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February Research Roundup: What We’re Reading 

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…of continuous Medicaid coverage and expiration of enhanced subsidies could lead to a spike in uninsurance unless policymakers protect access to affordable, comprehensive health insurance. John Holahan, Erik Wengle, and Michael Simpson, Comparing Pricing and Competition in Small-Group Market and Individual Marketplaces, Urban Institute, February 2024. Researchers at the Urban Institute examined insurer participation and premium rates using the Robert…

No Surprises Act: Exploring the Impact on Employees, Employers and Costs

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…QPA amount. This dynamic, Professor Hoadley explained, incentivizes providers to enter into arbitration. Professor Hoadley has done a detailed analysis of the data and its impact on the NSA’s cost-containment goals for the Commonwealth Fund, and future publications should provide additional insights. Panelists Provide an Array of Perspectives on NSA Implementation Three panelists, moderated by Julie Appleby, discussed their perspectives…

Report Shows Dispute Resolution Process in No Surprises Act Favors Providers

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…Jack Hoadley and Kevin Lucia analyze the IDR data and what it means for patients, providers, payers, and health care costs. Although only 7 percent of out-of-network claims went through IDR, the February report shows significant growth in the number of IDR cases filed and resolved. Providers are winning a majority of cases, and these victories have come with substantial…

Health Care Sharing Ministries Leave Consumers with Unpaid Medical Claims

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…operations, and finances, but a couple of states have begun to fill these gaps; last year, Colorado became the first state to require comprehensive data from all HCSMs enrolling Colorado residents. Colorado recently published its first reports on HCSMs selling memberships in Colorado. In a post for the Commonwealth Fund’s To the Point blog, CHIR’s JoAnn Volk and Justin Giovannelli,…

Stakeholder Perspectives on CMS’s 2025 Notice of Benefit and Payment Parameters: State Insurance Departments and Marketplaces

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…post. A Note on Our Methodology This blog is intended to provide a summary of comments submitted by state DOIs and Marketplaces. This is not intended to be a comprehensive review of all comments on every provision in the proposed 2025 NBPP, nor does it capture every component of the reviewed comments. To view more stakeholder comments, please visit https://www.regulations.gov/….

Stakeholder Perspectives on CMS’s 2025 Notice of Benefits and Payment Parameters: Consumer Advocates

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…Our Methodology This blog is intended to provide a summary of comments submitted by consumer advocacy organizations. It is not intended to be a comprehensive review of all comments on every provision in the Notice of Benefit and Payment Parameters proposed rule, nor does it capture every component of the reviewed comments. To view more stakeholder comments, please visit https://www.regulations.gov/….

December–January Research Roundup: What We’re Reading

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…the Employee Retirement Income Security Act (ERISA), which preempts state regulation of these plans. Consequently, as self-funded ESI enrollment grows, states have regulatory authority over a smaller proportion of the commercial insurance market, which may have consequences for enrollees’ quality of and access to health care. Furthermore, state-run databases cannot require self-funded plans to submit claims data, limiting researchers’ and…

CHIR Welcomes Two New Faculty Members, Stacey Pogue and Kennah Watts

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…2011, she served as an appointed consumer representative to the National Association of Insurance Commissioners. Her previous roles include working on health coverage initiatives at both the Texas Health and Human Services Commission and the Texas Department of Insurance. Stacey holds degrees from the LBJ School of Public Affairs at the University of Texas at Austin and Texas A&M University….

Dental Coverage under the ACA: Marketplace Rule Would Give States the Opportunity to Expand Coverage

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By Zeynep Çelik, JoAnn Volk, Lindsay Cox, and Kevin Lucia Dental care is an important element of comprehensive health care. Oral health impacts job opportunities and children’s success in school, and dental complications, if left untreated, can lead to negative health outcomes and even death. Inability to pay is a major obstacle to dental care, making insurance a key factor…

State Public Option Plans Are Making Progress on Reducing Consumer Costs

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…Commonwealth Fund’s To the Point blog, CHIR experts provide an update on state public option–style plans. The authors discuss existing programs in Washington and Colorado, a soon-to-be implemented program in Nevada, and legislation laying groundwork for potential future programs in a trio of additional states. Despite pushback from insurers and providers, early adopters of state public option-style plans have seen…

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.