…AHPs to circumvent the ACA. In a new work for The Commonwealth Fund, we identify the legal and regulatory steps the administration may take in response to the ruling and examine the implications of the decision for AHPs formed under the now-invalidated policy, their enrollees, and state regulators and policymakers. You can access our full analysis at The Commonwealth Fund….
…to be screened for Medicaid and CHIP along with subsidy eligibility, instead directing consumers towards private insurance. This practice may cause low-income people and families to miss out on government programs they may qualify for. Many direct enrollment platforms do not display unbiased comparisons of ACA-compliant plans, steering consumers to plans or companies that offer higher commissions. Why It Matters…
A new study by the Kleimann Communications Group, a nationally recognized research and consumer testing firm, finds that consumers face significant challenges understanding the limitations of short-term, limited duration health plans. The study was commissioned by the consumer representatives to the National Association of Insurance Commissioners (NAIC) and presented at their national meeting in Orlando, Florida. Short-term health plans have…
…should rest easy. The “Protecting Pre-existing Conditions & Making Health Care More Affordable Act of 2019”: A Mouthful, But a Major Step to Expand Access to Coverage Meanwhile, on the other side of the aisle, the chairs of the House Energy & Commerce and Ways & Means Committee unveiled a comprehensive bill designed to lower premiums for ACA marketplace coverage,…
…here. Take Away: It’s unclear what the administration hopes to accomplish with this RFI, and whether it is a preliminary step in a regulatory process that would encourage Health Care Choice Compacts or some other kind of state-level regulatory rollbacks. Improving health insurance choice and affordability through a competitive marketplace is a valid aim. But selling insurance across state lines…
…their programs in some way, extending health coverage to 12 million Americans. If the remaining states opted to expand Medicaid, 45 percent of the remaining uninsured could gain comprehensive health coverage. In conclusion, ACA, you make us warm and fuzzy inside (in a healthy way). We appreciate you and everything you’ve done for us since March 23, 2010! Happy Birthday!…
…and associations. This is not intended to be a comprehensive report of all comments on every element in the Notice of Benefit and Payment Parameters proposed rule, nor does it capture every component of the reviewed comments. Additionally, a portion of submitted comments were not available for our review at the time of publication. For more stakeholder comments, visit http://regulations.gov….
…This blog is intended to provide a summary of comments submitted by specific stakeholder groups: consumer, patient, and union organizations. This is not intended to be a comprehensive report of all comments on every element in the Health Reimbursement Arrangement proposed rule, nor does it capture every component of the reviewed comments. Additionally, a portion of submitted comments were not…
Several recent federal court decisions have held that the federal government owes insurers billions in cost-sharing reduction (CSR) payments. The Administration cut off those payments in October 2017, after efforts to repeal the Affordable Care Act (ACA) failed in Congress. Insurers promptly sued, arguing that the government had breached its statutory obligation to compensate insurers for offering the mandated low…
…rate, many insured consumers are stuck paying high medical bills. This analysis leverages vital data – data that is only public thanks to the ACA – to help us better understand insurers’ medical management tactics and the hurdles that consumers face. However, more data are needed on the federal and state level to assess why certain claims are denied and…
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.
