A new report from the Robert Wood Johnson Foundation (RWJF) examines the cost to consumers for prescription drugs as you move through the formulary tiers. Read More »

The Center on Budget and Policy Priorities (CBPP) recently updated their reference chart on Special Enrollment Periods (SEPs). The reference chart goes through the available SEPs and provides helpful information, such as whether someone needed to be covered before and the timing for the SEP. CBPP also conducted a recent webinar on SEPs, and now […] Read More »

A new issue brief from the Kaiser Family Foundation looks at the affordability of health insurance premiums for plans on the ACA marketplace. The brief entitled “How Affordable are 2019 ACA Premiums for Middle-Income People?” looks at the population of consumers who are above 400% of the Federal Poverty Level (“FPL”) and therefore are not […] Read More »

The Kaiser Family Foundation has a new issue brief which looks at the number of claims which marketplace plans are denying and whether or not consumers are appealing those denials. Kaiser’s research shows that nearly one out of every five claims made to marketplace insurers are being denied, but the vast majority of those (over […] Read More »

Families USA has released a new fact sheet entitled “The Impact of Medicaid Expansion on State Budgets.” Read More »

The Collaborative on Health Reform and Independent Living (CHRIL) has developed chart books about the healthcare utilization and expenditures of working-age people with and without disabilities from 2008-2016. The results are available in both PDF and Excel spreadsheets on the CHRIL website. Read More »

The Kaiser Family Foundation has released an issue brief which looks at a new trend by states requesting approval from CMS to expand Medicaid only up to 100% of the Federal Poverty Level (FPL) instead of the ACA’s intended expansion up to 138% of FPL. In the explainer “Partial Medicaid Expansion with ACA Enhanced Matching […] Read More »

The Kaiser Family Foundation conducted a recent survey where they interviewed Medicaid directors in all 50 states and District of Columbia to identify benefits covered for adult beneficiary programs. Federal Medicaid rules grant states flexibility to design their own Medicaid benefit packages beyond meeting core federal requirements. Required benefits specify that certain mandatory services in […] Read More »

The Centers for Medicare and Medicaid Services (CMS) issued an informational bulletin updating the amounts for the Federal Poverty Level (FPL) for 2019. The FPL is used to determine who is eligible for the Medicaid expansion and who receives premium tax credits for qualified health plans on the exchange. Read More »

A new survey from the Commonwealth Fund looks at the relationship of the uninsured rate to the underinsured rate. The survey reports that while the ACA has effectively brought the uninsured rate down, that there are a larger number of individuals who are underinsured. Whether or not someone is considered underinsured is based on the […] Read More »