Tag: transparency

Balance Billing for Air Ambulance Remains a Problem in Maryland

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Although Maryland is among the handful of states that regulate balance billing for out-of-network situations, as we discuss in a previous report, the state’s law does not address air ambulance charges. Balance billing for air ambulances remain a problem in Maryland and its insurance department held a public meeting last Friday to discuss the issue. CHIR’s Sandy Ahn provides highlights of the meeting and other state efforts to address this consumer problem.

Why ACA Marketplaces Should Report Comprehensive Enrollment Data

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The Affordable Care Act’s new health insurance marketplaces could be critical sources of data about how people access and use coverage. Yet, to date, the marketplaces have released varying degrees of information, with little uniformity or consensus over what data should be collected and how. In our latest post for The Commonwealth Fund, CHIR researchers Sean Miskell, Justin Giovannelli and Kevin Lucia examine data collection and reporting by the health insurance marketplaces.

New Georgetown Report Calls for Harnessing of ‘Big Data’ for Better Health Plan Oversight and Consumer Protection

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Last week the Obama Administration took a small step forward to implement Affordable Care Act transparency rules. This week, CHIR researchers Sabrina Corlette, JoAnn Volk and Sandy Ahn released a new report outlining a new and powerful data collection and transparency framework that can help state and federal policymakers better understand how insurers are complying with new market rules and consumer protections.

Feds Take a Baby Step Forward on ACA’s Sunshine Rules

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The Obama Administration has taken a step forward to implement long-delayed transparency provisions of the ACA, which require insurers and employer-based health plans to report a range of data to help policymakers and consumers better understand how insurance is working for people. CHIR expert Sabrina Corlette finds the latest action to be just a baby step, as well as a missed opportunity.

Proposed Premium Rate Increases for 2016: The Jury Is Still Out

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There’s been some hand-wringing over large proposed premium increases for health plans in 2016. But it’s important to remember that rate requests vary – a lot – by insurer and location. And that these rates are only proposed. They’re subject to regulatory scrutiny, and many proposed hikes may be reduced. In their latest blog post for the Commonwealth Fund, CHIR experts Sean Miskell and Dave Cusano discuss the drivers of 2016 premiums and states’ role in keeping coverage affordable.

Implementing the Affordable Care Act: Revisiting the ACA’s Essential Health Benefits Requirements

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Within the next several months, federal officials must decide whether to maintain or modify their “transitional” approach to implementation of the Affordable Care Act’s essential health benefits (EHB) requirements. In a new issue brief for the Commonwealth Fund, CHIR researchers examine how states have exercised their flexibility under the current EHB rules.

The Affordable Care Act’s Disclosure Rules: Can They Improve Coverage, Raise Care Quality, and Cut Costs?

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The Affordable Care Act is designed to expand access to affordable and adequate health insurance, improve the quality and efficiency of care, and constrain rising health costs. While the closely watched insurance marketplaces are key to these efforts, among the most promising provisions is the law’s new transparency framework. In this latest in a series of blogs for the Commonwealth Fund, Justin Giovannelli, Kevin Lucia and Sarah Dash take a look at one important but overlooked tool.

Shining a Light on Health Insurance: Senate Commerce Committee Examines Progress, Challenges

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Health insurance is a complicated product that consumers have difficulty understanding, a common theme throughout Wednesday’s Senate Commerce Committee hearing on “The Power of Transparency: Giving Consumers the Information They Need to Make Smart Choices in the Health Insurance Market.” Fortunately, new tools are already available to help consumers shop for and compare coverage, and more will become available as Affordable Care Act implementation continues to roll out.

In the Midst of “Rate Shock” Fears, Insurers Request Lower Rates in Oregon

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An interesting thing happened in Oregon last week after the Division of Insurance publicly posted insurers’ proposed premium rates for 2014. After seeing their competitors’ prices, two insurers asked the Division to allow them to reduce their proposed rates. Sabrina Corlette examines these recent developments and their implications for consumers.

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.