Insurance Reform

Expanding health insurance coverage was a main priority of the Affordable Care Act (ACA), and Medicaid expansion was a key component of these reforms. Since the ACA’s implementation, the percentage of the population without health insurance has dropped to a historic low. Despite gains, there is still a long way to go to achieve universal health coverage and address disparities in coverage, particularly in states not expanding Medicaid.

Insurance Reform

Expanding health insurance coverage was a main priority of the Affordable Care Act (ACA), and Medicaid expansion was a key component of these reforms. Since the ACA’s implementation, the percentage of the population without health insurance has dropped to a historic low. Despite gains, there is still a long way to go to achieve universal health coverage and address disparities in coverage, particularly in states not expanding Medicaid.

What We Know

Health plan networks - Data briefs ‘t-shirt size’ 2014 Silver Plans across all health insurance marketplaces and by state and rating area 

Health insurance exchanges – Analysis of decision support tools on the marketplaces; research on young adults’ decisions and their suggestions for improvement

Public insurance options for children – Research assessing relative value of Medicaid and CHIP

Medicare Part D cost-sharing Research shows high out-of-pocket costs may limit or delay start of treatment

Reallocating employer-sponsored insurance tax subsidiesAnalysis of economic tradeoffs and potential effects of alternative proposals

Medicaid ‘pay bump’ - Evidence of its impact on access

Essential health benefits - Data brief on how they vary across states

Autism insurance mandatesResearch on their impact on diagnosis rates

CO-OPs - Analysis of their unsustainable bottom lines

What We're Watching

Network adequacy - CMS' final rule for 2017 disappoints while making progress on size transparency; CMS pilots its marketplace quality initiatives.

Drug prices  A string of controversies, with distinct storylines

Increased cost-sharing – Surveys show rise in ‘underinsurance’ and unaffordable health care costs for the insured, who face difficulty shopping for health care

Price transparencyResearch shows that its benefits are murky

Sustainability of ACA marketplaces – Major insurers pull out, stirring the debate

Medicaid expansion and remaining uninsured – Kaiser tracks status of state decisions. Vox has decrease in uninsured by state

Implementation of ACA provisions –Are delays to the Cadillac Tax really a long goodbye? 

Research

Commentary

Insurance Reform

Expanding health insurance coverage was a main priority of the Affordable Care Act (ACA), and Medicaid expansion was a key component of these reforms. Since the ACA’s implementation, the percentage of the population without health insurance has dropped to a historic low. Despite gains, there is still a long way to go to achieve universal health coverage and address disparities in coverage, particularly in states not expanding Medicaid.

What We Know

Health plan networks - Data briefs ‘t-shirt size’ 2014 Silver Plans across all health insurance marketplaces and by state and rating area 

Health insurance exchanges – Analysis of decision support tools on the marketplaces; research on young adults’ decisions and their suggestions for improvement

Public insurance options for children – Research assessing relative value of Medicaid and CHIP

Medicare Part D cost-sharing Research shows high out-of-pocket costs may limit or delay start of treatment

Reallocating employer-sponsored insurance tax subsidiesAnalysis of economic tradeoffs and potential effects of alternative proposals

Medicaid ‘pay bump’ - Evidence of its impact on access

Essential health benefits - Data brief on how they vary across states

Autism insurance mandatesResearch on their impact on diagnosis rates

CO-OPs - Analysis of their unsustainable bottom lines

What We're Watching

Network adequacy - CMS' final rule for 2017 disappoints while making progress on size transparency; CMS pilots its marketplace quality initiatives.

Drug prices  A string of controversies, with distinct storylines

Increased cost-sharing – Surveys show rise in ‘underinsurance’ and unaffordable health care costs for the insured, who face difficulty shopping for health care

Price transparencyResearch shows that its benefits are murky

Sustainability of ACA marketplaces – Major insurers pull out, stirring the debate

Medicaid expansion and remaining uninsured – Kaiser tracks status of state decisions. Vox has decrease in uninsured by state

Implementation of ACA provisions –Are delays to the Cadillac Tax really a long goodbye?