Basic Health Programs are one one of several options in the Affordable Care Act for states to further expand affordable health coverage to low and modest-income residents. Basic Health Programs can be more affordable than marketplace coverage, making care accessible to people who may otherwise forego coverage and care.
Communities of color continue to face a limited availability of health care providers and facilities. By including at minimum these seven features in their provider networks, insurers can help consumers in communities of color gain access to timely, high-quality, language-accessible, culturally competent health care.
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.
The Supreme Court case that will be decided in June threatens the health coverage of millions of Americans.
Resources to help organizations participate effectively in the rate review process to push back against unfair premium hikes.
While these waivers are related to private health insurance, there are several ways these waivers could affect Medicaid and CHIP coverage. This analysis describes how new federal guidance on these waivers provides some guardrails designed to protect the Medicaid and CHIP populations.
To provide consumers with plans that have lower cost-sharing, policymakers and marketplace officials should consider establishing “standardized plans.” These are plan designs that all insurers are required to sell that have standardized cost-sharing for covered health services.
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. There are currently over 72 million people enrolled in Medicaid, and three-quarters are enrolled in managed care.
The new federal rules, which states must implement by 2018, are a step in the right direction toward ensuring that people with a Medicaid managed care plan can see the right health care provider when they need to.