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.
Total Monthly Medicaid & CHIP Enrollment and Pre-ACA Enrollment March 14, 2023 State Indicator Medicaid Enrollment, Monthly Medicaid Enrollment, total Medicaid enrollment
State Adoption of 12-Month Continuous Eligibility for Children’s Medicaid and CHIP March 16, 2023 State Indicator
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
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/CHIP Coverage of Lawfully-Residing Immigrant Children and Pregnant Women March 16, 2023 State Indicator immigrant children pregnant women Medicaid CHIP
Medicaid Income Eligibility Limits for Adults as a Percent of the Federal Poverty Level March 16, 2023 State Indicator eligibility Medicaid Adults
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.
