…3) when the individual is at increased risk for colorectal cancer and may receive earlier or more frequent screening compared with average risk adults. This variation resulted in consumers facing unexpected cost sharing and—according to regulators in some states—generated more consumer complaints than any other ACA protection. We also found that state regulators were looking to the federal government for…
By Katie Keith, Kevin Lucia, and Christine Monahan. This blog originally appeared on The Commonwealth Fund Blog on July 1, 2013 and is reproduced here in its entirety. This fall, under the Affordable Care Act, there will be new marketplaces in each state where insurance companies will sell private health plans. People without job-based affordable health benefits can go to…
…Navigators and others. This resource will: complement the high-level Navigator training materials being developed by federal regulators; indicate for readers instances in which there may be differences in state laws or rules, so that community based organizations and other groups supporting assisters can tailor the reference guide to reflect the rules of their own state; and include Frequently Asked Questions…
…40 or more to choose from. Questions about readiness. There were extremely tight time frames for the completion of plan reviews and the IT build for the operation of Part D. Pundits questioned whether the Centers for Medicare & Medicaid Services (CMS) could pull it off, but they did. CMS was ready for open enrollment in November of 2005. Costs…
By Sarah Dash, Christine Monahan, and Kevin Lucia. This blog originally appeared on The Commonwealth Fund Blog on June 19, 2013 and is reproduced here in its entirety. Since the enactment of the Affordable Care Act, the roles of states and the federal government in establishing health insurance exchanges—marketplaces where people can shop for comprehensive and affordable health plans—have evolved…
…Budget and Policy Priorities has compiled a handy Q&A document on the credits. It covers who is eligible, how much of a credit families will qualify for (both in percent of income and dollars), how the credits will affect what families actually pay for coverage, and the process for comparing advance credits with actual amounts at tax filing time. At…
…the number of small employers currently covered by stop-loss policies and only one state – Rhode Island – indicated that it had any plans to do so in the future. (And, as we’ve noted previously on CHIRblog, the federal government doesn’t have much data on this market either.) The good thing that may come out of the media coverage of…
Of the many consumer protection tools available to state health insurance regulators, one of the most powerful is the ability to review premium rates. And those regulators who have the authority to not only compel and review rate filings, but also to prevent an unacceptable premium rate from being implemented are especially empowered to protect their states’ consumers. That’s why…
…electronic data? * To what extent will the state rely on self-attestation? * What’s the state’s definition of reasonable compatibility? * Is the marketplace determining or assessing Medicaid eligibility? The answers to these questions impact the relative ease or difficulty that consumers will face in connecting to coverage. The less sophisticated the eligibility and enrollment system and the less streamlined…
The deadline for health insurance issuers to submit applications for the Office of Personnel Management’s (OPM) multi-state plan program came and went on March 29th with little fanfare. However, as more and more information comes out about which issuers have submitted plans for exchange certification across the country, we at CHIR have been wondering, where are the multi-state plans? Here’s…
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.
