Tag: consumers

From Acne to EcZema: The Return of Medical Underwriting Puts Millions at Risk for Losing Coverage or Higher Premiums

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Medical underwriting, outlawed by the Affordable Care Act (ACA), is a practice used by insurance companies to assess a consumer’s health status. In the event of an ACA repeal, millions of people could lose coverage, pay higher premiums, or receive inadequate benefits that exclude essential health services, all based on a pre-existing condition. While many of us don’t see ourselves as falling under that category, the list of health conditions that qualify you for the chopping block may surprise you.

A Lot to Lose: What’s on the Line for Women if the Affordable Care Act is Repealed

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It’s the holiday season, but rather than visions of sugar plums dancing above our heads, we have visions of mammogram machines, birth control, doctor offices, and medical bills. Prior to the Affordable Care Act (ACA), women faced numerous barriers obtaining affordable health care. After years of insurance industry practices like gender rating and pre-existing condition exclusions, the ACA ushered in a new era for women’s health, eliminating those discriminatory and unfair insurance practices from the insurance market.

Though the ACA Faces Tough Critics, Millions are Having an Easier Time Paying Medical Bills

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The Affordable Care Act (ACA) has extended insurance coverage to 22 million people, but the law’s critics often point to the high out-of-pocket costs in some of the ACA’s marketplace health plans. And while many people do face high deductibles and cost-sharing for health care services, a recent report from the National Center for Health Statistics at the Centers for Disease Control and Prevention finds that dramatically fewer people are struggling to pay medical bills, compared to what they faced before the ACA.

In the Midst of Federal ACA Woes, States Play an Important Consumer Protection Role

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In Washington, our health policy minds are on system overload. Since the election last week, the town is buzzing about the President-elect and new Congress’ promises to repeal the Affordable Care Act (ACA) as one of their first legislative actions. At the same time, they have also pledged allegiance to some of the law’s market reforms. Since most of those reforms are enforced at the state level, a continued state role will be critical to preserving these vital consumer protections.

Consumer Shopping on Healthcare.gov During Open Enrollment 4

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Choosing a health plan is like putting a puzzle together, you need help putting all the pieces together. This year for open enrollment, Healthcare.gov has more features to be that help for consumers so they can put the puzzle together with shopping tools and information. CHIR’s Sandy Ahn and Emily Curran summarize some of the helpful changes on Healthcare.gov.

Simple Choice Plans Debut on Healthcare.Gov

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Simple Choice plans, standardized benefit designs with fixed cost-sharing amounts and pre-deductible services, are new this year on Healthcare.gov. These types of plans can help consumers make “apples-to-apples” comparisons, but the the availability of such plans depends on insurer participation and local markets. Emily Curran and others here at CHIR take a look at the availability of Simple Choice plans on Healthcare.gov and find it’s a mixed bag.

Reaching the Uninsured: Outreach Strategy for Open Enrollment 4

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Healthcare.gov will be taking lessons learned from the past three open enrollments, as well as its own testing data and analysis, to be more targeted, effective and efficient this year with its outreach and messaging. CHIR’s Sandy Ahn summarizes the administration’s strategy for reaching the remaining uninsured before and during this year’s open enrollment.

The Affordable Care Act: Efforts to Address Barriers to Health Equity

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Disparities in health insurance coverage and accessing health care continue to be a challenge in the United States. The Affordable Care Act (ACA) has made impressive strides to reduce overall health disparity by ensuring that health equity exists with health insurance coverage and accessing care. Current CHIR intern and guest blogger, Julia Embry, summarizes some of the ACA’s progress to address health equity in the United States.

Low-Income Households and ACA Tax Policies: Benefit from Tax Credits but Paying the Penalty

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We are well into the third tax year of ACA premium tax credits and the individual shared responsibility requirement. The IRS recently released a report on 2014 income tax filings that includes data on the first year of the PTC and ISRP. We analyzed this data to look at the tax credits and payments by income brackets and found that millions of low-income tax filers benefited from the PTC in 2014 – but millions of low-income tax filers also paid the ISRP, indicating that a very vulnerable population still lacks coverage.

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.