…a share of that business would have to compete for it based on price and value. New research from CHIR faculty members finds that the ACA is achieving its goal of increasing competition among insurance companies as the second open enrollment period is underway in state-based marketplaces. Compared with their individual market coverage options prior to reform, consumers in most…
…services vital to many children, like hearing aids and exams or autism services. Those hoping for a broader revision to the EHBs have the chance to weigh in now by submitting comments on the Notice. But time is short—comments are due to HHS by December 22. Editor’s Note: This blog post was originally published on the Center for Children and…
…Center for Children and Families, the Kaiser Family Foundation, and the Center on Budget and Policy Priorities. Here’s a sampling of the questions we’ve got the answers to: I received a notice telling me it’s time to renew my marketplace plan. What do I need to do? I signed up for a marketplace plan through a special enrollment period in…
…Below are highlights from the survey responses: Most states have not adopted the NAIC’s Managed Care Plan Network Adequacy Model Act. Most states monitor network adequacy primarily or only through consumer complaints. Unfortunately, this is an inadequate source of data because many consumers do not know they should communicate complaints to their state DOI (and most probably don’t know they…
…the following weeks: The health committee will hear from officials from the Center for Consumer Information and Insurance Oversight (CCIIO), who can probably expect a grilling on their readiness to process new applications and renewals for current enrollees. The Consumer Information Subgroup is preparing a comprehensive set of “Frequently Asked Questions” that insurance department consumer support centers can use when…
…consumers in the 37 states that use the federal marketplace for eligibility and enrollment. It also includes easy-to-follow graphics that explain the various aspects of the renewal process. Consumers are strongly encouraged to contact the marketplace, online at healthcare.gov or through the call center at 1-800-318-2596, to update their applications and shop to compare the growing number of plan choices….
By Tricia Brooks, Georgetown University Center for Children and Families Everyone agrees it’s not fair to families and is an unintended consequence of how the Affordable Care Act is being implemented. But somehow our country’s leaders just cannot reach a consensus on fixing the family glitch. Families caught up in the glitch cannot qualify for premium tax credits to reduce…
…case of King v. Burwell, state officials in many of the states that currently rely on the federal marketplace may be looking to develop their own state based marketplaces. For these states, many of the current state based marketplaces offer examples of sound approaches to ensuring long-term financial sustainability. In their latest blog post for the Commonwealth Fund Sarah Dash,…
…check. Back in the early 1990s, New York required insurers to sell to all comers, regardless of health status, but they didn’t require healthy people to maintain health coverage. As a result, premiums went through the roof, insurance companies stopped selling, healthy people dropped out, and the individual market all but collapsed. It was the proverbial insurance “death spiral.” Although…
By Justin Giovannelli, Kevin Lucia, and Sabrina Corlette The Affordable Care Act strengthens the quality of health coverage by requiring insurance companies to cover ten categories of essential health benefits (EHB). The EHB reforms were a signature component of the health law and were designed to ensure that Americans nationwide would be protected by a common set of robust insurance…
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