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.
Explains value-based insurance design and high-value care, outlines the key elements that value-based insurance should include.
Consumers, employers, and policymakers all need greater transparency in health care pricing. Learn what federal and state policymakers can do to improve access to health care price information.
Explores how the Affordable Care Act expands the practice of offering immediate, temporary Medicaid coverage to people who appear to be eligible based on income.
Explains the problems with allowing health insurance companies to sell plans in states where they are not licensed, including insurers evading and undermining consumer protections.
Explores the debate about whether navigators should be licensed as agents or brokers, explains how navigators are different from brokers and agents.
Explains the new federal financing rules under the Children’s Health Insurance Program Reauthorization Act (CHIPRA), including how funding will be distributed among the states.
Discusses opportunities to protect consumers by requiring that insurance companies spend a minimum percentage of premium dollars on health care instead of administrative costs, marketing, and profits.
Examines four kinds of protections states have put in place that are designed to protect low-income, uninsured, or underinsured Americans from medical debt
This issue brief provides a comprehensive look at the EPSDT benefit, including a plan-to-plan comparison with large scale health plans in two states and the Federal Employee Health Benefit Program (FEHBP). That comparison shows that Medicaid’s EPSDT benefit consistently offers more comprehensive coverage for children and greater financial protections for families. It is the gold standard in children’s health coverage.