Easy-enrollment programs offer states an efficient, low-cost mechanism for connecting residents with comprehensive, affordable health care coverage. In a recent post for the Commonwealth Fund, CHIR experts Rachel Swindle, Rachel Schwab, and Justin Giovannelli review state efforts and effective strategies for improving easy enrollment programs and boosting healthcare enrollment.
As hospitals and health systems expand their ownership and control of ambulatory care practices, they are frequently charging new facility fees for routine medical services delivered in outpatient settings. These bills are driving up premiums and health expenditures for consumers, employers, and, ultimately, tax payers. With support from and working in partnership with West Health, CHIR experts are studying outpatient facility fee billing reforms and share their findings in a new online repository.
With more outpatient care being delivered in hospital outpatient departments (HOPDs) than in previous years, consumers increasingly face high hospital facility fee charges on top of their provider’s bill for routine medical care. CHIR’s Hanan Rakine discusses the 2024 legislative session and how different states have been successful in regulating outpatient facility fees.
In a new post for the Commonwealth Fund’s To The Point blog, CHIR’s Jalisa Clark and Christine H. Monahan describe how Washington and California’s quality programs are focusing on equity and highlight opportunities for other state-based marketplaces to similarly strengthen their own quality programs.
Last month, the Biden administration reported on independent dispute resolution (IDR) cases resolved under the No Surprises Act in the first half of 2023. In a new post for the Commonwealth Fund, CHIR’s Jack Hoadley and Kevin Lucia analyze the IDR data and what it means for patients, providers, payers, and health care costs.
Millions of Americans rely on Health Care Sharing Ministries (HCSM) in lieu of insurance to provide a financial cushion if they get sick or injured. But data from HCSM public filings suggest that reliance may be built on a shaky foundation. CHIR’s Nadia Stovicek and JoAnn Volk share their findings.
As the number of opioid-related overdose fatalities remains alarmingly high, access to medication-assisted treatment (MAT) is inconsistent. Private insurance does not always cover the full range of MAT options, and when it does provide coverage cost sharing can be prohibitive. CHIR’s Rachel Swindle takes a look at state and federal reforms that can help lessen private insurance related barriers to treatment.
As we enter 2022, consumers are now protected from many of the worst surprise medical bills. The No Surprises Act, enacted with bipartisan support, took effect on January 1. CHIR’s JoAnn Volk describes the new protections, and what patients should keep in mind if they receive care from out-of-network providers and hospitals.
As the snow continues to fall, the CHIR team has cozied up indoors with new health policy research. This month, Nia Gooding reviewed studies on rates of enrollment in Marketplace coverage for 2021, Navigator experiences enrolling consumers during the 2021 Open Enrollment period, and outcomes from balance billing arbitration in New Jersey.
November 1 marked the first day of open enrollment on the Affordable Care Act marketplaces. To help Navigators and others assisting consumers with marketplace eligibility and enrollment, we’ve created the Navigator Resource Guide. Each week we’ll feature answers to questions that may be top of mind for consumers, such as who is eligible to shop for a marketplace plan.
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.
