The No Surprises Act: Implications for States

Posted by

In the waning days of 2020, Congress enacted the No Surprises Act, which provides, for the first time, protections for consumers against surprise bills from out-of-network medical providers. The legislation has numerous implications for states that have their own balance billing protections, as well as for those that do not. In their latest Expert Perspective article for the State Health & Value Strategies program, JoAnn Volk and Sabrina Corlette review some of the more critical issues state regulators will need to consider as this new federal law is implemented.

Unpacking The No Surprises Act: An Opportunity To Protect Millions

Posted by

Congress included the No Surprises Act in the omnibus spending bill that was passed and signed into law by President Trump on December 27, 2020. The bill protects patients from unexpected bills for out-of-network emergency and other services consumers are unable to agree to in advance. Georgetown experts Jack Hoadley, Katie Keith, and Kevin Lucia unpack the legislation in a blog post for Health Affairs.

Navigator Guide FAQs of the Week: Who Qualifies for a Special Enrollment Period?

Posted by

Open Enrollment has ended  in most states, and many consumers have signed up for a health insurance plan offered on the marketplace. For those who haven’t, there may still be an opportunity to enroll in an ACA-compliant health insurance plan during a Special Enrollment Period (SEP), which are available in some states and to some consumers, depending on their eligibility. For more information, check out our state-by-state guide, which provides information on state specific policies toward health coverage.

Surprise Billing Protections: Help Finally Arrives for Millions of Americans

Posted by

Congress enacted the “No Surprises Act” as part of the $900 billion COVID-19 relief and government spending bill. The Act will protect millions of patients from surprise out-of-network medical bills. In their latest To the Point post for the Commonwealth Fund, CHIR experts Jack Hoadley, Kevin Lucia, and Beth Fuchs unpack the legislation and what it means for patients.

2020 – It’s a Wrap. CHIR Takes Stock of a Tumultuous, but Busy Year

Posted by

We at Georgetown CHIR look back at this tumultuous, tragic, and eventful year and are thankful we have the opportunity to do the work we do. When the world went on lock down in early March, our team quickly pivoted to researching and writing about the government response to COVID-19 and its impact on health care coverage. We also wrote about surprise balance billing, junk insurance, and trends in provider-payer dynamics We share some of the highlights from our work here.

Navigator Guide FAQs of the Week: What to Expect When Expecting Health Insurance

Posted by

Open Enrollment has ended  in most states, and many consumers have signed up for a health insurance plan offered on the marketplace. In this installation, the CHIR team has compiled a number of frequently asked questions (FAQs) from our Navigator Resource Guide to help inform enrolled consumers on the next steps they should take now that they have coverage.

Navigator Guide FAQs of the Week: Covid-19 Pandemic Concerns

Posted by

Open Enrollment in most states ends on Tuesday, December 15. As consumers finish weighing their coverage options, the CHIR team is highlighting frequently asked questions (FAQs) from our recently updated Navigator Resource Guide. In this installation, we answer FAQs about insurance concerns consumers may have due to the national public health emergency caused by the novel coronavirus (COVID-19) pandemic.

The Benefits and Limitations of State-Run Individual Market Reinsurance

Posted by

The Affordable Care Act brought about historic coverage gains, providing millions of Americans with vital access to comprehensive health insurance. But for many, high premiums continue to present a major barrier to coverage. States have adopted various policies to make health plans on the individual market more affordable, pursuing one approach more than others: reinsurance. In a new issue brief for the Commonwealth Fund, CHIR experts explore the benefits and limitations of state-run individual market reinsurance programs.

The COVID-19 Vaccine is Coming, but Will it Be Paid For? Federal and State Policies to Fill Gaps in Insurance Coverage

Posted by

Vaccinations against COVID-19 are on their way. For consumers in Affordable Care Act plans, immunization should have it fully covered by their insurance. In their latest post for the Commonwealth Fund’s To the Point blog, CHIR’s Sabrina Corlette and Madeline O’Brien review federal and state mandates to cover the COVID-19 vaccine, as well as potential gaps consumers could still fall into.

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.