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.
As Ground Ambulance Committee Begins Its Work, New Report on Balance Billing by Ground Ambulance Providers Highlights a Gap in the No Surprises Act
On December 9, the Centers for Medicare and Medicaid Services announced the membership of the Advisory Committee on Ground Ambulance and Patient Billing, as required by the No Surprises Act (NSA). As the committee prepares to begin its work, there is new evidence out of Texas that the NSA’s exclusion of ground ambulance bills puts consumers at a significant financial risk when they need emergency medical transport.
Proposed 2024 Payment Rule, Part 1: Insurance Market Reforms And Consumer Assistance
In its 2024 Notice of Benefit & Payment Parameters, the Biden administration has proposed a number of policy changes and operational updates for the Affordable Care Act’s marketplaces and consumer protections. CHIR’s Sabrina Corlette provides a deep dive on the proposals in Health Affairs’ Forefront.
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.
November Research Roundup: What We’re Reading
CHIR had a lot to be thankful for this November, including new health policy research. For the latest installment of our monthly research roundup, we reviewed studies on consumer awareness of Medicaid renewals resuming when the COVID-19 public health emergency (PHE) expires, integrating health equity into value-based payment models, and trends in hospital consolidation across health care markets.
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.
Navigator Guide FAQs of the Week: Small Businesses
The marketplaces are critical source of health insurance for small businesses, including small business owners, sole proprietors, and workers. In our weekly installment of FAQs from the Navigator Resource Guide, we highlight questions about marketplace coverage for small business owners and their employees.
The Erosion of Employer-Sponsored Health Insurance and Potential Policy Responses
Employer-sponsored insurance (ESI) covers 160 million Americans, but the adequacy of these plans is in decline. In a new series for CHIRblog, Maanasa Kona and Sabrina Corlette assess some proposed policy options designed to improve the affordability of ESI. The first blog of the series looks at the primary drivers of the erosion occurring in ESI and identifies three recognized policy options to improve affordability for employers and workers alike.
Congressional Proposals for a Federal Public Health Insurance Option
Democrats in Congress have put forward several proposals to create a public health insurance option over the past decade. In a new post for the Commonwealth Fund, CHIR’s Christine Monahan and Kevin Lucia break down the main features of four bills from the 117th Congress that would establish new public option plans.