In November, the National Association of Insurance Commissioners (NAIC), the organization composed of insurance regulators from every state in the nation, will finalize a model law to help states ensure that consumers can get access to the right health care, at the right time, without unreasonable delay. Dubbed the Network Adequacy Model Act, this draft bill is designed to be used by any state to enact provider access standards for private health insurance plans.
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.
While Congress wrestles with budget reconciliation and takes another swipe at the Affordable Care Act, most state lawmakers are back at their day jobs and finished with legislative business for the year. The 2015 sessions produced a few highlights, and some lowlights, for health care advocates. Lawmakers continued to grapple with full implementation of the ACA, but some looked beyond the health care law to move their states toward a health reform 2.0 agenda. Below we note some of the significant work this year in state capitals.
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.
This checklist is designed to help advocates and consumers understand who makes decisions about private insurance in their states. It suggests questions to ask the insurance department, state legislators, and others.
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.