Tag: aca implementation

What About “Don’t Discriminate Against Sick People” Do You Not Understand?

Although it’s a complicated law, there’s one thing about the ACA that’s not at all complicated: the requirement that insurers stop discriminating against sick people. Yet some insurance companies still appear confused by this rule. Sabrina Corlette looks at recent insurer attempts to discourage sicker, older people from enrolling in their plans – and the efforts of at least one state to combat them.

Deadline for January 1, 2016 Coverage Approaching: What to Do

The deadline for having health insurance starting on January 1, 2016 is quickly approaching. Consumers who want marketplace coverage must enroll by December 15, 2015 for a January 1, 2016 effective date. CHIR summarizes what to do and highlights Frequently Asked Questions related to open enrollment.

No QHPs Comparable to CHIP, Says (Delayed) HHS Certification

The U.S. Department of Health and Human Services has finally released a long-awaited study comparing coverage in CHIP plans to qualified health plans offered through the Affordable Care Act marketplaces. Our colleague from Georgetown University’s Center for Children and Families, Elisabeth Wright Burak, takes a look and shares the (not altogether surprising) findings.

Filing Fee and External Appeals

One of the most significant consumer protections in the Affordable Care Act (ACA) is the right to appeal a denied claim, including the right to take your appeal to an independent, third-party reviewer. Although the ACA guarantees this right, recent federal rules have codified barriers to the process that still exist in some states, such as filing fees. Sandy Ahn provides a short summary of this issue.

Feds Propose Changes – and an Expanded Role – for Marketplace Navigators

A new proposed rule from the Obama Administration contains wide-ranging new requirements for insurance companies and marketplaces under the Affordable Care Act, including changes that expand the role of marketplace navigators. CHIR’s Sabrina Corlette shares some highlights.

States Revisit Essential Health Benefit Requirements, but Have Little Data on Consumers’ Experiences

Federal Affordable Care Act rules require the states to revisit the standard scope of benefits for individual and small business health plans – called essential health benefits or EHB – and determine whether revisions are needed. In a new blog post for the Commonwealth Fund, CHIR experts examine how the states approached this task, and what it might mean for consumers.

Updated Navigator Resource Guide

CHIR is pleased to release an updated online Navigator Guide on Private Health Insurance and Health Insurance Marketplaces with searchable frequently asked questions (FAQs) and easy-to-read background information on key health insurance and marketplace issues. With Open Enrollment just a few days away, get your Guide on!

Wondering What Marketplace Rate Increases Mean for Consumers?

The third open enrollment season for the Affordable Care Act’s health insurance marketplaces begins on Sunday, November 1. The administration has released new data showing average health plan rate changes, with an average increase nationwide of 7.5 percent compared to 2015. Our colleague Tricia Brooks breaks down what these rate changes mean for consumers.

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.