…ability to renew the plan for up to three years. As we’ve explained, such plans do not have to cover the same benefits as ACA-compliant coverage, and can deny coverage to people with pre-existing conditions, cap benefits, and exclude critical services like prescription drugs, maternity care, and mental health treatment. Unlike a number of other states, Virginia does not limit…
…advertising programs this year. In general, they find that the state-run marketplaces are spending roughly 26 times more per uninsured person than the federally run marketplace. These states are betting that these investments will result in more robust enrollment, a healthier risk pool, and greater competition among insurers. You can view state-by-state spending and a discussion of the data here….
…post for Commonwealth Fund, the faculty with the Georgetown University Center on Health Insurance Reforms took a closer look at state law to understand how states regulate these entities to find that states are split on whether they regulate DPCAs as insurance. The post also highlights some of the concerns that state insurance regulators might want to consider going forward….
…and faulty guidance that delay and complicate the enrollment process. States can leverage consumer data to improve outreach efforts and support consumers in need of assistance Another benefit of creating a state-based platform is access to real-time consumer data. As the platform administrators, SBMs can gain insight into how consumers interact with the marketplace and use this information to tailor…
…income that was substantially lower than indicated by available government data sources. For 2018, the marketplaces are now required to ask for additional income documentation if: a consumer attests to income between 100 and 400 percent of the federal poverty line (FPL); the marketplace’s data indicates the consumer’s income is below 100 percent FPL; the marketplace has not determined whether…
…back an AHP in order to hang on to those healthier enrollees. However, if an insurer is not participating in the state’s ACA marketplace, but opts to back an AHP anyway, they may pose a threat to their ACA-compliant competitors. These dynamics suggest that over time, more insurers might be incentivized to support AHPs in order to maintain their competitive…
On October 10, the Trump administration published a proposed rule that significantly harms immigrant families, in part by dramatically reducing their access to health coverage and care. As our Center for Children & Families (CCF) colleague Kelly Whitener has documented on our sister blog (CCF’s Say Ahhh!), the so-called “Public Charge” rule would make it far more difficult to immigrate…
…between consolidation and marketplace premiums prices as well as specialty provider prices. What It Finds The hospital markets in 41 counties with populations of less than 500,000 were considered highly concentrated during the study period, according to their Herfindahl-Hirschman Indices (HHI), a common measure of market concentration. Hospital-employed physicians made up 40 percent of the market in 2016, compared to…
…for the year, but rural communities have long been plagued by high premiums and limited choices. In many of these places, Medicaid has become both a coverage and financial lifeline. An important new report by our sister center, the Center for Children and Families, examines the impact of Medicaid expansion on health coverage in rural areas and small towns. Using…
…improved disclosures, and fails to give states the authority they need to step in. Instead the bill does what Congress always does when it doesn’t want to upset industry – it calls for more data. Specifically, it would create an advisory committee to DOT to study air ambulance issues and encourage more data reporting to the agency. It further: Requires…
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.
