Coverage

The District of Columbia Health Benefits Exchange Proposal

The District of Columbia is designing and operating its own health insurance marketplace (also known as an "exchange") where residents can shop for, compare, and enroll in affordable health insurance....

Block Grants: A Bad Idea for Medicaid

Updated January 23, 2017: President Trump and his advisors have indicated that they will pursue a Medicaid block grant as part of their attempt to repeal the Affordable Care Act. Turning Medic...

States and the Federal Government Working Together to Run Health Insurance Marketplaces

States have three choices when establishing their health insurance marketplaces (also known as exchanges): Run the marketplace on their own Have the federal government run the marketplace W...

Medicaid Managed Care Rule: Improving the Enrollment Experience

In April, the Obama administration issued sweeping new standards to guide the operation of state Medicaid managed care plans. The new rules are a big deal in part because they affect so many people: T...

Brokers and Agents and Health Insurance Exchanges

Health insurance brokers and agents can play an important role in health insurance marketplaces by helping consumers shop for and enroll in health coverage. But brokers and agents may not always act i...

Medicaid Managed Care Rule: Quality Ratings and Delivery System Reforms

This is the second in a series that looks at what advocates should know about the newly released standards for Medicaid managed care plans. The first analysis explained changes to the enrollment pro...

Talking about the Individual Mandate

In June 2012, the Supreme Court's decision on the Affordable Care Act ruled that the penalty for states that don't expand Medicaid is unconstitutional. By removing the penalty, the court's decision ch...

Medicaid Managed Care Rule: Network Adequacy Standards

Recently the Obama administration released standards for the operation of Medicaid managed care plans. This is the final analysis in a series looking at what advocates should know about the new standa...

How the Supreme Court’s Decision Affects Medicaid and the Affordable Care Act

Medicaid Managed Care Rule: What Advocates Should Know

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. ...