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Coverage Resources Available: Help with Complaints & Concerns

Today on Ask ITUP we have a question on where to go for concerns, complaints, and questions. How can consumers make complaints about coverage? It depends on the type of concern. For example, insurance companies have formal grievance processes for claim and prior authorization denials. Some folks have complaints about […] more

Rate of Health Spending Falls

CMS’ Office of the Actuary reports in Health Affairs on the increases in health spending. For the period 1990-2008, health spending grew at 7.2% annually or 2% higher than GDP growth. For the five-year period 2008-2013, the rate of health spending fell by more than 50% and grew at the […] more

Should I Stay, or Should I Go?

“Should I stay, or should I go?” It’s that time of year again. Yes, it’s Halloween on Friday. But it’s also almost time for open enrollment for Covered California. And that’s exciting because it’s an opportunity for millions of people to get affordable health insurance. It’s also decision time for […] more

Flat Premiums for Employment-Based Coverage

The Kaiser Family Foundation/Health Research and Educational Trust reports on its study on employment based coverage in 2014. Premiums for individual coverage are essentially flat – a 2% increase and premiums for family coverage are up by 3%. The employee shares of premiums are unchanged – 18% for individual coverage […] more

Ask ITUP: Estate Recovery and Assets Tests

Two technical topics today: asset testing and estate recovery in Medi-Cal. What is “Medi-Cal look-back?” While the ACA abolished asset testing ($2,000 limit on applicant’s assets, with requirements that consumers must “spend down” to $2,000) for most beneficiaries, they still apply to individuals with disabilities who apply through SSI, those […] more

Introducing “Ask ITUP”

ITUP is launching a new column that answers complicated questions about health reform. As open enrollment approaches (November 15!), you may have burning questions – send them our way! Email ask@itup.org for questions and technical assistance. Answers will be posted here on the ITUP blog for all to benefit. We […] more

CHIP Reauthorization: What Are Our Options?

This would be less complicated if we were writing about snacks. Most of us know CHIP (The Children’s Health Insurance Program) as Healthy Families, now a part of Medi-Cal. What you may not know is that the program is set to run out of funding in less than a year, […] more

Consumers and the ACA: Lessons Learned

Today we’ve got a look at a nationwide survey on health insurance and the ACA conducted by the TransAmerica Center for Health Studies. There are a number of interesting findings across numerous topics including coverage status, health status, and information level. The report compares findings from the July 2014 online […] more

Navigating the Narrows

With the rollout of Covered California, we have seen a great deal of success with enrollment exceeding expectations, and many enrollees are now enjoying new access to health services and greater financial security. However, now that more than 1.4 million individuals have enrolled in Covered California plans, many people are […] more

Covered California September Board Meeting

This month’s board meeting jam packed a lot of material and somehow got out early. Here are the take-homes: Verifications About half of the individuals who received notices to verify their immigration/citizenship states have successfully done so. Covered California will continue to contact consumers with outstanding inconsistencies; however if they […] more