President Obama’s 2017 budget includes a new proposal to help protect consumers from unexpected charges by out-of-network providers. In a recent blog post for Health Affairs, Sandy Ahn, Jack Hoadley and Sabrina Corlette discuss the proposal in the context of recent state actions to counter balance billing.
The quarterly earnings calls of publicly traded health insurance companies can provide insights into major business developments, as well as how company executives expect market trends and policy actions to affect future performance. CHIR’s Emily Curran regularly listens into these calls and highlights how they can be useful for health policy wonks.
It’s tax time, so consumers are figuring out how to report their health insurance coverage as they prepare to file. CHIR’s Navigator Resource Guide has answers to some frequently asked questions. Hannah Ellison shares highlights.
In the wake of the Affordable Care Act’s insurance market reforms, policy experts have raised concerns that there could be greater incentives for small businesses to self-fund their health plans. Self-funding can be attractive for some small groups, but also can pose significant risks. In the wake of a white paper from the National Association of Insurance Commissioners, two states have stepped up to address concerns. Ashley Williams has the latest.
At last, the Internal Revenue Service has released guidance about what to do when a consumer has overlapping coverage through Medicaid and the Marketplace. Our colleague Tricia Brooks of Georgetown’s Center for Children and Families has the details.
The latest financial filings with the National Association of Insurance Commissioners show that 2015 was a rough year for the CO-OP plans created under the ACA. CHIR’s Sabrina Corlette takes a look at some of the reasons the CO-OPs have struggled.
The Affordable Care Act brought the promise of affordable coverage to many lawfully present immigrants but many continue to face challenges when applying through healthcare.gov. Our colleague Sonya Schwartz of Georgetown’s Center for Children and Families shares the top takeaways from her recently published report, which provides a roadmap that the marketplaces can use to to smooth the path to enrollment for immigrant families.
Beginning in 2017, states can pursue “innovation waivers” under section 1332 of the Affordable Care Act. These waivers allow states to pursue broad alternatives or targeted fixes to the ACA. In their latest blog post for the Commonwealth Fund, CHIR researchers Kevin Lucia, Justin Giovannelli, Sean Miskell and Ashley Williams examine the waiver applications that have been submitted so far, as well as activity in states considering a waiver.
Last week, updated federal poverty levels were published in the federal register. Our colleague Tricia Brooks of Georgetown’s Center for Children and Families discusses the implications for consumers in the health insurance marketplaces, Medicaid, and CHIP.
For the most part, the ACA tries to align the ways that Medicaid and the health insurance marketplaces determine eligibility for their respective programs. But every once in a while, there’s a risk that someone might fall through the cracks. This initially appeared to be the case when our colleague Tricia Brooks was asked to help with a complex family situation in which a child seemed to be caught between the differences between each program’s rules, putting him at risk of being uninsured. Fortunately, Tricia was able to unearth a little known but important rule that helps kids get the coverage they’re entitled to.
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.
