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An Evolving Primary Care Model: Nurse Practioners, Physician Assistants are Gaining Autonomy, but Barriers Remain

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By Emma Chapman, J.D. Candidate, Georgetown University Law Center On June 21, POLITICO held a Pro Health Care Briefing entitled “Scope of Practice in the ACA Era” examining how much authority nurse practitioners (NPs) and physician assistants (PAs) can exercise without the supervision of a licensed physician, and what barriers still remain to achieving greater autonomy. The briefing was sponsored…

Obama Administration Announces New Strategies to Enroll Young Adults in Health Insurance, but Misses One Important Fix

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This week the Centers for Medicare & Medicaid Services (CMS) announced several new strategies to boost enrollment of the coveted “young invincibles” in health insurance marketplaces. These primarily include more targeted outreach and messaging, particularly to those who had to pay the tax penalty for failing to maintain health insurance (disproportionately young adults) and those turning 26 and transitioning off…

Study: Medicaid Offers Stronger Cost Sharing Protections Compared with Marketplace Coverage

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…savings accounts. Regular readers are certainly familiar with the issues surrounding 1115 waivers, but the Commonwealth Fund study’s findings concerning the superior financial protections in Medicaid compared with Marketplace coverage provides important context for understanding why these waivers can undermine Medicaid’s financial protections. Editor’s Note: This post was originally published on the Center for Children and Families Say Ahhh! blog….

New Special Enrollment Confirmation Process Effective June 17, 2016: What it Means for Consumers

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In its continuing effort to address insurers’ concerns about consumers using special enrollment periods only when they get sick, the administration announced that the new special enrollment confirmation process begins June 17, 2016. The special enrollment confirmation process, which we blogged about previously here, requires verifying documentation for the five most commonly used special enrollment periods (SEPs): loss of qualifying…

California Moves Toward Offering Full Price Coverage to Ineligible Immigrants in its Marketplace

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By Sonya Schwartz, Georgetown University Center for Children and Families Governor Brown recently signed into law SB 10, a bill that requires Covered California—the state’s health insurance marketplace—to request a waiver from the federal government to allow immigrants who are currently ineligible to purchase marketplace coverage. If the waiver is granted, immigrants who are not lawfully present would be allowed…

You Don’t Know Who You Are Dealing With: Unscrupulous Broker Tries to Sell Us Short-Term Health Insurance

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…And why JoAnn will be filing a complaint of her own. Unfortunately, these days it’s hard to find any insurance company marketing ACA-compliant policies to people going through the life changes that would qualify them for a SEP. But insurers and their brokers can’t seem to get enough of these short-term policies – you can’t swing a stick without bumping…

Kaiser Family Foundation Survey on Assister Programs Reflects Signs of Progress – and Opportunities for Improvement

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By Emma Chapman On June 8, Kaiser Family Foundation (KFF) issued its third Survey of Health Insurance Marketplace Assister Programs and Brokers. This annual report adds to the growing body of evidence – including CHIR’s own recent report about the Assister Help Resource Center – on how Assister Programs are helping consumers navigate the often complex and time-intensive process of…

Comparing Nondiscrimination Protections under the ACA

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…Some commenters have read the proposed rule to reach self-insured employer plans through a covered third party administrator (TPA), but the final rule clarifies that the reach is not so clear. Self-funded employer plans will be subject to the nondiscrimination rule if the employer, itself, is a covered entity, for example, a hospital that receives Medicare funding must comply with…

Improving Marketplace Coverage for Children

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By Sean Miskell and Kelly Whitener, Georgetown University Center for Children and Families The Marketplaces created under the Affordable Care Act (ACA) have played an important role in expanding access to health insurance. Though relatively few children (approximately one million) receive their coverage through the Marketplace compared with Medicaid and CHIP, it is nonetheless an important option for children not…

Beyond UnitedHealthcare: How Are Other Publicly Traded Insurers Faring on the Marketplaces?

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…perspective on marketplace stability, we reviewed the first-quarter earnings calls and regulatory filings of some of the largest, publicly traded insurers that participate in the marketplaces, including Aetna, Anthem, Centene, Cigna, Humana, Molina, and United. These communications shed light not just on a company’s financial performance, but also on major business developments and strategic thinking, making them useful resources for…

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.