Tag: regulators

Big Data and Baby Steps: Two Very Different Approaches to Data Collection

Most Americans see the need for more data about health insurance and how it’s working for consumers, and the insurance industry itself seems to recognize the importance of collecting and analyzing data. But it’s not clear that our government regulators do. JoAnn Volk looks at the mismatch between what insurers are undertaking and what federal rules will require for data collection.

Back in the Day – Lessons from Pre-reform Days: Death to the Death Spirals

While we’re struggling with Affordable Care Act (ACA) issues, there’s value in taking the time to look back and appreciate the impact of the ACA and other healthcare reforms implemented over the past few decades. To that end, CHIR faculty member and former Indiana Insurance Commissioner Sally McCarty is posting a series called “Back in the Day – Lessons from Pre-reform Days.” This installment looks at policies in a “death spiral.”

Narrow Networks: Who’s Looking Out for Consumers?

Media outlets are reporting on a trend towards narrow network health plans offered through the Affordable Care Act’s health insurance marketplaces. Max Farris and Sally McCarty provide context for this emerging issue and discuss the state role in ensuring consumers have access to a sufficient number of primary care and specialty care physicians, facilities, and other providers.

What Do You Know About Health Care Sharing Ministries?

A number of states have acted in recent years to exempt health care sharing ministries from traditional insurance market rules. Katie Dunton examines this trend, the implications under the Affordable Care Act, and the impact on consumers.

NAIC Appoints Former Senator Ben Nelson as New CEO

The National Association of Insurance Commissioners (NAIC) has appointed former Senator Ben Nelson as it's new CEO. As one of the NAIC's consumer representatives, Sabrina Corlette welcomes Senator Nelson to his new role.

Market Reforms Roundup: New Report on State Action on 2014 Market Reforms

In our most recent issue brief for the Commonwealth Fund, CHIR researchers studied the progress states have made to date in implementing the 2014 market reforms and found that most states have yet to move forward with changes they need. Katie Keith discusses the actions that states have taken so far and what our findings mean for federal and state regulators as they implement the Affordable Care Act.

Florida’s Changes to Rate Review: Heading Backward?

Of the many consumer protection tools available to health insurance regulators, one of the most powerful is the ability to review premium rates. Yet, some states have made recent decisions to abdicate this authority to federal regulators. Sally McCarty discusses recently enacted legislation in Florida that suspends the state’s rate review requirements – and what it means for insurers, regulators, and consumers.

Race to October: Health Insurance Marketplace Readiness

On May 7th, the National Institute for Healthcare Management Foundation hosted a webinar on state marketplace development and the major milestones left to meet before open enrollment begins on October 1st. Allison Johnson listened in and has highlights from the panel of federal officials, industry representatives, and consultants.

A Busy Week in Health Policy

While we have certainly seen some busy weeks for Affordable Care Act implementation, we had not expected this week to be so filled with new federal guidance and key events on exchange development and other insurance reform issues. To help you (and us) keep up, Katie Keith has a quick guide on what is happening this week on Affordable Care Act implementation.

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.