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.
Covered California could be the first exchange in the country to sell health insurance to undocumented immigrants and Deferred Action for Childhood Arrivals (DACA) recipients. The state marketplace is trying to use a Section 1332 “state innovation” waiver to obtain federal approval for a plan to offer coverage to all Californians, regardless of immigration status. While the proposal does not allow undocumented people and DACA recipients to receive financial assistance to help them with the costs of insurance, it is an important step toward universal coverage.
Last July, four insurance giants announced proposed mergers. Anthem is proposing to purchase Cigna, and Aetna to purchase Humana. A merged Anthem-Cigna would cover 53 million people, and a merged Aetna-Humana would cover more than 33 million people. Together, these merged companies, along with United Health Group’s approximately 46 million insured consumers, would concentrate the coverage of 132 million lives in just three companies.
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.
Much like a cell phone, an insurance plan is only as good as its network. Protections enacted at the federal and state levels are an important step toward strengthening private insurance provider networks. The Affordable Care Act created the first-ever provider network protections for private insurance consumers. These protections require health insurance marketplace plans to have adequate networks to meet their enrollees’ medical needs in a timely manner.
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.
This 50-state infographic series features state-specific data on how many people will be able to receive financial assistance for health insurance.
This 50-state infographic series features state-specific data on how many people with pre-existing health conditions will benefit from the Affordable Care Act.