Filling the need for trusted information on national health issues

  • Your Selections:

Refine Results

date

Topics

Content Type

Tags

Peering Into the Black Box of Insurance Rating

Recently, the New York Times reported that private health insurers continue to seek large premium increases despite seeing lower than expected use of medical care and booking record profits. The story highlights a significant problem for health policy: the lack of good, public information about how health insurers manage health…

Who Will be the H&R Block and TurboTax for Health Insurance?

There’s been quite a bit of focus lately insofar as these issues go, anyway on health insurance agents and brokers (sometimes known in the industry as “producers”). They are pushing legislation that has been introduced in Congress and is now being studied by the National Association of Insurance Commissioners that…

Surprise Medical Bills

This brief explores the problem of “surprise medical bills” — charges arising when an insured individual inadvertently receives care from an out-of-network provider. It reviews studies on the extent of the issue, including Kaiser Family Foundation polling data, and outlines state and federal policy responses, including rules and proposed rules for Medicare and plans in Affordable Care Act marketplaces.

Private Contracts Between Doctors and Medicare Patients: Key Questions and Implications of Proposed Policy Changes

Changes in Medicare’s private contracting laws could have significant implications for beneficiaries, doctors, and the Medicare program. This brief summarizes the three options that physicians and practitioners currently have for charging Medicare patients, explains how private contracting works in Medicare under current law, and reviews current proposals on changes to private contracting in Medicare, as well as their implications for patients, physicians, and the Medicare program.

Proposals for Insurance Options That Don’t Comply with ACA Rules: Trade-offs In Cost and Regulation

This brief examines four options to promote the sale of health plan options in the individual or non-group market that are not subject to Affordable Care Act (ACA) requirements for other major medical health plans. It reviews the trade-offs involved if such loosely regulated markets take root as an alternative to the ACA-regulated market, particularly as the repeal of the individual mandate penalty takes effect next year.

HHS’s Proposed Changes to Non-Discrimination Regulations Under ACA Section 1557

This analysis examines the Department of Health and Human Services (HHS) proposed rule revising the regulations implementing Section 1557 of the Affordable Care Act. Section 1557 prohibits discrimination based on race, color, national origin, sex, age, and disability in health programs and activities receiving federal financial assistance. It examines the significant ways that the proposal would narrow the scope of the existing HHS implementing regulations.

Implementing New Private Health Insurance Market Rules

With the Jan. 1, 2014 effective date for implementing major changes in the private insurance market under the Affordable Care Act (ACA) approaching, this brief looks at three proposed federal regulations released in late November 2012 that detail how the ACA’s rules will operate in the following areas: private insurance…

Employers Attitudes Toward Patients Rights

A national survey of employers, released jointly by the Kaiser Family Foundation and the Health Research and Educational Trust, found that smaller employers (3 to 199 employees) are significantly more likely than larger employers (200 or more employers) to support a person’s right to sue a health plan, and somewhat…