h/t Paul Houchens
An interesting chart by Milliman caught my eye today. Here it is:
Many physician and consumer groups cheered when the Obama administration proposed network adequacy standards for health insurance plans sold on state and federal marketplaces. They will be disappointed that many of these standards did not make it into the Final Rule published yesterday in the Federal Register.
We may be witnessing the death of the Cadillac tax…a slow, Washington, DC style, death. The two-year delay in the tax, included in the end-of-year budget deal, was the first major legislative change to the ACA and the tax’s first figurative “nail in the coffin”.
It is cold outside, but certain health policy debates are hot enough to thaw even snowy Philadelphia. Puns aside, 2016 looks like it will provide no shortage of interesting health policy developments. Here’s what we expect to be talking about in 2016 on Insurance Reform, one of our key research and policy themes.
While controversy and rancor are perhaps the only certainties in the ongoing health care reform debate, a majority of Americans agree that expanding health insurance coverage is a worthy societal goal. One of the primary obstacles to achieving this goal is its cost. However, it is another obstacle that may pose the most daunting challenge: making health insurance more affordable for those lacking coverage without harming those with coverage.
December 12, 2015 is Universal Health Coverage Day
Although Section 1557 of the ACA may not be well known to the public, it took center stage at the recent Gay and Lesbian Medical Association (GLMA) annual conference in Portland, Oregon. The conference educates practitioners and students about the unique health needs of lesbian, gay, bisexual, transgender and queer (LBGTQ) individuals and families, and reports on the latest research on LGBTQ health. Here are some of the latest research and policy developments emerging from the conference.
Section 1557 of the ACA
In JAMA Pediatrics, Amanda Kreider and colleagues, including Benjamin French, Jaya Aysola, Brendan Saloner, Kathleen Noonan and David Rubin, compare health care access, quality and cost outcomes by insurance type for children in low or moderate income households. Using family-reported measures from the National Surveys of Children’s Health, the authors examined children’s access to preventive and specialty care and caregiver satisfaction with insurance coverage, and also characterized unmet health needs and out-of-pocket costs over the last decade. The analysis revealed that...
President Obama has challenged 20 cities to decrease the number of uninsured people who have not yet signed up for insurance on the Healthcare.gov Marketplace. Timed with the start of the Marketplace’s third open enrollment period on November 1, the Healthy Communities Challenge pits 20 cities against each other to win bragging rights and a visit from him.
A Tale of Two States: Do Consumers See Mental Health Insurance Parity When Shopping on State Exchanges?
In Psychiatric Services, Kelsey Berry and colleagues, including Colleen Barry, present an analysis of parity compliance in how behavioral health benefits are presented to consumers shopping on health insurance exchanges established by the Affordable Care Act. All insurance plans sold on the exchanges are required to offer mental health and substance use disorder benefits in compliance with requirements of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA). The researchers reviewed summaries of benefits documents available to...
The nation’s insurance commissioners are set to announce new standards to ensure that consumers are better informed about which providers are in their health plan, and to protect them against the high costs of out-of-network care.
In 2013, before the ACA’s health insurance marketplaces opened, more than 10 million people purchased insurance in the individual market. In the American Journal of Health Economics, Mark Pauly, Scott Harrington, and Adam Leive estimate how the ACA affected the prices these buyers faced in 2014. Before taking any federal subsidies into account, they find that the impact of the ACA on total average price was relatively modest.
They looked at the effects of the ACA on premiums, expected out-of-pocket payments, and total expected price paid by these former buyers. They...