With a new president and Congress, the health care gains made throughout the last six years face their greatest threat yet. Congress has voted more than 60 times to roll back the historic progress that has been made to expand health coverage to millions of people in this country and to improve coverage for those who already had it. These proposed changes will put the health—and lives—of countless Vermonters at risk. Here’s what Vermont stands to lose if the new president and Congress move forward to upend our health care system:
Communities of color, even once they have insurance, face barriers that can hinder access to those providers. Of those barriers, one of the most notable is the often limited availability of health care providers and facilities in communities of color. Today’s post outlines 10 tactics advocates can use to work with state and federal officials to help address these issues.
The Families USA Health Action Team provides resources and consults on strategies for health care advocates around the country, working with our state and national partners. In this monthly blog, we’ll share news about our travels and progress on state policies.
The State Innovation Model (SIM) grant program gives states funding and technical assistance to design and test new ways to provide and pay for health care. This brief examines the six states that received Round 1 SIM Testing grants to identify best practices for consumer advocate engagement.
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.
Proposed health insurance premium rates for 2015 varied greatly among states and insurers. To limit unreasonable rate increases, Families USA encourages state advocates to engage in the rate review process.
Earlier this year, we explained how advocates can participate in their state’s rate review process to influence the monthly premiums that health insurers are allowed to charge. We reached out to state advocates to “crowdsource” today’s blog about how advocates are challenging proposed rates.
The Affordable Care Act did a lot to help uninsured consumers get health coverage, but it did not entirely resolve the very real problems with insurance affordability for low- and moderate-income consumers. These consumers often struggle to meet other living costs and, even once they have health insurance, may not be able to get the health care they need because they have trouble paying for costs associated with their premiums, office visits, and other types of health care.
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.
Open enrollment for the health insurance marketplace begins this November. As a result, health insurers are filing their proposed health insurance premium rates for 2015. To examine how rates may change for consumers buying policies in 2015, we reviewed filings and news reports from 12 states where proposed rates have received media attention. For each state, we looked at overall proposed premium rate changes, which are an average for each insurer. A consumer’s actual premium increase or decrease may be higher or lower than the average depending on age, location, and plan choice.
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.