Tag: health insurance marketplace

The ACA in 2014: Helping Consumers Transition to New Coverage

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The start of 2014 marks the transition to new health plans that must meet ACA standards for adequacy and affordability. But, as with any transition, there can be disruptions, particularly for people who are in the middle of treatment or need drugs that may not be on a new plan’s formulary. HHS has recently released fact sheets and an interim final rule to help consumers and health plans make a smooth transition. JoAnn Volk has this overview – and answers some common consumer questions.

Another Shift in Health Insurance Rules: Helping Consumers Keep Up

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On the eve of the December 23 deadline to sign up for health insurance coverage, the Administration announced that people whose previous health plans had been cancelled will now be allowed to enroll in alternative, bare-bones coverage. Consumers and those charged with helping them enroll – navigators, brokers, application assisters and others – are likely to have questions about the change. Sabrina Corlette provides answers here.

How States are Simplifying Plan Choice in State-Based Marketplaces

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Choosing the health plan that best meets your needs is no easy task, with much at stake in terms of both financial protection and access to care. In a new issue brief for The Commonwealth Fund, Christine Monahan, Sarah Dash, Kevin Lucia, and Sabrina Corlette examine the actions taken by state-based health insurance marketplaces to simplify health plan choices.

Changing Health Plans, Changing Provider Networks: What They Mean for Consumers and How States Can Help

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Did the President tell the truth when he told the American people: “If you like your doctor, you can keep your doctor”? Are health plans narrowing their provider networks and if so, what does it mean for consumers and the state officials charged with protecting them? CHIR experts Sabrina Corlette and Sally McCarty tackle these thorny issues in their latest blog.

Handling Premiums with Care in Medicaid, CHIP and the Marketplace

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Connecting people with health coverage is a complicated process, and the last few weeks have demonstrated how challenging it can be. But helping people maintain that coverage may be even more challenging. In this blog, Tricia Brooks of Georgetown University’s Center for Children and Families discusses how policies relating to premium collection can have a critical impact on families’ ability to stay covered.

One Step Closer to the Basic Health Program

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The Basic Health Program was included in the Affordable Care Act to provide states with an alternative coverage option for low-income adults. The Obama Administration recently proposed rules to govern the program. Our colleague Sonya Schwartz at Georgetown’s Center for Children for Children and Families suggests a few improvements to make the program more effective for consumers.

State Decisions on the Health Insurance Policy Cancellations Fix

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Implementation of the President’s proposed fix for health insurance policy cancellations rests with state officials and insurance companies. Many states opting not to pursue the policy fix are those who have invested the most in the success of the Affordable Care Act. In their latest blog for The Commonwealth Fund, Kevin Lucia, Katie Keith, and Sabrina Corlette evaluate the policy and legal factors underpinning states’ decisions.

New Resource for Assisters Covers Private Insurance and Marketplace Plans

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Almost two months into open enrollment, Navigators and other consumer assisters must field a multitude of questions about plan options inside the marketplace and out, how individual and employer-sponsored coverage may change as a result of the ACA, and whether consumers have the coverage they need to satisfy the individual mandate. Today, CHIR released a Navigator Resource Guide that helps Navigators explain key insurance and marketplace concepts and accurately answer a wide range of questions.

New Report Evaluates States’ Strategies to Stabilize Health Insurance Premiums and Build Sustainable Exchanges

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The Affordable Care Act includes a range of health insurance reforms that will lead to health care costs being shared more evenly between the healthy and the sick. Some experts have pointed to concerns that in the short term, there will be premium “rate shock” for some individuals, while in the long term, exchanges will be vulnerable to adverse selection if they attract a disproportionate number of older, sicker enrollees. Under the ACA, states have considerable flexibility to implement additional strategies to manage their markets and protect consumers. In collaboration with researchers at the Urban Institute, CHIR faculty members Sabrina Corlette and Sarah Dash examine states’ strategies to make premiums more affordable and protect the exchanges from potential adverse selection.

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.