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Navigating the Maze: A Look at Patient Cost-Sharing Complexities and Consumer Protections
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 […]

New Rule Proposes Changes to ACA Coverage of Gender-Affirming Care, Potentially Increasing Costs for Consumers
Private insurance

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 […]

A Backlash Against Health Insurers, Redux
Private insurance

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 […]

Navigating the Maze: A Look at Health Insurance Complexities and Consumer Protections
Private insurance

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 […]

Challenges with Effective Price Transparency Analyses
Private insurance

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. […]

Congressional District Interactive Map: How Much Will ACA Premium Payments Rise if Enhanced Subsidies Expire?
Private insurance

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 […]

Private insurance

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 […]

Claims Denials and Appeals in ACA Marketplace Plans in 2023
Private insurance

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 […]

How Does the Department of Health and Human Services (HHS) Impact Health and Health Care?
Private insurance

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, […]

How Much More Would People Pay in Premiums if the ACA’s Enhanced Subsidies Expired?
Private insurance

How Much More Would People Pay in Premiums if the ACA’s Enhanced Subsidies Expired?

With the enhanced subsidies for enrollees in ACA Marketplace plans set to expire at the end of 2025, this calculator […]

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