Due to high deductibles in health plans, many insured consumers still have trouble being able to afford the health care they need. Some forward-looking health plans are taking steps to make sure their members can afford care to manage chronic conditions, such as diabetes, hypertension, and asthma.
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.
Communities of color face significant health disparities and are more likely to suffer from certain chronic conditions, like diabetes, where early detection and treatment could mean the difference between life and death. One way to improve the odds for people with these conditions is to increase access to services, like necessary medications or periodic medical tests, that prevent the progression of, or complications from, those diseases.
Unfortunately for many lower-income consumers with high-deductible health insurance plans, the out-of-pocket expense of this essential care is well beyond their financial reach, causing them to forgo care.
Thousands of enrollment assisters across the country have worked tirelessly to help consumers sign up for coverage, often under stressful circumstances with little support. These assisters typically work independently in their communities, and it’s important to prevent them from feeling isolated or burned out. This blog shares creative ways that organizations can support and motivate enrollment assisters.
King v. Burwell: Where Consumers Losing Tax Credits Could See the Biggest Increases in Premium Payments
The Supreme Court will rule any day now on King v. Burwell, the case that will determine whether premium tax credits remain available in the 34 states in which the federal government runs the health insurance marketplace.
If the Supreme Court rules against the government, more than 6 million people in 34 states would lose access to the premium tax credits they rely on to afford their health insurance. All consumers who rely on tax credits in these states would pay substantially more out of pocket on their monthly premium payments. However, residents of some states and congressional districts would experience much higher spikes in their premium payments if they lose their tax credits.
The Supreme Court, in the King v. Burwell case, will soon decide whether millions of people in 34 states will lose premium tax credits they rely on to make health insurance affordable. Without those tax credits, most of the people affected would be unable to buy insurance and would become uninsured.
Our infographic series show how many people would lose their premium tax credits in every congressional district in the 34 states that did not establish their own marketplace.
This infographic shows the populations—uninsured adults, parents with dependent children, working but uninsured adults, and uninsured veterans and their spouses—that would benefit from extending Medicaid.
Over the past two decades, state-based consumer advocates and health care practitioners have worked together to help low-income people—including those living in communities of color or with chronic medical conditions—gain access to health coverage. As more people gained insurance coverage, consumer advocates and health care providers focused their attention on improving the patient’s experience with the health care system.
Top 9 Occupations of Working but Uninsured in Maine Who Would Benefit from Expanding Health Coverage
In Maine, more than 44,000 low-income residents lack access to health insurance. If Maine chooses to accept federal dollars to expand Medicaid, those who would qualify for health coverage are residents with incomes up to 138 percent of the federal poverty level ($27,720 for a family of three in 2015).