Explains what Medicaid Section 1115 waivers are and how advocates can take advantage of new rules that give them a bigger voice in the waiver process.
Learn how new rules implemented by the Trump Administration will affect marketplaces and what individual states can do to respond.
Accurate health plan provider directories are critical to ensuring that coverage works for consumers. Health plans and policymakers can take steps to reduce the prevalence of inaccuracies in provider directories.
This guide explains how to interpret health insurers’ annual statements. This knowledge can be helpful to advocates who are challenging rate increases during the rate review process.
Both a call to action and a roadmap for progress, Families USA’s latest report, Health Reform 2.0 lays out a path for securing high-quality, affordable health care to all Americans—regardless of income, age, race, or ethnicity—and for achieving the “Triple Aim”: improving health, enhancing quality of care, and reducing health care costs.
When health plans design their provider networks, they need to ensure that these networks are adequate and provide meaningful access to care. The Affordable Care Act established the first-ever federal rights guaranteeing private insurance consumers access to adequate networks.
What makes up an “adequate” network of health care providers for consumers from diverse racial and ethnic groups? Our new brief describes policies to help achieve such networks—and strategies to put these policies in place.
Designing Silver Health Plans with Affordable Out-of-Pocket Costs for Lower- and Moderate-Income Consumers
This brief identifies silver plan designs that make the upfront cost for care more affordable. You’ll also find policy and advocacy strategies to help advocates and policy makers effectively promote similar plan designs in other marketplaces across the country.
Discusses the consumer protections that marketplaces should consider implementing if marketplaces allow web brokers to enroll consumers in marketplace plans and financial assistance.
Learn how the Affordable Care Act allows states to expand Medicaid by purchasing coverage for enrollees through the health insurance marketplaces using federal funds