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.
Outlines five key elements of consumer-friendly health insurance marketplaces (also known as exchanges) offers tips for making sure plans sold in those marketplaces meet consumers' needs .
Highlights state efforts to protect consumers from unreasonable increases in health insurance premiums, including examples from 12 states.
Explores how the Affordable Care Act expands the practice of offering immediate, temporary Medicaid coverage to people who appear to be eligible based on income.
This series explores multiple aspects of implementing health insurance exchanges, including obtaining funding, establishing good governance and oversight, and selecting plans.
Examines four kinds of protections states have put in place that are designed to protect low-income, uninsured, or underinsured Americans from medical debt