The Obama administration is proposing to provide insurers with temporary relief from an Affordable Care Act requirement that they maintain a minimum medical loss ratio (MLR). This could mean that consumers will receive lower rebates than they otherwise would. Sabrina Corlette examines the thinking behind the decision.
Blue Cross Blue Shield of Mississippi has included a new provision in its plan description that could mean huge costs for plan participants. The new policy does not cover prescription drugs prescribed by out-of-network providers. How does this policy square with the ACA? And what does it mean for consumers? Elissa Dines discusses.
The Obama administration recently announced that the health insurance Marketplaces can offer consumers retroactive coverage and financial assistance, if technical problems prevented them from enrolling. But the administration’s guidance also leaves some unanswered questions. Sabrina Corlette takes a look and helps us understand what the new policy actually means for consumers.
There are reports that at least some formerly reluctant states are thinking of moving from a federally facilitated to a state-based health insurance marketplace. Our colleague at Georgetown’s Center for Children and Families, Sonya Schwartz, walks us through what states need to do to make the transition.
The ACA’s essential health benefits and metal tier coverage standards, guaranteed issue, and community rating requirements help level the playing field among insurers. To compete on price, many are turning to limited network products. CHIR experts David Cusano and Amy Thomas discuss insurers’ approaches to the development of plan networks in the post-ACA era in a new blog post originally published by Health Affairs.
A recent news article chronicled worries that the disproportionate number of women signing up for the new health insurance marketplaces will lead to an unbalanced risk pool and increases in premiums. But as Sarah Dash documents in her latest blog post, the ACA is requiring insurers to shift from denying care to women to providing them with better, more comprehensive coverage. And with insurers now required to offer coverage to everybody, it may be time to harness new, consumer-friendly ways to keep health care costs in check.
A number of states recently filed amicus briefs in a court battle over whether federally facilitated exchanges can provide premium tax credits to low- and middle-income consumers. Because the Affordable Care Act’s employer mandate penalties are contingent on employees accessing subsidized coverage through an exchange, the states are asserting that they purposefully opted for federally run exchanges so employers would not face this burden. In a guest post, former CHIR researcher Christine Monahan assesses the veracity of this claim.
The Administration recently released updated federal poverty level thresholds for 2014. With eligibility for Medicaid, CHIP and premium tax credits under the Affordable Care Act at stake, consumers and those assisting them need to understand what these new thresholds mean. Here to explain is our colleague at Georgetown University’s Center for Children and Families, Martha Heberlein.
New improvements to healthcare.gov are making it easier for consumers to report life changes, correct errors, and change plans. Recent guidance from the federal Center for Consumer Information and Insurance Oversight details the site’s new functionality. Sabrina Corlette takes a look.
Now that 2014 is here, the ACA’s individual mandate is in effect. In the last few months the Administration has issued some more guidance about how the mandate works, and our colleague Joe Touschner at Georgetown University’s Center for Children and Families provides this update.
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.
