This series explains what Accountable Care Organizations (ACOs) are and discusses how to build ACOs that meet patient needs, improve quality, and reduce health care costs.
Outlines five key elements of consumer-friendly health insurance marketplaces (also known as exchanges) offers tips for making sure plans sold in those marketplaces meet consumers' needs .
This series explores multiple aspects of implementing health insurance exchanges, including obtaining funding, establishing good governance and oversight, and selecting plans.
What makes up an “adequate” network of health care providers for consumers from diverse racial and ethnic groups? Our new brief describes policies to help achieve such networks—and strategies to put these policies in place.
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.
Learn what your state needs to include in its health insurance marketplace for consumers with limited English proficiency.
Making the Medicare Improvements for Patients and Providers Act (MIPPA) Work: How States Can Help People with Medicare
Examines how this law improves financial assistance programs for low-income Medicare beneficiaries and explains how advocates can ensure successful implementation in their states.
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.
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.
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.