The Georgetown University Center on Health Insurance Reforms has released a new issue brief which looks at the consumer assistance experience before, during and after the implementation of the Affordable Care Act. It looked at consumer assistance programs in 12 different states plus DC to see what the needs of consumers were. Not surprisingly, the […] Read More »
What State Marketplaces are Doing with Tax Penalty SEPs
Last Friday, CMS announced that there would be a Special Enrollment Period (SEP) for anyone who has to pay the “shared financial responsibility payment” also known as the tax penalty. Individuals who have to pay the penalty for not having coverage in 2014 and who do not have coverage for 2015 and attest that they didn’t […] Read More »
Urban Institute Releases Report on Special Enrollment Periods
The Urban Institute and the Robert Wood Johnson Foundation with input from the Georgetown University Center on Health Insurance Reforms have released a report on state-based marketplaces (SBMs) and how they handled Special Enrollment Periods (SEPs) in the first year of open enrollment. The report looks at five SBMs – California, the District of Columbia, […] Read More »
What State Marketplaces are Doing with Open Enrollment Extensions
Earlier this week, we reported that CMS was granting a Special Enrollment Period (SEP) for anyone who encountered difficulty completing their application prior to the February 15 deadline. This only applies to the 34 states in the federal marketplace. So what about the 17 state-based marketplaces? Here’s a breakdown: California: Consumers have until February 22 to complete (only […] Read More »
Understanding Terminology Used by States in ACA Reporting
As you read reporting from different states on ACA enrollment, it is necessary to understand the specific terminology used as it can vary from state to state. A new report from the State Health Access Data Assistance Center (SHADAC), the State Health Exchange Leadership Network, the State Health Reform Assistance Network and the National Academy for […] Read More »
Urban Institute Releases Report on Physician Network Transparency
One of the biggest considerations by consumers when choosing a health plan is which providers are part of the network. Navigators and enrollment specialists may be asked by those they are assisting whether or not a qualified health plan will cover physicians with whom they are already treating. Finding the answers to which providers are […] Read More »
New Report Addresses the Issues in Pharmacy Benefit Designs
The Georgetown University’s Center on Health Insurance Reforms recently released an issue brief entitled “Specialty Tier Pharmacy Benefit Designs in Commercial Insurance Policies: Issues and Considerations.” A prescription drug benefit can be especially important for people with disabilities as they are considering their options in qualified health plans. This issue brief draws attention to how insurance companies have started treating prescription […] Read More »
HHS Releases Enrollment Data
Today, the Department of Health and Human Services (HHS) released the latest enrollment data through March 31 which was the official end of open enrollment. These numbers include enrollment from the federally facilitated marketplace as well as the numbers from the state-based marketplaces. To read the news release from HHS, click here. The specific reports […] Read More »
Healthcare.gov Extension until April 15
What Does It Mean for the State-Based Marketplaces? Before the March 31 enrollment deadline, HHS had announced that consumers who started or attempted to start an enrollment application by the deadline would be given an extension of time to complete it. Last week, we posted an update on the specifics of that extension – that […] Read More »