Webinars | Jun 16, 2016

Webinar Series – Provider Networks and the ACA

Manatt Health

With insurers increasingly relying on new network design strategies to compete for Marketplace consumers, and state and federal regulators coming into closer alignment with regard to standards for network adequacy, an understanding of the issues surrounding provider networks and the Affordable Care Act is critical.  This three-part webinar series, presented by Manatt Health, addressed a variety of topics related to the regulation of provider networks, and may be of interest to officials from departments of insurance, marketplaces, Medicaid agencies, health departments, staff from gubernatorial and legislative offices, and staff from other agencies involved in health reform.

Session 1 – Overview of the State Role in Regulating Network Adequacy

Session 2 – Surprise Bills and the Challenge of Out-of-Network Billing

Session 3 – Role of Transparency for Regulators and Consumers

 

 

Expert Perspectives

May 24, 2023

State Dashboards to Monitor the Unwinding of the Medicaid Continuous Coverage Requirement

The unwinding of the Medicaid continuous coverage requirement represents the largest nationwide coverage transition since the Affordable Care Act, with significant health equity implications. Given the intense focus on coverage transitions during the unwinding, some states have initiated plans to publish a data dashboard to monitor progress. To date, the District of Columbia and 15 states have published unwinding data in a visual dashboard format (this does not include states with pre-existing enrollment dashboards that don’t specifically identify unwinding cohorts). This expert perspective now includes an interactive map with the links to all the dashboards and states publishing CMS unwinding reports. SHVS will continue to update the EP and map as more states publish their unwinding data.

May 12, 2023

Sequencing Communications to Encourage Coverage Transitions

The unwinding of the Medicaid continuous coverage requirement represents the largest nationwide coverage transition since the Affordable Care Act. This presents State-Based Marketplaces with an opportunity to target outreach efforts to those audiences who have recently lost Medicaid or CHIP to help eligible individuals retain access to affordable healthcare through the Marketplace. This expert perspective focuses on best practices for timing and strategy in consumer outreach to consumers that are no longer eligible for Medicaid to help states develop a consumer “chase campaign.”