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.
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.
Although the Affordable Care Act now offers individuals greatly expanded access to health coverage, simply having an insurance card does not guarantee access to high-quality health care.
Explains three reasons why states should use data from SNAP (formerly known as food stamps) data to enroll adults in Medicaid without requiring a full application.
Highlights state efforts to protect consumers from unreasonable increases in health insurance premiums, including examples from 12 states.
Reviews the early experiences of four states under the Children's Health Insurance Program Reauthorization Act (CHIPRA) and how those experiences can inform implementation.
Learn what express lane eligibility means for children's health coverage and how it can help states identify uninsured children who could benefit from state programs like CHIP and Medicaid.
Explores the many ways the Affordable Care Act helps eliminate health disparities by improving access to health care for communities of color.
Discusses opportunities to protect consumers by requiring that insurance companies spend a minimum percentage of premium dollars on health care instead of administrative costs, marketing, and profits.