You have to give them credit – health insurers are showing just how creative they can be at shirking their obligation to provide new consumer protections under the Affordable Care Act. Sabrina Corlette takes a look at one of their latest tactics.
The Affordable Care Act includes sweeping insurance reforms to improve the affordability and adequacy of coverage. However, some insurers have begun encouraging their customers to renew their coverage ahead of schedule in order to delay implementing these reforms for up to 12 months. In a post that originally appeared on the Commonwealth Fund blog, Christine Monahan and Sabrina Corlette describe how insurers are taking advantage of a loophole in the law and summarize states’ efforts to prohibit or limit the practice.
Last week was a busy week for those focused on robust consumer assistance in the new health insurance marketplaces. The Department of Health and Human Services announced new navigator grants and released training materials for navigators and other consumer assisters. Sabrina Corlette takes a look at the grantees and dives into the new training modules.
The Affordable Care Act promises consumers a more comprehensive set of health insurance benefits, but whether consumers are able to access those benefits depends in part on whether states adhere to or build upon the law’s network adequacy standards. CHIR researchers recently released a Robert Wood Johnson Foundation-funded report evaluating current federal and state efforts to regulate plan networks. Max Farris provides an overview.
A recent Administration decision allows employers and group health plans to delay an Affordable Care Act requirement capping enrollees out-of-pocket costs. In the second of two blogs examining the decision, David Cusano reviews the rationale for the delay and suggests ways insurers and employers can reduce harm to consumers.
This week the New York Times reported on an Administration decision to allow employers and group health plans to delay until 2015 an Affordable Care Act requirement to provide enrollees with a cap on their out-of-pocket costs. David Cusano takes a look at what the Administration’s decision says – and does not say – and what it means for group health plans.
As part of a Robert Wood Johnson Foundation-funded project to monitor implementation of the Affordable Care Act in 11 states, Georgetown’s Center on Health Insurance Reforms and the Urban Institute have published a series of papers identifying key issues and challenges. Their most recent brief examines the development and review of health plans that meet the new essential health benefit standard. Sabrina Corlette provides us with some key takeaways.
An energetic college senior found himself on a life detour when he was diagnosed with stage 3 Hodgkin’s Lymphoma – and almost immediately confronted with a maze of insurance denials and medical bills, until he was able to enroll in one of the high risk pools created under the Affordable Care Act. JoAnn Volk documents the story of Kalwis Lo, now 24 and looking forward to a lifetime of secure, meaningful coverage, thanks to the ACA.
The Department of Health and Human Services’ Office of Inspector General recently examined the progress of the new Consumer Operated and Oriented Plans (CO-OPs), created under the ACA. Their report shows that the CO-OPs are mostly meeting key milestones, but also face some tough challenges. Sabrina Corlette takes a closer look.
Today, CHIR released a new report exploring how private insurers and state regulators are incorporating and enforcing new nondiscrimination standards under the Affordable Care Act. Katie Keith, one of the report’s authors, has highlights from the report and discusses what the findings mean for these new protections.
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.
