July 5, 2016

10 Health Advocacy Highlights from the 2016 Legislative Sessions

Patrick Willard

Senior Director of State and National Strategic Partnerships

Despite a divided Congress in Washington, many state policymakers around the country, supported by advocates, reached across the aisle to make needed improvements to the health care system.

Governors, lawmakers, and regulators made strides to expand health coverage, protect consumers in the insurance market, and address rising prescription drug prices. Here are some of the highlights of the 2016 sessions through June 1 and the Families USA allies whose advocacy was critical to making them happen.

Short Analysis
June 2016

Medicaid Managed Care Rule: What Advocates Should Know

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.

Short Analysis
June 2016

Medicaid Managed Care Rule: Network Adequacy Standards

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.

April 28, 2016

Four Provisions to Watch in the New Medicaid Managed Care Rules

Andrea Callow

Associate Director of Medicaid Initiatives

On Monday, the Obama administration issued sweeping new standards for health insurers that operate Medicaid managed care plans for the states. The new rules are a big deal in part because they affect so many people: There are more than 72 million people enrolled in Medicaid. 

December 10, 2015

CMS Marketplace Rules Could Improve Health Insurance Choices in 2017

Lydia Mitts

Associate Director of Affordability Initiatives

A year from now, consumers shopping for insurance on HealthCare.gov may be happy with some new plan choices and better protections for 2017. Earlier this month, the federal government released new proposed requirements for plans sold on the health insurance marketplaces. We applaud the government for encouraging insurers to sell “standardized plan” designs that cover more health care services before consumers meet their deductibles. But we urge the government to go further.

October 15, 2015

The Next Big Thing in Network Adequacy: The NAIC Model Act

In November, the National Association of Insurance Commissioners (NAIC), the organization composed of insurance regulators from every state in the nation, will finalize a model law to help states ensure that consumers can get access to the right health care, at the right time, without unreasonable delay. Dubbed the Network Adequacy Model Act, this draft bill is designed to be used by any state to enact provider access standards for private health insurance plans.


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