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.
Accurate health plan provider directories are critical to ensuring that coverage works for consumers. Health plans and policymakers can take steps to reduce the prevalence of inaccuracies in provider directories.
Examines interstate billing problems, presents the results of a survey of state approaches to out-of-state billing, lists some promising practices for processing out-of-state Medicaid claims.
Explains that some low-income families may not be able to afford health coverage in the health insurance marketplaces until CHIP premiums are reduced or eliminated.
Shows the number of people in each state who have cancer, diabetes, chronic lung disease, or heart disease and who rely on Medicaid, including breakdowns by racial and ethnic group.
Provides state-level data showing why hospitals are important to residents and state economies—and why Medicaid funding is essential to hospitals' bottom lines.
Examines four kinds of protections states have put in place that are designed to protect low-income, uninsured, or underinsured Americans from medical debt
Discusses opportunities to protect consumers by requiring that insurance companies spend a minimum percentage of premium dollars on health care instead of administrative costs, marketing, and profits.
Just last month, legislation was signed in California that created the state’s insurance exchange, making California the first state to establish an insurance exchange since the Affordable Care Act passed! If that wasn’t enough good news for you, we just heard more good news from the Golden State this week: On Tuesday, the federal government approved a five-year, $10 billion dollar “Bridge to Reform” plan to expand and improve California’s Medicaid program.
In a nutshell, California’s Bridge to Reform plan will:
The second open enrollment period in the health insurance marketplaces is officially closed. But HealthCare.gov and several state marketplaces are still accepting applications for coverage. These include California, Kentucky, New York, and Washington State—the four states participating in our final open enrollment teleconference call yesterday. The directors from these state-based marketplaces explained that the extensions are only for consumers who recently started an application to get health coverage but were not able to finish.