Medicaid Income Eligibility Limits for Adults as a Percent of the Federal Poverty Level March 16, 2023 State Indicator eligibility Medicaid Adults
Medicaid and CHIP Income Eligibility Limits for Pregnant Women as a Percent of the Federal Poverty Level March 16, 2023 State Indicator eligibility Medicaid CHIP
Medicaid and CHIP Income Eligibility Limits for Children as a Percent of the Federal Poverty Level March 16, 2023 State Indicator eligibility children Medicaid CHIP
State Adoption of 12-Month Continuous Eligibility for Children’s Medicaid and CHIP March 16, 2023 State Indicator
CMS Prior Authorization Proposal Aims to Streamline the Process and Improve Transparency February 21, 2023 Issue Brief This brief explains a new proposed federal regulation aimed at reducing administrative hassles involved in obtaining prior authorization for care and sets out key policy questions, including how the proposal could impact the patient experience and data privacy.
Claims Denials and Appeals in ACA Marketplace Plans in 2021 February 9, 2023 Issue Brief This analysis of HealthCare.gov Marketplace insurers’ transparency data finds that 17% of in-network claims were denied in 2021, with denial rates varying widely across insurers. Consumers appealed less than two-tenths of 1% of denied in-network claims.
How Will the Prescription Drug Provisions in the Inflation Reduction Act Affect Medicare Beneficiaries? January 24, 2023 Issue Brief The brief provides a quick explainer of the prescription drug provisions in the Inflation Reduction Act signed into law on August 16, 2022 and presents new estimates on how many Medicare beneficiaries could be helped by those provisions.
Navigating the Family Glitch Fix: Hurdles for Consumers with Employer-sponsored Coverage November 21, 2022 Issue Brief About 5 million people could benefit from the fix to the Affordable Care Act’s “family glitch” that allows workers offered unaffordable family coverage to get subsidies in the marketplace – if they can show they qualify. This brief looks at some of the challenges consumers may face in deciding whether to take advantage of the fix.
Percent Change in Average Marketplace Premiums by Metal Tier, 2018-2023 October 28, 2022 State Indicator
