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State Insurance Department Consumer Alerts on Short-Term Plans Come Up Short

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…comprehensive, ACA-compliant coverage. While some pointed to the ACA’s marketplaces as another way to access coverage, most failed to mention the financial subsidies that many consumers qualify for if they purchase plans on the marketplace, with some mentioning the marketplace while also asserting that short-term plans may offer “significantly cheaper” premiums than ACA-compliant plans. State Insurance Departments Will Need to…

November Research Round Up: What We’re Reading

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…2018. Using tax data and survey responses, researchers evaluated whether the ACA’s premium subsidies have had an effect on home rent and mortgage payments. The researchers compared the experience of consumers in states that expanded Medicaid to those living in non-expansion states. Consumers between 100 and 138 percent of the federal poverty line are covered by Medicaid in expansion states,…

Large Employer Strategies to Combat Increasing Healthcare Costs: Trends in Direct Contracting, On-Site Clinics and More

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…ways to hold down costs, while still providing competitive insurance benefits to employees. With some declaring that “employer-based care is broken,” and others finding a degree of employer complacency in the face of rising prices, at least some large companies are now taking steps to try to circumvent traditional insurance and care delivery models to contain costs and improve outcomes….

In the Wake of New Association Health Plan Standards, States are Exercising Authority to Protect Consumers, Providers, and Markets

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…proprietors. The new policy lowers federal standards for the formation and regulation of AHPs, while reaffirming that states have “broad authority” over these plans. In their latest post for the Commonwealth Fund’s To The Point blog, CHIR researchers explore how states are using their authority to regulate AHPs to protect consumers, providers and health insurance markets. They reviewed state regulatory…

New Georgetown Report: Assessing the Effectiveness of State-Based Reinsurance

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…the programs have met their stated goals. Findings include: Reinsurance programs have been largely effective in achieving their aims, particularly in stabilizing individual market premiums and maintaining insurer participation. While reinsurance has widespread support, state funding remains an issue. Lessons learned for other states include the importance of leveraging state infrastructure and expertise, communications with federal partners, and the need…

Navigator Guide FAQ of the Week: Can Insurers Ask About Your Health History?

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…from data matching issues to the emergence of new coverage options and how to determine if your doctor is in a plan’s network. Recently, consumers have been inundated by health care-related robocalls from scammers attempting to sell them phony policies or glean their personal financial information over the phone. Consumers should beware of anyone trying to sell insurance over the…

What Does the Change in House Leadership Mean for Private Health Insurance? CHIR Experts Make Some Predictions

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…insurance less affordable for people with health needs. These include the encouragement of short-term and association health plans, the emergence of which raises premiums for ACA-compliant coverage, and the Department of Justice’s arguments in a Texas federal court that the ACA’s provisions protecting people with pre-existing conditions from insurance company discrimination should be invalidated. Under new leadership, the U.S. House…

October Research Round Up: What We’re Reading

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…casualty (automobile), workers’ compensation, liability (motor truck general liability), and travel insurers. What It Finds In 2016, “other” commercial insurers in Florida paid median relative prices about 50 percent higher than commercial PPOs/HMOs for hospital services, indicating that HMOs/PPOs had greater negotiating power than “other” insurers. The median price paid by commercial PPOs/HMOs for hospital services in Florida increased from…

Trump Administration Hands States Another Tool for Dismantling Preexisting Condition Protections

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…consumers’ experiences. States may seek permission to stand up an alternative marketplace for skimpy coverage, or to offer a combined portal in which coverage compliant with ACA protections is sold side-by-side with products that are not. In such circumstances, decision support tools will be even more critical to reduce confusion and help consumers understand what their coverage options do, 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.