In communities of color, where rates of uninsurance and poor health outcomes are higher than in white communities, the differences between those who have insurance and those who lack it are stark.
Seven issues that advocates should consider around the roles and responsibilities of insurance brokers and agents who help consumers enroll in health coverage through health insurance marketplaces.
Learn how the Affordable Care Act creates opportunities for states to design and test new models of health care delivery, which can lead to better health and reduced spending.
Learn how patients and health care providers can team up to ensure better health care for consumers at a lower cost and in a timely manner.
Discusses the consumer protections that marketplaces should consider implementing if marketplaces allow web brokers to enroll consumers in marketplace plans and financial assistance.
We’ve examined data from 22 states showing that working adults make up the majority of those who could benefit if states expanded Medicaid. View our new infographic and issue brief about the top occupations of the working but uninsured residents in Idaho.
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.
Half of U.S. children with special health care needs, nearly 7 million children, rely on Medicaid/Children’s Health Insurance Program (CHIP) for health insurance to cover some or all of their medical care. Medicaid and CHIP cover 48 percent of children with special health care needs. CHIP, which covers low- to moderate-income children above the Medicaid income limit, is administered by states sometimes as a separate program, but often through state Medicaid programs. This issue brief explores why Medicaid plays a unique role in serving children with special health care needs.
Reviews key considerations to keep in mind when designing programs to help consumers understand and enroll in health insurance, including funding, location, outreach, scope, staffing, and training.
Lowering the price of prescription drugs remains one of the top health care priorities for consumers.1 But pharmaceutical manufacturers continue to increase prices on lifesaving medications.2 A recent proposal from the Trump Administration seeks to control prescription drug costs in Medicaid by giving states the authority to eliminate people’s access to needed and even lifesaving drugs. This approach fails to address the underlying issue of pharmaceutical manufacturers setting such high prices at the national level.