a look at a recent state task force report recommending a BHP in Oregon to serve as a “bridge program.”
New CHIR Report Examines Federal-State Partnership in No Surprises Act Implementation

The No Surprises Act (NSA) aims to protect consumers facing surprise medical bills after receiving care from out-of-network providers under circumstances beyond their control. In a new report for the Commonwealth Fund, CHIR experts look at how states are working with the federal government to implement this landmark law.
Federal Court Decision Threatens the ACA’s Preventive Services Benefit: State Options to Mitigate Harm to Consumers

A federal judge in Texas has ruled that Affordable Care Act requirements that insurers cover and waive cost-sharing for preventive services is unconstitutional. While the case is likely to be appealed, states can act now to preserve residents’ access to affordable and often life-saving preventive care. In a new Expert Perspective for the State Health & Value Strategies project, Sabrina Corlette and Justin Giovannelli outline how.
The No Surprises Act Final Rule: Implications for State Regulators

The Biden administration has published its final rules governing the independent dispute resolution process outlined in the No Surprises Act. In a new Expert Perspective for the State Health & Value Strategies project, CHIR’s Jack Hoadley, Kevin Lucia, and JoAnn Volk review the rule and its implications for state regulators.
Amidst Rising Overdose Deaths, Policymakers Look for Ways to Expand Access to Proven Opioid Use Disorder Treatment

As the number of opioid-related overdose fatalities remains alarmingly high, access to medication-assisted treatment (MAT) is inconsistent. Private insurance does not always cover the full range of MAT options, and when it does provide coverage cost sharing can be prohibitive. CHIR’s Rachel Swindle takes a look at state and federal reforms that can help lessen private insurance related barriers to treatment.
Healthcare Provisions in the Inflation Reduction Act: Implications for States

Congress is poised to enact the Inflation Reduction Act, a $740 billion reconciliation package that includes sweeping climate change, deficit reduction, and health policy provisions. In her latest Expert Perspective for the State Health & Value Strategies project, Sabrina Corlette reviews the health care changes and their implications for states.