…Nia is a recent graduate of Dartmouth College and has worked on global health issues at the Nelson A. Rockefeller Center Policy Research Shop and on domestic safety net issues at the National Association of Community Health Centers. You can follow Nia on Twitter @NiaDGooding. We are so pleased to have Megan and Nia as part of the CHIR family….
By Kevin Lucia, Sara Rosenbaum, Sabrina Corlette, and Madeline O’Brien The Trump administration has largely delegated COVID-19 testing to states while denying them additional funding to implement a comprehensive testing strategy. This has left states — in the midst of their own budget crises — to decide how to target, administer, and finance asymptomatic COVID-19 testing for essential workers in…
…damages it owes to insurers because most successfully mitigated their losses through a practice called silver loading. In her latest “Expert Perspective” for the Robert Wood Johnson Foundation’s State Health & Value Strategies program, Sabrina Corlette untangles this complex litigation and discusses its implications for state premium rate regulation. You can read the full post here. …
…on health care services (for large employers, they must spend at least 85 percent). Insurers who fail to meet this standard are required to return the extra funds to policyholders in the form of rebates. Second, the law encourages state insurance regulators to conduct an independent, comprehensive review of insurers’ proposed premium rates, and to reject any unreasonable rate increases….
…in non-emergency care provided at in-network settings, and do not endorse a comprehensive approach. Transparency can be valuable. For example, consumers benefit when they have access to accurate and complete information on insurer networks. However, as the ASPE report acknowledges, transparency alone is not sufficient to protect consumers. A notice about the consequences of using an out-of-network provider is not…
…identify fraud, collect data, and diligently review products for sale, rather than relying on complaints from consumers to spot issues after they arise; Vigorously review rate requests to identify unjustified increases and include an equity component to rate review to detect discriminatory practices; and Institute provider network requirements that expand access to mental health care, including culturally competent mental health…
…Native American/Alaskan Native adults. These populations suffer higher uninsured rates compared to their white and Asian American counterparts. Authors recommend a number of policy changes to help achieve greater equity: Expand Medicaid in all states, without restrictions like work requirements Enhance and extend financial assistance in the ACA’s marketplaces Fund consumer assistance and community-based outreach in all marketplaces Continue data…
…pandemic. The HIPSM has been used extensively in a broad array of analyses of the Affordable Care Act (ACA) and other reforms. It is based on two years of American Community Survey (ACS) data, reweighted to reflect the most recent data from the ACS, the ACA Marketplace, and Medicaid, and aged to the current year using projections from the Urban…
…because of lower prices, but consumers should educate themselves about the true cost of those plans and the significant variability between different STPs. STPs are not subject to any of the Affordable Care Act’s (ACA) requirements and are difficult to compare. Even if two STPs appear to have the same benefits and cost-sharing, the coverage may not be comparable for…
…substitute for year-long coverage. A 2019 analysis by the Congressional Budget Office (CBO) projected that the industry would evolve and a new type of short-term health plan would likely become available that offers more comprehensive coverage, including protections against high cost-sharing and catastrophic medical costs. It was expected the industry would offer new plans that could compete with individual market…
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.
