Technology is transforming how we access and receive health care through the use of telemedicine. As we previously reported, telemedicine can fill gaps in access to providers. But questions on whether and how insurers can use telemedicine to meet network adequacy standards continue to exist. CHIR’s Sandy Ahn provides a short summary of the issues.
As the federal insurance marketplace moves forward to standardize health plan benefit designs, what lessons can be learned from the state marketplaces that have had similar policies in place since 2014? A new Georgetown report examines the experiences of four state-based marketplaces and finds they have largely failed to meet their policy goals.
As ACA opponents continue to vilify, challenge and undermine the law, four states that have been vocal opponents of the law have taken action recently to enforce federal rules, protect consumers and stabilize their markets. JoAnn Volk sums up the state action.
Sixty million people in the U.S. lack access to primary care services, partly due to a shortage of primary care physicians. Many states are responding to the crisis by expanding the scope of practice of non-MD health professionals, such as nurse practitioners. But insurers’ payment policies and resistance from the medical establishment often limit the effectiveness of those policy changes. CHIR’s legal intern Emma Chapman digs into the current debate.
The Obama Administration has announced several new strategies to boost enrollment among young adults in the health insurance marketplaces. These are helpful and important, but CHIR’s Sabrina Corlette observes they haven’t yet fixed an enrollment glitch that particularly affects adult children under age 26.
In the debate over Medicaid expansion, most of the attention has been on families in non-expansion states who are shut out of coverage. But what about those just above the poverty line who are eligible for marketplace tax credits? A new study compares their experience to those with similar incomes in Medicaid expansion states. Sean Miskell shares the findings.
As of June 17, 2016, the federally facilitated market will require consumers who have enrolled into marketplace coverage under certain special enrollments to provide verifying documents. CHIR’s Sandy Ahn summarizes the new special enrollment confirmation process and answers some questions that consumers and assisters may have.
California will soon be requesting a waiver from federal officials that would enable the state health insurance marketplace to enroll immigrants who are not lawfully present into coverage. Our colleague at Georgetown’s Center for Children and Families, Sonya Schwartz, takes a look at California’s new law and what it might mean for immigrants and their families.
An insurance broker called a CHIR faculty member with a shady sales pitch for a short-term health plan. He had no idea who he was dealing with. Sabrina Corlette and JoAnn Volk explore why insurance companies are using short-term policies to cherry pick healthy people away from the Affordable Care Act marketplaces – and why a new Obama Administration rule may help close the loop hole.
Assister programs and brokers play an integral role of navigating consumers through the marketplace enrollment process. Kaiser Family Foundation’s recent survey of these stakeholders indicates these programs will continue to be needed given the knowledge gaps that still exist among consumers and the high proportion of consumers who seek help with renewal. Current legal intern and guest blogger, Emma Chapman (Georgetown JD/MPP, expected 2018), summarizes the main findings of the survey.
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.
