May Research Roundup: What We’re Reading
The days are heating up and so is the summer research! This month we read about the effects of health risk assessments on Medicare Advantage payments, how the Affordable Care Act transformed the healthcare landscape in this country, and finally, about hospital pricing and the values of transparency.
New Rule Opens the Affordable Care Act Marketplaces to DACA Recipients
The U.S. Department of Health & Human Services has released a final regulation allowing people who receive Deferred Action for Childhood Arrivals (DACA) to access new health insurance options. CHIR’s Sabrina Corlette and Julian Polaris of Manatt Health review the rule and its implications for state policy.
Facility Fee State Legislative Roundup: 2024 Session
With more outpatient care being delivered in hospital outpatient departments (HOPDs) than in previous years, consumers increasingly face high hospital facility fee charges on top of their provider’s bill for routine medical care. CHIR’s Hanan Rakine discusses the 2024 legislative session and how different states have been successful in regulating outpatient facility fees.
Raise the Bar: State-Based Marketplaces Using Quality Tools to Enhance Health Equity
In a new post for the Commonwealth Fund’s To The Point blog, CHIR’s Jalisa Clark and Christine H. Monahan describe how Washington and California’s quality programs are focusing on equity and highlight opportunities for other state-based marketplaces to similarly strengthen their own quality programs.
Improving Health Care Competition: Federal and State Perspectives
On Tuesday, May 21st, Georgetown University’s Center on Health Insurance Reforms held the final of three events in its series on the Futures of Employer-Sponsored Health Insurance. Event speakers Stacy Sanders, Erin Fuse Brown, David Seltz and Charles Miller discussed competition in health care from the federal and state perspectives.
Final Rule Rescinds Trump-Era Association Health Plans
The Final 2025 Notice of Benefit and Payment Parameters: Implications for States
The Centers for Medicare & Medicaid Services have recently finalized rules and standards governing health plans and Marketplaces under the Affordable Care Act. In a recent Expert Perspective for the State Health & Value Strategies project, CHIR’s Sabrina Corlette and the Urban Institute’s Jason Levitis summarize provisions that have implications for states.
Short-Term, Limited Duration Insurance Final Rule: Considerations for States
Consumer Protections Meet Political Pushback: Lessons from States Studying Facility Fees
A growing number of states are taking action to reform facility fee billing practices, but opposition from hospital associations can stall these efforts. Several states have enacted legislation mandating facility fee studies instead of reforms. CHIR’s Rachel Swindle explores some lessons learned from these states and how studies can be leveraged to lead to meaningful consumer protections.