The Trump administration just released a final policy that will substantially increase the number of Americans who could be sold junk insurance in the form of “Association Health Plans,” or “AHPs.” This new and very dangerous step in the administration’s ongoing campaign to sabotage the Affordable Care Act could greatly reduce people’s access to essential health care, especially for those with preexisting conditions and older adults.
As trusted members of their communities, community health workers (CHWs) have a proven track record of increasing access to preventive services, improving health outcomes, and even reducing costs. And by addressing the social determinants of health, CHWs can play a key role in reducing health disparities.
New Guidance on Section 1332 waivers, issued in October 2018, can undermine key consumer protections and pave the way for federal dollars to subsidize plans that provide few benefits. The public can comment on the federal guidance through December 24, 2018. People should also find out if their states are developing waiver proposals, and comment on those to both the state and federal governments. This analysis explains what issues to watch.
Budget Proposal Would Allow States To Drop Medicaid Transportation Benefits Across The Entire Program
The Trump administration’s fiscal year 2019 budget request signals that the Centers for Medicaid and Medicare Services (CMS) intends to use regulatory authority to allow states to drop the Medicaid non-emergency medical transportation (NEMT) benefit. This benefit has been part of Medicaid since the program’s inception in 1966. Changing that would be a stunning precedent, reversing more than 50 years of Medicaid policy.
Updated for the 2019 plan year, Families USA and the Children’s Dental Health Project published this guide to help families choose a pediatric oral health plan in their state’s marketplace. During open enrollment, choosing an oral health plan can be confusing, especially because dental coverage is often sold separately from a family’s health coverage. This guide explains what sorts of oral health plans you are likely to find and how to choose the one that works best for your family.
Six million Californians rely on the Medicare program. Nationally, about two-thirds of Medicare beneficiaries do not have any coverage for oral health care. Medicare currently covers almost no oral health care. This fact sheet describes how seniors are affected by this lack coverage.
Calling all Enrollment Assisters, Patient Navigators, and Community Health Workers to Health Action 2019
This has been an unprecedented year in health care enrollment and patient navigation, with dramatic highs and lows but, at the end of the day, consumers still need access to affordable, quality health care. Transform Health has teamed up with Families USA to offer an enrollment- focused track at this year’s Health Action 2019 conference.
This week, as part of the Childhood Asthma Leadership Coalition (CALC), Families USA and other coalition members submitted comments to the Environmental Protection Agency (EPA) expressing concern with the proposed rule, “Strengthening Transparency in Regulatory Science,” which would limit the use of critical research in EPA decision-making. We believe this rule would have the effect of erecting barriers to science-based decisions in the regulatory process, and could remove consideration of public health studies that might otherwise improve health outcomes of children with asthma.
On July 7, the Centers for Medicare and Medicaid Services (CMS) announced a policy change that could fundamentally undermine the individual market, endangering health care for millions of people who get health care through the individual marketplace. CMS announced it will not distribute more than $10 billion out of a "risk adjustment" pool which is funded by insurers who participate in the individual and small-business markets. The risk adjustment program collects funds from insurers that cover healthier people and redistributes those funds to plans that have sicker enrollees.
For generations, community leaders have seen how valuable community health workers (CHWs) can be. As health equity advocates, we know that CHWs truly understand the communities they serve and have their trust, so they can effectively provide culturally centered and language accessible services and supports tailored to their needs.