Exchange directors, the Centers for Medicare and Medicaid Services, and insurers have an enormous opportunity to help consumers choose the plan that is right for them and make the enrollment process more efficient by improving the display of plan information on marketplace websites.
Recently the Obama administration released new standards governing Medicaid managed care plans. These managed care rules haven’t been updated since 2002, and a lot has changed in the past 14 years. There are currently over 72 million people enrolled in Medicaid, and three-quarters are enrolled in managed care.
The new federal rules, which states must implement by 2018, are a step in the right direction toward ensuring that people with a Medicaid managed care plan can see the right health care provider when they need to.
This checklist is designed to help advocates and consumers understand who makes decisions about private insurance in their states. It suggests questions to ask the insurance department, state legislators, and others.
Communities of color continue to face a limited availability of health care providers and facilities. By including at minimum these seven features in their provider networks, insurers can help consumers in communities of color gain access to timely, high-quality, language-accessible, culturally competent health care.