Tag: robert wood johnson foundation

Understanding Federal Guidance on Reference Pricing: A New Primer from Georgetown’s Center on Health Insurance Reforms

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Some employer health plans have begun to respond to dramatic differences in the cost of medical procedures through reference pricing. CHIR’s Kayla Connor shares a new primer prepared for the Robert Wood Johnson Foundation’s State Health Reform Assistance Network that helps insurance regulators understand the latest federal rules on reference pricing and potential consumer protection issues.

New Content for the Navigator Resource Guide: Get Ready for Renewals

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Last month CHIR released its Navigator Resource Guide, with background and close to 300 frequently asked questions on key health insurance issues. The Guide now has new content to help consumers navigate the renewal process for 2015. Sabrina Corlette shares some of the highlights.

New Report on States’ Oversight of Health Plan Network Adequacy

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The consumer representatives to the National Association of Insurance Commissioners (NAIC) released a report this week on state approaches to regulating and monitoring the adequacy of health plan provider networks. Sabrina Corlette provides this overview.

New Online Resource Provides Answers to Common Health Insurance and Marketplace Questions

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This week, CHIR is releasing an online version of the Navigator Resource Guide, with close to 300 searchable FAQs and easy-to-read background information on key health insurance and marketplace issues. Although designed with the needs of Navigators in mind, the Guide is a hands-on, practical resource for anyone who needs to communicate with consumers about the Affordable Care Act.

Georgetown Navigator Technical Assistance Project: Lessons Learned and Recommendations for Future Enrollment

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Georgetown University experts from the Center on Health Insurance Reforms and the Center for Children and Families released this week a report documenting the experiences over the past year working with Navigators, Certified Application Counselors, and others working to enroll consumers in the health insurance marketplaces. JoAnn Volk, Sandy Ahn, Sabrina Corlette and Tricia Brooks share lessons learned and recommendations for future enrollments in a comprehensive report and two video clips.

Shifting into Post-Enrollment Issues: Fielding New Questions from Consumers

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As we approach the end of open enrollment into new coverage options under the Affordable Care Act, many consumers have questions about their new health plans – what benefits are covered, what doctors are included in their networks, and what to do if there’s a problem. JoAnn Volk has them covered, with a series of frequently asked questions about post-enrollment issues, excerpted from our Navigator Resource Guide.

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.

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 on ACA Implications for State Network Adequacy Standards

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The Affordable Care Act promises consumers a more comprehensive set of health insurance benefits, but whether consumers are able to access those benefits depends in part on whether states adhere to or build upon the law’s network adequacy standards. CHIR researchers recently released a Robert Wood Johnson Foundation-funded report evaluating current federal and state efforts to regulate plan networks. Max Farris provides an overview.

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.