Tag: consumers
New Special Enrollment Confirmation Process Effective June 17, 2016: What it Means for Consumers

As of June 17, 2016, the federally facilitated market will require consumers who have enrolled into marketplace coverage under certain special enrollments to provide verifying documents. CHIR’s Sandy Ahn summarizes the new special enrollment confirmation process and answers some questions that consumers and assisters may have.
Kaiser Family Foundation Survey on Assister Programs Reflects Signs of Progress – and Opportunities for Improvement

Assister programs and brokers play an integral role of navigating consumers through the marketplace enrollment process. Kaiser Family Foundation’s recent survey of these stakeholders indicates these programs will continue to be needed given the knowledge gaps that still exist among consumers and the high proportion of consumers who seek help with renewal. Current legal intern and guest blogger, Emma Chapman (Georgetown JD/MPP, expected 2018), summarizes the main findings of the survey.
Comparing Nondiscrimination Protections under the ACA
Taking a Look at ACA Non-Discrimination Rules: When Does Medical Management Cross the Line?

The ACA prohibits benefit limits and cost sharing that discriminate against individuals based on health status and other factors, but federal rules also stress that insurers can continue to use reasonable medical management, which would allow benefit limits based on certain circumstances. JoAnn Volk looks at what this may mean for regulators and consumers trying to tell the difference.
NAIC Roundup: Catching Up on the Spring Meeting and Looking Ahead
New Florida Law Protects Residents from Surprise Medical Bills
Post ACA, 3 Communities Respond to a Shifting Health Care Landscape for Newly Insured

There’s no question the ACA has been successful in reducing the number of uninsured. But what has that coverage meant for helping more people obtain affordable health care services and attain financial security? CHIR researchers visited 3 diverse communities to find out. JoAnn Volk reports on a new CHIR study that tells the story.
Telemedicine: Another Tool in the Toolkit to Meet Network Adequacy Standards?

Health plans have been increasingly narrowing their provider networks, raising concerns about gaps in access to services for consumers, particularly in areas with provider shortages. Could telemedicine be used to help fill those gaps? CHIR authors say not yet and summarizes key findings from a new report published in partnership with the Urban Institute and with funding from the Robert Wood Johnson Foundation.
Final Rules Make Expanded Role Official for Some Navigators in 2018

When the administration finalized Marketplace regulations for 2017 and beyond earlier this week, it officially expanded roles for Navigators. While much of what CHIRblog had previously described under the proposed rule from November has been retained in the final rules, Sandy Ahn provides a brief update of the additional Navigator duties.