Implementing the No Surprises Act: What We Know from Early Complaint Data

The No Surprises Act (NSA) provides comprehensive protections from many of the most prevalent forms of surprise medical billing, and a new process for determining out-of-network provider reimbursement aims to control health care costs by limiting insurer payments for surprise bills. It remains to be seen if the new federal law—implemented only last year—will achieve these goals. Two recently released reports provide some of the first indicators of the NSA’s impact.
Proposed 2025 Payment Rule: Marketplace Standards And Insurance Reforms
Navigator Guide FAQs of the Week: The Risks of Buying Coverage Outside the Marketplace

As 2023 comes to a close, it’s time to think about health insurance for 2024. Consumers searching for a 2024 plan online may come across products that do not have to comply with the Affordable Care Act’s (ACA) consumer protections. This week, we’re highlighting frequently asked questions from our Navigator Resource Guide concerning the risks of buying coverage outside the ACA’s Marketplace.
What States Are Doing to Keep People Covered as Medicaid Continuous Coverage Enrollment Unwinds

Several state-based Marketplaces have deployed innovative programs to keep people covered during the Medicaid unwinding. In their latest post for the Commonwealth Fund, CHIR’s Rachel Swindle and Sabrina Corlette assess the status of these programs and discuss the urgent need for more timely and accurate data on people transitioning from Medicaid to other forms of coverage.
Navigator Guide FAQs of the Week: Marketplace Coverage Issues for LGBTQI+ Individuals

It’s time to sign up for 2024 coverage on the Affordable Care Act’s Marketplaces. This week, the Centers for Medicare & Medicaid Services (CMS) is spotlighting how the Marketplaces can serve LGBTQI+ individuals, a community that has historically faced discriminatory barriers to health insurance and health care. Here are a few frequently asked questions (FAQs) from CHIR’s Navigator Resource Guide about some Marketplace coverage issues that LGBTQI+ individuals may face.
Navigator Guide FAQs of the Week: Comparing Plans
In An Era Of Premium And Provider Price Increases, State Employee Health Plans Target Key Cost Drivers

It’s open enrollment season for many employer health plans, and the rising cost of care may increase workers’ premiums and out-of-pocket expenditures. Recently, CHIR surveyed state employee health plans (SEHP) to identify challenges and opportunities for controlling health care costs. In a new post for Health Affairs Forefront, Sabrina Corlette and Karen Davenport discuss the survey findings and how SEHP strategies can inform broader cost containment efforts.
Navigator Guide FAQs of the Week: Health Coverage for Small Business Owners and Employees
The Impact of Unions on Employer-Sponsored Health Insurance

In just the first eight months of 2023, over 323,000 workers engaged in a labor action against their employers. Unions have been demanding better wages, protections, and benefits—including better health plans. CHIR’s Maanasa Kona takes a look at the role of unions in securing affordable health coverage for workers, including the innovative strategies they’ve used to reduce the unsustainable growth in health system costs.