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The Affordable Care Act in the Biden Era: Identifying Federal Priorities for Administrative Action

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…Biden–Harris presidential transition team made by patient and consumer advocates, health insurers, hospitals, physicians, state marketplace officials, and state insurance commissioners to identify high-priority federal administrative policy changes related to the Affordable Care Act and Medicaid. The analysis shows that health care stakeholders support a range of federal administrative policy changes to increase access to affordable, comprehensive health insurance and…

Nevada Jumps Aboard the Public Option Train: Legislative Proposal Aims to Lower Health Care Costs, Expand Coverage Choices

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The Nevada legislature is debating Senate Bill 420, legislation the authors say is designed to lower health care costs for consumers, reduce disparities for historically marginalized communities, and increase coverage choices for Nevadans (particularly those in rural areas). To achieve these goals, the legislation would create a “public option” plan. In this effort Nevada is following the path of Washington…

Figuring out if COBRA Coverage is Right for You

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…and premium contributions for a benchmark plan are capped at 8.5% of their household income. For those who receive or are eligible for at least one week of unemployment benefits in 2021, regardless of income – allows them to enroll in a $0 premium plan that comes with very low deductibles and cost-sharing. Please note that those currently employed by…

Out of the Fire and Back in Federal Court: This Mother’s Day, Another Challenge to the ACA Puts Access to Preventive Services at Risk

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…ACA’s Preventive Services Requirement The ACA requires non-grandfathered private health plans, including employer plans, to cover a set of preventive services at no cost to enrollees. These include many women’s health services, such as breast and cervical cancer screenings, prenatal tests, breastfeeding services, mammograms, bone density screenings for older women, and contraception. Early data showed that the ACA expanded access…

April Research Roundup: What We’re Reading

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…Becker, N. et al. ACA Mandate Led to Substantial Increase in Contraceptive Use Among Women Enrolled in High-Deductible Health Plans, Health Affairs. April 2021 In this report, researchers use data from a national commercial claims database to examine contraceptive use among continuously enrolled reproductive-age women between 2010 and 2017. They compare 9,014 women enrolled in high-deductible health plans with 443,363…

States Attempt to Rein in Rising Health Care Costs: Is a Self-Regulating Industry Enough?

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…the past two years the state exceeded the target. Although the state’s Health Policy Commission (HPC) is authorized to subject certain entities to a “Performance Improvement Plan,” it can do little to impose actual penalties on high priced hospitals. It’s thus not clear how the state will enforce the target. At the last board meeting of the HPC, commissioners expressed…

Are Surprise Billing Payments Likely to Lead to Inflation in Health Spending?

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By Jack Hoadley and Kevin Lucia The federal No Surprises Act protects consumers from surprise bills from out-of-network providers in emergency and certain non-emergency situations. The law also establishes a method to determine how much insurers will pay those providers. Establishing payment is critical to ensuring that providers are satisfied and comply with the law. But an upward trend in…

ACA “Family Glitch” Increases Health Care Costs for Millions of Low- and Middle-Income Families

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…coverage. For families, affordability — for everyone, including eligible spouses and children — is determined based on the employee’s coverage. Even if the employer’s contribution is for the employee only, those costs are used in calculating affordability for the entire family. In a new post for the Commonwealth Fund’s To the Point blog, Christina Goe and CHIR’s Dania Palanker delve…

State-Based Marketplaces Gear Up to Implement the American Rescue Plan

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…As a result, when and how consumers benefit from the American Rescue Plan’s enhanced premium subsidies could vary across states. In a new post for the Commonwealth Fund’s To the Point blog, CHIR’s Sabrina Corlette and Rachel Schwab review the American Rescue Plan implementation decisions of the state-based marketplaces. You can read the full article, including an interactive map, here….

Minority Health Month: National Latino Week of Action

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…among this community. These unequal rates in access to coverage have likely contributed to the significant inequities in health outcomes for racial and ethnic minorities throughout the COVID-19 pandemic. Latino people have disproportionately suffered from increased rates of morbidity and mortality over the past year. According to the Centers for Disease Control (CDC), compared to white individuals, Hispanic or Latino…

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.