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!
Families USA Report Makes Recommendations to Improve Accuracy of Health Insurance Provider Directories
Consumers Need Reliable Guides to Navigate Health Insurance Market
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.
Both a call to action and a roadmap for progress, Families USA’s latest report, Health Reform 2.0 lays out a path for securing high-quality, affordable health care to all Americans—regardless of income, age, race, or ethnicity—and for achieving the “Triple Aim”: improving health, enhancing quality of care, and reducing health care costs.
When health plans design their provider networks, they need to ensure that these networks are adequate and provide meaningful access to care. The Affordable Care Act established the first-ever federal rights guaranteeing private insurance consumers access to adequate networks.
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.
Communities of color, even once they have insurance, face barriers that can hinder access to those providers. Of those barriers, one of the most notable is the often limited availability of health care providers and facilities in communities of color. Today’s post outlines 10 tactics advocates can use to work with state and federal officials to help address these issues.
Quality, Not Size: How to Ensure Health Insurance Marketplace Plans Have Adequate Provider Networks for Consumers
For many years prior to the Affordable Care Act, we’ve encountered stories from consumers who have trouble finding health care providers who are in their insurance company’s network or who can’t get accurate information about which providers are in their network. Now, provider network issues are more contentious than ever.
As we move into the last two months of the open enrollment period, government officials and advocates are thinking about how to better reach consumers and help them select a plan to enroll in. One way to improve the consumer experience in marketplace websites is to show consumers more information up front—information that allows them to compare and contrast plan details and financial assistance benefits—before they invest time creating personal accounts and completing an application.
Yesterday, the Department of Health and Human Services (HHS) released guidance to health insurers that outlines what the agency will require of health plans that want to sell health or stand-alone dental coverage in federally facilitated marketplaces (FFMs) next year. (Partnership marketplaces and federally facilitated marketplaces that conduct plan management functions may also implement these standards, although they have some flexibility in how they do so.)