How Does Cost Affect Access to Care?
This slideshow examines how cost and insurance affects people’s access to care, including decisions to forgo or delay needed care and access to…
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Category: Private insurance
Navigating the Maze: A Look at Patient Cost-Sharing Complexities and Consumer Protections
This brief focuses on consumers’ understanding of health insurance costs and examines existing federal protections that seek to address barriers to understanding the…
New Rule Proposes Changes to ACA Coverage of Gender-Affirming Care, Potentially Increasing Costs for Consumers
This brief examines a proposed rule that seeks to change how ACA plans would cover gender affirming care services. If finalized the rule…
A Backlash Against Health Insurers, Redux
In this JAMA Health Forum post, Executive Vice President Larry Levitt recalls the mid-1990s’ public backlash against Health Maintenance Organizations (commonly known as…
Navigating the Maze: A Look at Health Insurance Complexities and Consumer Protections
This brief discusses how consumers understand what their insurance covers, what to do when coverage for care is denied, and what protections exist…
Challenges with Effective Price Transparency Analyses
Promoting price transparency in health care is a policy approach with bi-partisan support in Congress and the public at large. This analysis examines…
Congressional District Interactive Map: How Much Will ACA Premium Payments Rise if Enhanced Subsidies Expire?
This analysis and interactive map illustrate how much more enrollees in Affordable Care Act (ACA) Marketplace plans would pay in premiums at the…
HealthCare.gov Insurers Denied Nearly 1 in 5 In-Network Claims in 2023, but Information About Reasons is Limited in Public Data
HealthCare.gov insurers denied nearly one out of every five claims (19%) submitted for in-network services and an even larger share (37%) share of…
Claims Denials and Appeals in ACA Marketplace Plans in 2023
This brief analyzes federal transparency data released by the Centers for Medicare and Medicaid Services (CMS) on claims denials and appeals for non-group…
How Does the Department of Health and Human Services (HHS) Impact Health and Health Care?
This policy watch provides a short overview of the Department of Health and Human Services (HHS), describing its history, budget, organizational structure and…