The Out-of-Network Benefit
December 1, 2012 | Journal Article
Consumers may be exposed to significant unexpected and unreasonable out-of-pocket costs due to lack of accurate information on network participation and cost transparency.
Affordable Care Act (ACA)
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July 2012 President's Message to the Board of Trustees
July 1, 2012 | Annual Report
In her July 2012 message, Risa Lavizzo-Mourey examines the challenges that confront the nation in the aftermath of the Supreme Court's landmark ruling upholding the Affordable Care Act.
Basic Health Program
November 15, 2012 | Issue Brief
The Affordable Care Act provides a third option, the Basic Health Program, for individuals who make too much to qualify for Medicaid and too little to purchase private health insurance through exchanges.
Eliminating Fraud and Abuse
July 31, 2012 | Issue Brief
This policy brief focuses on eliminating fraud and abuse in Medicare and Medicaid and explores the challenges involved in putting the new tools into place.
Overview of Final Regulations on Health Insurance Premium Tax Credit
June 1, 2012 | Issue Brief
This brief provides a walkthrough of the major takeaways from the tax regulations, as well as expected future guidance in the Affordable Care Act.
Expanding Dependent Coverage for Young Adults
February 1, 2012 | Journal Article
The experience that states have had with pre-Affordable Care Act (ACA) insurance expansion to young adults shows the process is non-problematic, but there are undetermined implications for risk pooling, cost distribution, and prolonging the parental ...
Rate Review: Monitoring State Implementation of the Affordable Care Act in 10 States
September 1, 2012 | Report
This report finds that although there was significant variation, all 10 states have taken action to improve their rate review process and ensure that insurers’ proposed rates are justified.
The Individual Mandate in Perspective
March 1, 2012 | Report
This report estimates the number and share of Americans potentially subject to the mandate.
The Rural Implications of Geographic Rating of Health Insurance Premiums
May 1, 2012 | Issue Brief
Researchers at the University of Southern Maine's Muskie School of Public Service examine the implications of geographic rating, the practice of adjusting insurance premiums to reflect regional differences in the cost of health care, on risk pooling and insurance premiums.
How Much Can Lower-Income Americans Pay for Health Insurance?
August 1, 2011 | Program Results Report
Researchers at Columbia University conducted surveys of the general public and of social services experts to collect information to help policy-makers develop a standard of health insurance affordability.