State Spotlight: New Massachusetts Law Enhances Oversight of Private Equity in Health Care
Massachusetts recently enacted a law to increase transparency and oversight of private equity in hea...
Posts tagged with: State of the States
Blog Posts:
New York Legislature Seeks to Control Outpatient Spending through Site-Neutral Payment and Rate Cap Proposal
A new proposal in New York State seeks to reduce rising outpatient care costs by implementing site-n...
How Oregon’s Merger Review Law Combats Consolidation and What Other States Can Learn From It
Since the early 1990s, health care provider consolidation in states like Oregon has led to higher p...
Taking a Look at California’s Program to Assist People Losing Medi-Cal Enroll in Marketplace Coverage
A recently enacted law creates a streamlined pathway to health insurance for individuals who are fou...
Enforcing Mental Health Parity: State Options to Improve Access to Care
The 2008 Mental Health Parity and Addiction Equity Act (MHPAEA) is the primary federal law protectin...
State And Federal Efforts To Improve Ownership Transparency
While there is some movement toward improved health care provider ownership transparency at the fede...
New Nationwide Data on Outpatient Facility Fee Reforms
As hospitals and health systems expand their ownership and control of ambulatory care practices, the...
Understanding Hospital Financing: Takeaways from the CHIR Webinar Series
Over the last several months, CHIR hosted the webinar series "Understanding Hospital Financing." CHI...
Facility Fee State Legislative Roundup: 2024 Session
With more outpatient care being delivered in hospital outpatient departments (HOPDs) than in previou...
Raise the Bar: State-Based Marketplaces Using Quality Tools to Enhance Health Equity
In a new post for the Commonwealth Fund's To The Point blog, CHIR's Jalisa Clark and Christine H. Mo...
States Expand Access to Affordable Private Coverage for Immigrant Populations
In the United States, immigrants are disproportionately likely to be uninsured. This disparity stems...
State Options for Making Hospital Financial Assistance Programs More Accessible
According to recent estimates, almost 100 million people have debt because of medical or dental bill...
Report Shows Dispute Resolution Process in No Surprises Act Favors Providers
Last month, the Biden administration reported on independent dispute resolution (IDR) cases resolved...
Health Care Sharing Ministries Leave Consumers with Unpaid Medical Claims
Last year, Colorado became the first state to require comprehensive data from all health care sharin...
State Public Option Plans Are Making Progress on Reducing Consumer Costs
States remain motivated to adopt reforms that improve affordability and expand access to coverage fo...
Policy Innovations in the Affordable Care Act Marketplaces
The Affordable Care Act's Marketplaces have seen record signups for 2024. Marketplaces can pursue in...
State Health Equity Initiatives Confront Decades of Racism in the Insurance Industry
As another Marketplace Open Enrollment Period begins, millions of Americans will turn to insurance b...
Uneven Ground: Differences in Language Access Across State-Based Marketplaces
The annual Marketplace Open Enrollment Period is just around the corner. Enrolling in health insuran...
State Protections Against Medical Debt: A Look at Policies Across the U.S.
Medical debt is one of the leading causes of bankruptcy in the United States. Though federal law pro...
States Move Forward with Public Option Programs, but Differ in How They Select Insurance Carriers
Washington, Colorado, and Nevada are partnering with private health insurance carriers to offer new ...
Implementing the Family Glitch Fix on the Affordable Care Act’s Marketplaces
A record number of people have signed up for health insurance through the Affordable Care Act’s ma...
The ACA’s Preventive Services Benefit Is in Jeopardy: What Can States Do to Preserve Access?
A federal judge is poised to gut one of the most popular provisions of the Affordable Care Act’s (...
December Research Roundup: What We’re Reading
Happy New Year! The holiday season may be over, but health policy researchers continue to bestow gif...
Congressional Proposals for a Federal Public Health Insurance Option
Democrats in Congress have put forward several proposals to create a public health insurance option ...
State-Based Marketplace Outreach Strategies for Boosting Health Plan Enrollment of the Uninsured
The tenth annual open enrollment period for the Affordable Care Act’s marketplaces is upon us. In ...
Using Health Insurance Reform to Reduce Disparities in Diabetes Care
The affordability of diabetes care is a national issue. Even with insurance, diabetic patients can s...
HHS Approves Nation’s First Section 1332 Waiver for a Public Option–Style Health Care Plan in Colorado
The U.S. Department of Health and Human Services recently approved a new Section 1332 waiver a...
CHIR Interactive Map Highlights New Details on No Surprises Act Enforcement
The No Surprises Act (NSA) went into effect this year, providing new protections against surprise m...
Improving Race and Ethnicity Data Collection: A First Step to Furthering Health Equity Through the State-Based Marketplaces
The ACA’s marketplaces are working to advance health equity. State-based marketplaces are uniquely...
Mitigating Coverage Loss When the Public Health Emergency Ends: The Role of the Affordable Care Act Marketplaces
As many as 16 million people are expected to lose Medicaid once the COVID-19 public health emergency...
Update on State Public Option-Style Laws: Getting to More Affordable Coverage
While federal health coverage reforms remain stalled in Congress, several states are pushing forward...
Massachusetts Data on Health Care Sharing Ministries Reveal Finances That Put Consumers at Risk
Health Care Sharing Ministries (HCSM) continue to be marketed widely, often as an alternative to th...
Ensuring the Adequacy of ACA Marketplace Plan Networks
Following the Trump administration’s decision to roll back federal network adequacy standards for ...
Fixing the Family Glitch and Other Priorities: The Next Wave of Federal Administrative Action to Enhance the Affordable Care Act
The federal government has taken a series of actions to strengthen the Affordable Care Act (ACA) and...
Filling a Gap in the No Surprises Act: What are States Doing to Protect Consumers from Out-of-Network Ground Ambulance Bills?
In January, the No Surprises Act will provide landmark protections against surprise billing, but gro...
Limited Plans with Minimal Coverage Are Being Sold as Primary Coverage, Leaving Consumers at Risk
People shopping for health insurance online are often directed to websites using misleading or dece...
State “Easy Enrollment” Programs Gain Momentum, Lay Groundwork for Additional Efforts to Expand Coverage
The American Rescue Plan made health insurance more affordable, but covering the 30 million remain...
State Efforts to Standardize Marketplace Health Plans Show How the Biden Administration Could Improve Value and Reduce Disparities
The federal government is moving forward with standardized benefit designs via HealthCare.gov, follo...
New Georgetown Report: States’ Actions to Expand Telemedicine Access During COVID-19 and Future Policy Considerations
During the COVID-19 pandemic, many states temporarily lowered barriers to using telemedicine for hea...
Are Surprise Billing Payments Likely to Lead to Inflation in Health Spending?
Under the No Surprises Act, enacted in December of 2020, federal regulators face a balancing act as ...
State-Based Marketplaces Gear Up to Implement the American Rescue Plan
The state-based health insurance marketplaces are taking varied approaches to implementing the enhan...
Hybrid Approach to Resolving Payment Disputes Breaks Legislative Stalemates Over Balance Billing, How Will the No Surprises Act Affect These New State Laws?
Seven states in 2020 were able to break a longstanding stalemate and enact protections against surpr...
Federal Policy Priorities for Preserving and Improving Access to Coverage: Perspectives from State-Based Marketplaces
The Affordable Care Act’s health insurance marketplaces provide a critical source of coverage and ...
Georgia’s ACA Waiver Flouts Federal Law, Drawing a Legal Challenge
With the approval of the Trump administration, the state of Georgia is poised to upend the Affordabl...
Many States with COVID-19 Special Enrollment Periods See Increase in Younger Enrollees
President Joe Biden directed his administration to reopen the federal health insurance marketplace,...
Surprise Billing Protections: Help Finally Arrives for Millions of Americans
Congress enacted the "No Surprises Act" as part of the $900 billion COVID-19 relief and government s...
The Benefits and Limitations of State-Run Individual Market Reinsurance
The Affordable Care Act brought about historic coverage gains, providing millions of Americans with ...
The COVID-19 Vaccine is Coming, but Will it Be Paid For? Federal and State Policies to Fill Gaps in Insurance Coverage
Vaccinations against COVID-19 are on their way. For consumers in Affordable Care Act plans, immuniza...
State Efforts to Protect Preexisting Conditions Unsustainable Without the ACA
On November 10, the Supreme Court will hear oral arguments in a case that could result in the Afford...
Trump Administration Promotes Coverage That Fails to Adequately Cover Women’s Key Health Care Needs
The ACA expanded women’s access to comprehensive coverage. The Trump administration is seeking t...
Asymptomatic COVID-19 Testing for Essential Workers: Considerations and Challenges for State Policymakers
States are being forced to decide how to target, administer, and finance asymptomatic COVID-19 testi...
Comparing Short-term Health Plans is Practically Impossible for Consumers
The Trump administration has promoted short-term health plans as a cheap substitute for comprehensiv...
Should States’ COVID-19 Insurance Coverage Mandates Be Extended Past the Current State of Emergency?
Many states acted to expand access to health care services as part of the fight against COVID-19, ma...
During the COVID-19 Crisis, State Health Insurance Marketplaces Are Working to Enroll the Uninsured
As the coronavirus pandemic and economic shutdown continue, the Affordable Care Act’s health insur...
States Can Prevent Surprise Bills for Patients Seeking Coronavirus Care
In their latest post for the Commonwealth Fund’s To the Point blog, Jack Hoadley, Maanasa Kona, an...
States Don’t Know What’s Happening in their Short-term Health Plan Markets and That’s a Problem
In the midst of a global pandemic, consumers continue to be sold skimpy short-term plans that may no...
State-Based Marketplaces Find Value, Potential Opportunity for Growth in Small-Business Offering
Small businesses have historically struggled to provide coverage to their workers. The ACA sought ...
What Are State Officials Doing to Make Private Health Insurance Work Better for Consumers During the Coronavirus Public Health Crisis?
Many people may hesitate to seek coronavirus testing and treatment because they face significant ded...
How States Are Using Independent Dispute Resolution to Resolve Out-of-Network Payments in Surprise Billing
As Congress and a number of states craft legislation to protect consumers from surprise out-of-netwo...
States Take Action on Health Care Sharing Ministries, But More Could Be Done to Protect Consumers
In the last year, state regulators have stepped up their scrutiny of health care sharing ministries ...
States Work to Make Individual Market Health Coverage More Affordable, But Long-Term Solutions Call for Federal Leadership
The individual health insurance markets of most states are stable but face ongoing challenges. In a ...
Update on Federal Surprise Billing Legislation: Understanding a Flurry of New Proposals
In their latest piece for the Commonwealth Fund's To the Point blog, Jack Hoadley, Beth Fuchs, and K...
Can States Fill the Gap if the Federal Courts Overturn Preexisting Condition Protections?
The 5th Circuit Court of Appeals is expected to rule soon on the future of the Affordable Care Act i...
Seeing Fraud and Misleading Marketing, States Warn Consumers About Alternative Health Insurance Products
States are warning consumers of fraud and about the inadequate nature of some insurance products bei...
States Are Taking New Steps to Protect Consumers from Balance Billing, But Federal Action Is Necessary to Fill Gaps
This year has seen a flurry of state-level action to protect patients from surprise balance billing....
States Looking to Run Their Own Health Insurance Marketplace See Opportunity for Funding, Flexibility
Last week, Pennsylvania Governor Tom Wolf signed legislation to establish a state-based health insur...
2019 Insurer Participation: A “Quieter” Year As Companies Maintain, Expand Their Presence
Since implementation of the Affordable Care Act, insurer participation in the ACA marketplaces has f...
States Step Up to Protect Insurance Markets and Consumers from Short-Term Health Plans
Short-term plans are now being sold to consumers as a replacement for Affordable Care Act (ACA) cove...
ACA Marketplace Open Enrollment Numbers Reveal the Impact of State-Level Policy and Operational Choices on Performance
During the last open enrollment period, the Affordable Care Act’s marketplaces faced a number of h...
The Administration Tried to Make It Easier for States to Waive ACA Rules: Will Any Take the Plunge?
Recent federal guidance made significant changes to the ACA’s section 1332 waiver program in order...
Short-Term Health Plans Sold Through Out-of-State Associations Threaten Consumer Protections
The expansion of short-term policies has raised concerns that they may be deceptively marketed, wit...
State Efforts to Protect Consumers from Balance Billing
While the U.S. Congress is considering multiple proposals to combat the problem of unexpected balanc...
In the Wake of New Association Health Plan Standards, States are Exercising Authority to Protect Consumers, Providers, and Markets
States have begun to respond to the Trump administration's new rules for association health plans wi...
States Lean In as the Federal Government Cuts Back: Navigator and Advertising Funding for the ACA’s Sixth Open Enrollment
With open enrollment into the Affordable Care Act marketplaces beginning November 1st, there will be...
Direct Primary Care Arrangements Raise Questions for State Insurance Regulators
Over the past year, new health coverage products that are not subject to the consumer protections ...
Lawsuit Threatens Affordable Care Act Preexisting Condition Protections But Impact Will Depend on Where You Live
On September 5, 2018, A federal district judge hears arguments in a lawsuit filed by 20 Republican g...
Impact of Association Health Plans on Consumers and Markets Will Depend on State Approaches
In June, the U.S. Department of Labor issued a final regulation that implements President Trump’...
Health Care Sharing Ministries: What Are the Risks to Consumers and Insurance Markets?
Health Care Sharing Ministries (HCSMs) are a form of health coverage in which members – who typica...
Understanding the Market for Short-Term Health Plans: States Prepare to Identify, Oversee Sellers and Products
Last week, the Trump administration issued a final rule reversing federal limits on short-term healt...
To Understand How Consumers Are Faring in the Individual Health Insurance Markets, Watch the States
Through both inaction and design, federal policymakers have put the onus on states to ensure access ...
The Road Not Traveled: How Policy, Business Decisions in Iowa Led to Higher Premiums
Iowa's legislature recently made the extraordinary decision to abdicate that state's authority over ...
How Did State-Run Health Insurance Marketplaces Fare in 2017?
In a new Commonwealth Fund issue brief, CHIR's Justin Giovannelli and Emily Curran interviewed leade...
Proposed Federal Changes to Short-Term Health Coverage Leave Regulation to States
The Trump administration issued proposed rules on February 20, 2018 that rescind Obama-era restricti...
Association Health Plans: Maintaining State Authority is Critical to Avoid Fraud, Insolvency, and Market Instability
Earlier this month, the Trump Administration issued a proposed regulation that would allow individua...
Association Health Plan Proposed Rule: Summary and Implications for States
In a recent brief for the Robert Wood Johnson Foundation's State Health & Value Strategies program, ...
Insurer Participation in ACA Marketplaces: Federal Uncertainty Triggers Diverging Business Strategies
A reliable indicator of health insurance markets’ stability is insurer participation, including th...
Insurers, State Regulators Avoid Bare Counties in 2018, but Seek Long-Term Solutions
As we near the end of the second week of a so-far successful Open Enrollment, uncertainty over the f...
State-Based Marketplaces Push Ahead, Despite Federal Resistance
Open enrollment for 2018 started last week on the Affordable Care Act’s health insurance marketpla...
States Step Up to Protect Consumers in Wake of Cuts to ACA Cost-Sharing Reduction Payments
In the wake of President Trump's decision to cut off payments for a key ACA subsidy for low-income e...
Trump’s Executive Order: Can Association Health Plans Accomplish What Congress Could Not?
In the wake of failed Congressional efforts to repeal and replace the Affordable Care Act, President...
ACA “Bare Counties”: Policy Options to Ensure Access Must Address Longer-Term Stability and Competition
September 27th marks the day most insurers have to formally decide whether they'll stay in the Affo...
Down to the Wire: Indecision on ACA Cost-Sharing Reduction Payments Creates Confusion for States
The Trump administration's indecision over whether to reimburse insurance companies for Affordable C...
Short-Term Health Plans: Still Bad for Consumers and the Individual Market
Some state and federal policymakers are urging HHS to relax Obama-era rules for short-term limited d...
Amid Market Uncertainty, Trump Administration Retreats from Health Plan Oversight
In mid-April, the Trump administration announced it would stop monitoring marketplace plans for comp...
Signs of Marketplace Stability May Be Undercut by Federal Policy Uncertainty
Recently, analysts have found evidence of marketplace stability after a number of insurers scaled ba...
New Georgetown Issue Brief: 50-state Survey of State Action to Protect Consumers from Surprise Medical Bills
Balance billing occurs when a consumer who is treated by an out-of-network provider is subsequently ...
2017 Federal and State Marketplace Trends Show Value of Outreach
The fourth open enrollment period ended in early 2017, with dwindling momentum behind enrollment eff...
Loss of Cost-Sharing Reductions in the ACA Marketplace: Impact on Consumers and Insurer Participation
In an updated article published on The Commonwealth Fund's To the Point site, CHIR experts JoAnn Vol...
Eliminating Essential Health Benefits Will Shift Financial Risk Back to Consumers
In a new article published on The Commonwealth Fund’s To The Point site, CHIR experts Dania Pal...
Total Cost Estimators: Lessons from the ACA’s Marketplaces
CHIR researchers Justin Giovannelli and Emily Curran interviewed more than 40 marketplace officials,...
Affordable Care Act Repeal Efforts Would Impact State Laws, Too
With much of the attention about ACA repeal efforts focused on Washington DC, it's easy to forget th...
States That Leaned In on the Affordable Care Act Have Much to Lose
In the wake of the Affordable Care Act's passage, 17 states embraced the chance to set up and manage...
Loss of Cost-Sharing Reductions in the ACA Marketplace: Impact on Consumers and Insurer Participation
As Congress discusses ACA repeal, there is another, potentially more immediate threat to ACA marketp...
A “Volatile Marketplace”: Second Quarter Earnings Calls Offer Glimpse of How Insurers Are Faring on ACA Marketplaces—and What 2017 Might Bring
In a turbulent year for the Affordable Care Act, health insurers' second-quarter earnings calls and ...
State-Run SHOPs: An Update Three Years Post ACA Implementation
Small-business owners face unique challenges covering their employees; to lower barriers and increas...
New Health Affairs Policy Brief Examines the Regulation of Health Plan Provider Networks
Limited networks have become increasingly common on ACA marketplaces, comprising almost half of all ...
Factors Affecting Health Insurance Enrollment Through the State Marketplaces: Observations on the ACA’s Third Open Enrollment Period
Despite declining funding, enrollment through the state-based marketplaces increased nearly nine per...
State Legislators Conduct Post-Mortem on Affordable Care Act CO-OPs and Plot Next Steps
State insurance legislators held their national meeting in Portland, Oregon last week, and the demis...
Beyond UnitedHealthcare: How Are Other Publicly Traded Insurers Faring on the Marketplaces?
Two-and-one-half years in, how do we assess the success and stability of the Affordable Care Act's h...
Obama Administration Moves Forward with New Continuity of Care Protections—How Will They Affect Existing State Laws?
In the second of a two-blog series for the Commonwealth Fund, CHIR researchers Sabrina Corlette, Ash...
15 States and DC Now Prohibit Transgender Insurance Exclusions
Three years ago, only 3 states and DC prohibited insurance companies from excluding care for transge...
Repeal of Small Business Provision of the ACA Creates Natural Experiment in States
Congress recently passed legislation allowing states to decide on the shape of the market for small ...
States Innovation Waivers under the ACA: A Closer Look at the Updated Federal Guidance and State Proposals
Beginning in 2017, states can pursue "innovation waivers" under section 1332 of the Affordable Care ...
2016 Insurer Participation Remains Stable in State-Based Marketplaces
In the wake of the high-profile closures and departures of some health plans from the individual mar...
Federal and State Policymakers Work to Ensure Continuity of Health Care for Consumers
Federal health insurance officials and the NAIC have recently put forward proposals to protect patie...
State Efforts to Reduce Consumers’ Cost-Sharing for Prescription Drugs
High drug prices have been in the news lately, and consumers are bearing an ever-greater burden of t...
States Revisit Essential Health Benefit Requirements, but Have Little Data on Consumers’ Experiences
Federal Affordable Care Act rules require the states to revisit the standard scope of benefits for i...
Why ACA Marketplaces Should Report Comprehensive Enrollment Data
The Affordable Care Act's new health insurance marketplaces could be critical sources of data about ...
Meeting Sustainability Challenges: A Useful Example for Insurance Regulators
State insurance regulators face the challenge of sustaining staffing levels achieved thanks to Affor...
State Decisions on Allowing Mid-Sized Employers to Delay a Move to the Small-Group Insurance Market
Beginning in 2016, the Affordable Care Act requires states to change the definition of "small employ...
State-Based Marketplaces Look for Financing Stability in Shifting Landscape
State-based marketplaces created under the Affordable Care Act are contemplating their financial sus...
Implementing the Affordable Care Act: State Regulation of Marketplace Plan Provider Networks
Narrow network plans were common on the health insurance marketplaces in 2014. In a new issue brief ...
The Affordable Care Act CO-OP Program: Facing Both Barriers and Opportunities for More Competitive Health Insurance Markets
The recent financial troubles of some CO-OP plans created under the Affordable Care Act have sparked...
The Latest on Special Enrollment Periods: An Assessment of State Approaches in 2014 and Update for 2015
Special enrollment is available to individuals who experience qualifying events allowing them to enr...
Some Insurers Cancel Noncompliant Health Plans, But Consumers Are More Informed of Coverage Options
The media furor over health plan cancellations in the wake of the Affordable Care Act has died down,...
Regulatory Activity in Two States Restricts How Plans Structure Specialty Drug Coverage
Two state insurance regulators, Florida and Montana, have taken recent regulatory action to address ...
Marketplace Coverage Renewals: Variation in State Approaches May Affect Consumers’ Finances
Auto-renewal through the health insurance marketplaces is an important mechanism for consumers to av...
State-Based Marketplaces Offer More Health Plan Choices for 2015 Coverage
One of the goals of the Affordable Care Act is to make health insurance more affordable and accessib...
New Report on States’ Oversight of Health Plan Network Adequacy
The consumer representatives to the National Association of Insurance Commissioners (NAIC) released ...
State Marketplace Approaches to Financing and Sustainability
While the Affordable Care Act provided significant start-up funds for the development of the new hea...
Major Policy Changes Take a Backseat to IT During a Transitional Year for Health Insurance Marketplaces
As the health insurance marketplaces prepare for the second year of operation under the Affordable C...
The Next Frontier: Insurance Marketplaces That Promote Quality Improvement
While most state-based marketplaces in 2014 are rightly focused on the operational challenges of con...
New Report Reviews State Action on Quality Improvement in State-Based Marketplaces
The Affordable Care Act envisions that the new health insurance marketplaces will encourage plans to...
New Report Finds that, Under the ACA, Consumers Nationwide Are Experiencing Improved Protections in the Individual Insurance Market
The ACA includes numerous consumer protections designed to remedy shortcomings in the availability, ...
State Restrictions on Health Reform Assisters May Violate Federal Law
Regulations issued last month by the Department of Health and Human Services show that laws in more ...
SHOP Marketplaces for Small Businesses: State Design Decisions and Implications for Employers
The Commonwealth Fund recently hosted a one-hour webinar on the small business health insurance mark...
The Extended “Fix” for Canceled Health Insurance Policies: Latest State Action
In March, the Obama administration extended for two additional years a policy allowing states to per...
New State-Based Marketplaces Unlikely in 2015, but Technology Challenges Create More Shades of Gray
It's decision time for states considering whether to transition to a state-based, partnership, feder...
Two States on the Path to the Basic Health Program
Both Minnesota and New York are on the path to setting up a Basic Health Program (BHP) that will pro...
Federal Court Ruling Casts Doubt on State Power to Restrict Health Reform Navigators
In January, a federal court in Missouri became the first to rule on whether states have the legal au...
New Report Finds that Most States Have Taken Some Action To Prepare For Major Components of the ACA
States have taken substantially varying actions to implement and enforce the Affordable Care Act’s...
Helping People Select Insurance Coverage: A Tale of Two Programs
Shopping for and selecting a new health coverage plan can be challenging for many consumers. One gov...
Update: State Decisions on the Policy Cancellation Fix
Implementation of the President’s proposed fix for health insurance policy cancellations rests wit...
How States are Simplifying Plan Choice in State-Based Marketplaces
Choosing the health plan that best meets your needs is no easy task, with much at stake in terms of ...
State Decisions on the Health Insurance Policy Cancellations Fix
Implementation of the President's proposed fix for health insurance policy cancellations rests with ...
New Report Evaluates States’ Strategies to Stabilize Health Insurance Premiums and Build Sustainable Exchanges
The Affordable Care Act includes a range of health insurance reforms that will lead to health care c...
Helping Consumers Understand their Coverage Options, from Coast to Coast
A massive consumer outreach and education effort is underway to help consumers understand their new ...
Under Pressure: An Update on Restrictive State Insurance Marketplace Consumer Assistance Laws
Seventeen states have enacted rules for health insurance marketplace navigators that could hinder th...
Kaiser Report Finds More Than 5 Million Will Fall Into Coverage Gap Created by States Failing to Expand Medicaid
There's been a lot of talk lately about the technical problems with the new websites for the health ...
The Affordable Care Act’s Early Renewal Loophole: What’s at Stake and What States Are Doing to Close It
The Affordable Care Act includes sweeping insurance reforms to improve the affordability and adequac...
New Report on ACA Implications for State Network Adequacy Standards
The Affordable Care Act promises consumers a more comprehensive set of health insurance benefits, bu...
New Report on State Implementation of Essential Health Benefit Standard
As part of a Robert Wood Johnson Foundation-funded project to monitor implementation of the Affordab...
Don’t Be Misled: Indiana’s Consumers Won’t Have to Pay $500 a Month for Health Insurance
Indiana officials are suggesting that people will have to pay an average of $500 per month for indiv...
Health Reform at Work: Lower Rates in New York State
Next year's premiums for individual market plans will be way down in New York thanks to the Affordab...
New Report Examines Early Indications of Insurer Participation and Competition in Health Insurance Exchanges
One of the key goals of the Affordable Care Act is to make health insurance coverage more affordable...
New Report: States Going Above and Beyond to Create Sustainable Exchanges and Deliver Choice and Value to Consumers
In a new report for The Commonwealth Fund, Sarah Dash, Kevin Lucia, Katie Keith, and Christine Monah...
Will New Laws in States with Federally Run Health Insurance Marketplaces Hinder Outreach?
Although the federal government will play a primary role in administering the navigator program in t...
Evolving Dynamics of Health Insurance Exchange Implementation
Since the enactment of the Affordable Care Act, the roles of states and the federal government in es...
As Self-Funding Remains Hot Topic in Press, States Begin to Take Action
Whether or not small employers will begin self-funding in greater numbers as 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 powe...
Using Rate Review to Make Health Insurance More Affordable: Once Again, Rhode Island Leads the Way
Rhode Island's insurance regulators are using their rate review authority in innovative ways to make...
In the Midst of “Rate Shock” Fears, Insurers Request Lower Rates in Oregon
An interesting thing happened in Oregon last week after the Division of Insurance publicly posted in...
Taking Rate Review to the Next Level: New Report Examines Possible New Mechanisms to Bend the Cost Curve
A new report from Oregon examines the effect of that state's rate review program - and proposes inno...
Potential Costs and Challenges in Boston
With much of the country still reeling from the Boston marathon bombings, many of the victims, as we...
Factors Affecting Self-Funding by Small Employers: Views from the Market
In our most recent report, Kevin Lucia, Christine Monahan, and Sabrina Corlette assess attitudes tow...
New Guidance: Federal Regulators Allow “Collaborative Arrangements” for Enforcement
On March 15, 2013, federal regulators released guidance on how the Affordable Care Act's new market ...
Vermont’s Rate Fillings: What Do They Mean for Consumers?
On Monday, Vermont became the first state to release preliminary rate filings for plans to be sold i...
Some States Consider Nondiscrimination Requirements
In implementing the Affordable Care Act, state regulators may increasingly look for ways to ensure t...
Building the New Insurance Marketplaces: Future of One State-Based Exchange Threatened
Planners in the District of Columbia have unanimously approved a proposal to ensure the long-term vi...
Essential Health Benefits in the States: Selections Have Been Made but Questions Remain
In our most recent issue brief for the Commonwealth Fund, Sabrina Corlette and CHIR colleagues exami...