New Georgetown CHIR Report Finds Ability of Insurers, Employers to Respond to Provider Consolidation is Limited

Most employers are implementing few, if any, changes to their health plans for the 2020 plan year. That’s not surprising – employers are generally reluctant to make big or abrupt adjustments to provider networks or cost-sharing that could cause pushback from employees. But many health care experts believe that if we’re ever to truly tackle out-of-control health care […]

What’s New for 2020 Marketplace Enrollment?

On November 1, the seventh open enrollment period begins for marketplace coverage under the Affordable Care Act (ACA). We at CHIR are tracking several policy changes that could affect marketplace enrollment and plan affordability in 2020. These include: Public Charge Rule: In August 2019, the Department of Homeland Security issued a final rule that broadens the types […]

GAO To CMS: Set Goals, Measure Progress on EPSDT (Do Better)

Another day, another area where CMS could be spending its valuable resources to fulfill Medicaid’s mission to provide health care to low-income Americans, including and especially children. The Government Accountability Office (GAO), Congress’s watchdog for federal agencies, has some ideas. Regular Say Ahhh! readers know the great potential of Medicaid’s pediatric benefit, called EPSDT. Medicaid […]