Report

Medicaid Managed Care Rule: Quality Ratings and Delivery System Reforms

This is the second in a series that looks at what advocates should know about the newly released standards for Medicaid managed care plans. The first analysis explained changes to the enrollment pro...

Medicaid Managed Care Rule: Network Adequacy Standards

Recently the Obama administration released standards for the operation of Medicaid managed care plans. This is the final analysis in a series looking at what advocates should know about the new standa...

How the Supreme Court’s Decision Affects Medicaid and the Affordable Care Act

In June 2012, the Supreme Court's decision on the Affordable Care Act ruled that the penalty for states that don't expand Medicaid is unconstitutional. By removing the penalty, the court's decision ch...

Medicaid Managed Care Rule: What Advocates Should Know

Recently the Obama administration released new standards governing Medicaid managed care plans. These managed care rules haven’t been updated since 2002, and a lot has changed in the past 14 years. ...

The Trump Administration Marketplace Rule—and How States Can Respond

In April 2017, the Department of Health and Human Services (HHS) finalized a rule creating sweeping changes to health insurance marketplaces. Many of these changes could make it more difficult or more...

Worry No More: Americans with Pre-Existing Conditions Are Protected by the Health Care Law

The Affordable Care Act protects all Americans from being denied health insurance, charged more in premiums, or sold a policy that excludes coverage for necessary treatments based on pre-existing cond...

Designing the Essential Health Benefits for Your State: An Advocate’s Guide

The Affordable Care Act requires all health plans to cover a minimum set of benefits, known as essential health benefits. Although the law establishes 10 broad categories of minimum services, each sta...

Creating Consumer-Friendly Wellness Programs to Promote Healthy Lifestyles

Wellness programs can be a powerful tool to help individuals improve their health and reduce their risk of developing chronic conditions. These programs encourage people to adopt healthy behaviors, li...

When a Health Insurer Leaves the Individual Market: What States Can Do before Certain Affordable Care Act Changes Take Effect in 2014

Before the Affordable Care Act goes into full effect in 2014, consumers who buy health insurance on their own are at risk of losing their coverage if a health insurer decides to stop selling individua...

Decoding Your Health Insurance: The New Summary of Benefits and Coverage

Consumers need clear information on their health insurance, but what insurance companies provide is often hard to understand. The Affordable Care Act now requires insurers to give consumers concise, s...