In late January, the Centers for Medicare and Medicaid Services (CMS) approved Indiana’s request to expand its Medicaid program using a waiver. The good news? Approximately 350,000 uninsured Hoosiers will have a chance to get Medicaid coverage under this waiver.
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.
To provide consumers with plans that have lower cost-sharing, policymakers and marketplace officials should consider establishing “standardized plans.” These are plan designs that all insurers are required to sell that have standardized cost-sharing for covered health services.
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.
Basic Health Programs are one one of several options in the Affordable Care Act for states to further expand affordable health coverage to low and modest-income residents. Basic Health Programs can be more affordable than marketplace coverage, making care accessible to people who may otherwise forego coverage and care.
This infographic features data on how residents in each state that has not expanded Medicaid would benefit from gains in health, economic growth, and job creation if the state expanded Medicaid.