This guide explains how to interpret health insurers’ annual statements. This knowledge can be helpful to advocates who are challenging rate increases during the rate review process.
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.
By partnering with health insurance companies, enrollment assisters gain access to plan information and health literacy resources. Assisters can more easily obtain answers to consumer questions about the marketplace plans available to them and troubleshoot consumer problems.
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.
Designing Silver Health Plans with Affordable Out-of-Pocket Costs for Lower- and Moderate-Income Consumers
This brief identifies silver plan designs that make the upfront cost for care more affordable. You’ll also find policy and advocacy strategies to help advocates and policy makers effectively promote similar plan designs in other marketplaces across the country.
Discusses the consumer protections that marketplaces should consider implementing if marketplaces allow web brokers to enroll consumers in marketplace plans and financial assistance.
Medicaid Alternative Benefit Plans: What States Should Consider When Designing Coverage for the Expansion Population and the Role for Advocates
Examines issues states should consider when designing benefit plans for people who are newly eligible for Medicaid; outlines opportunities where advocates can engage in the process.
Learn how the Affordable Care Act allows states to expand Medicaid by purchasing coverage for enrollees through the health insurance marketplaces using federal funds
Learn what your state needs to include in its health insurance marketplace for consumers with limited English proficiency.
Outlines five key elements of consumer-friendly health insurance marketplaces (also known as exchanges) offers tips for making sure plans sold in those marketplaces meet consumers' needs .