Although the Affordable Care Act now offers individuals greatly expanded access to health coverage, simply having an insurance card does not guarantee access to high-quality health care.
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.
Quality measurement uses data to evaluate the performance of health plans and providers. Learn how the health care field is using this data to measure and improve the quality of health care that patients receive.
Lays out the key elements consumer-friendly wellness programs should have and the ways advocates can help protect enrollees if their state proposes a program that jeopardizes enrollees’ access to care.
Discusses the consumer protections that marketplaces should consider implementing if marketplaces allow web brokers to enroll consumers in marketplace plans and financial assistance.
Explains three reasons why states should use data from SNAP (formerly known as food stamps) data to enroll adults in Medicaid without requiring a full application.
Explains value-based insurance design and high-value care, outlines the key elements that value-based insurance should include.
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.
Lays out options for states determining benefit packages (called Alternative Benefit Plans) for those who are newly eligible for Medicaid, including key factors states should consider when designing these benefits.
Learn how the Affordable Care Act allows states to expand Medicaid by purchasing coverage for enrollees through the health insurance marketplaces using federal funds