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.
Father’s Day is a good time to let new fathers know they may qualify to buy health insurance for their family on the marketplace. Use our graphics to spread the word on social media!
In May, the Obama administration released new regulations that prohibit discrimination by health plans, health facilities, and health care programs. The rules implement Section 1557 of the Affordable Care Act, and build upon existing civil rights law. One important feature of this provision is that individuals who believe they have suffered discrimination when seeking health care can take action.
As a freelance writer and director of a small nonprofit that provides expressive arts experiences to refugees in Tucson, Arizona, Marge is already very busy. But last year, Marge spent so much time trying to find a primary care physician in her health plan’s network that it began to feel like her third part-time job. Marge spent months calling doctors who were listed in her plan’s online provider directory, but this critical consumer resource proved to be inaccurate.
Last week, CMS announced some changes to special enrollment periods for the health insurance marketplaces. We were disappointed to see that CMS is tightening the rules to allow for people who are moving permanently to qualify for an SEP.
To be eligible for the permanent move SEP, the new rule now requires consumers to have minimum essential coverage for at least one of the 60 days before they move. Previously, consumers could enroll upon moving without having prior health insurance.
The big news from Capitol Hill this spring comes courtesy of House Republicans, who are still mulling over plans to replace the Affordable Care Act. As we’ll explain, although no formal plan has been released, several harmful proposals have sprung up. But this spring also brought some fresh ideas from members of Congress that would, if passed, improve our health care system.
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.
We know you have a lot going on, and there isn’t always time to read everything. That’s why we’ve rounded up five of our most popular blogs published between January and March of this year.
This year we launched a campaign to enact standards to address this issue at the state and federal level. Our campaign supports the work of advocates in many states, including close partnerships with advocates in Georgia, Maryland, and Colorado. Read about the progress those states are making!