Resources About Private Insurance and Health Insurance Marketplaces

Top Legislative Priorities: 2021-22

For the first time in over ten years, Congress has an opportunity to build on the foundation created by the Affordable Care Act (ACA). The Community Catalyst 2021-22 legislative priorities reflect this unique moment.

Strengthening our Response: A Series to Inform an Equitable Policy Response [ Publication ]

Network Adequacy Campaign Guide

This campaign planning guide provides state advocates with a tool to plan their network adequacy campaigns to encompass state-specific strategies and political context. Advocates might use this tool at any stage in their network adequacy campaign.

Case Study: State Consumer Health Advocates Ensure that Provider Directories are an Accurate and Useful Tools for Georgians

This case study examines how Georgians for a Healthy Future (GHF) led the consumer advocacy effort to pass one of the nation’s strongest provider directory bills aimed at helping consumers more easily shop for and navigate their health plans.

Asking the Right Questions to avoid Churn

This tip sheet provides enrollment specialists an additional tool to use to when helping consumers apply for or re-enroll in health coverage and avoid churn.

Health Insurance Churn: The Basics

This fact sheet provides basic information of health insurance churn including common factors that cause churn and its health impacts on consumers.

Fact Sheet on Safe Harbor and Repayment Caps

This fact sheet addresses frequent questions that consumer may have when they receive more in tax credits than they were supposed to, and when they must repay some or all of these credits on their taxes.

Model State Parity Legislation Information Sheet

Background information about the federal parity law and information about how to request a version of the model state parity legislation customized for your state.

Summary of Model State Parity Legislation

A section by section overview of the model state parity legislation with explanations about why each component of the law is important.

Model State Parity Legislation

This model legislation would strengthen state enforcement of federal parity law and improve state parity laws.

Health Market Consolidation

As detailed in this policy brief, the preponderance of the evidence indicates that the race for market consolidation — both in private payer and provider markets — has a real effect on consumer prices and overall health care costs.

Qualified Health Plan Certification Advocacy: Essential Health Benefits Checklist

This EHB checklist is a tool that advocates can use during the Qualified Health Plan (QHP) Certification period or even year-round to raise common issues with state regulators and/or to incorporate in their QHP monitoring strategy.

Helping Consumers Find Exemptions to Avoid the Fee

This fact sheet describes twenty coverage exemptions, available from the Marketplace or on a tax return, that advocates can help low-income consumers apply for, to prevent them from owing a fee.