Category: Health reform

State Health Care Purchasers Can Push Hospitals To Comply With Federal Transparency Requirements

Federal law now requires hospitals to publish the prices they negotiate with private insurers, yet many of them are not complying. In this post for the Health Affairs Blog, CHIR’s Sabrina Corlette and Maanasa Kona and Marilyn Bartlett of the National Academy for State Health Policy discuss ways that state health benefit purchasers, such as state employee plans, can help increase hospital compliance.

Final Round of Rulemaking for 2022 Affordable Care Act Marketplaces: Implications for States

The Biden administration continues to put its stamp on the Affordable Care Act marketplaces with new rules to expand enrollment and consumer assistance, increase plan oversight, and reverse several Trump administration policies. In her latest post for the State Health & Value Strategies program, CHIR’s Sabrina Corlette highlights the issues of particular importance to state marketplaces and departments of insurance.

Federal Committee Recommends Airline Deregulation Act Changes to Avoid Conflicts with No Surprises Act

Air ambulances are one of the largest sources of surprise medical bills. While the No Surprises Act would protect patients from balance bills from out-of-network air ambulance providers, another federal law – the Airline Deregulation Act – could raise questions about states’ authority to enforce these consumer protections. CHIR’s Madeline O’Brien and Jack Hoadley describe a federal advisory committee’s recommendations to resolve potential conflicts.

Stakeholder Perspectives on Round Three of CMS’s 2022 Notice of Benefit and Payment Parameters. Part 3: Consumer Advocates

The Biden administration has proposed several policy changes designed to boost enrollment in the Affordable Care Act marketplaces. In the third post of a 3-part blog series, JoAnn Volk and Nia Gooding review comments submitted by several consumer and patient advocacy groups. Prior posts reviewed comments from health insurers and state marketplace and insurance officials.

Restraining Balance Billing by Air Ambulance Providers: CHIR Keeps Up with Federal Advisory Committee and Regulatory Actions

Air ambulances are the source of some of the largest unexpected medical bills faced by consumers. Before it passed the No Surprises Act, Congress created an advisory committee on air ambulance billing practices. CHIR’s Madeline O’Brien and JoAnn Volk take a look at this committee’s work and what it might mean for future federal policymaking.

State Public Option–Style Laws: What Policymakers Need to Know

In recent months, Washington, Colorado, and Nevada, have enacted public option-style laws aimed at containing costs and increasing access to health insurance coverage. In a new post for the Commonwealth Fund, CHIR experts Christine Monahan, Kevin Lucia, and Justin Giovannelli examine these efforts and their implications for federal and state policymakers.

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.