Policy Update

Making Health Care More Accessible for All: The 13th Anniversary of the Affordable Care Act

Since becoming law in 2010, the Affordable Care Act (ACA) has delivered – from the tangible, like the hundreds of millions of dollars available to help Massachusetts residents pay for their health insurance, to the intangible feeling that comes with knowing your health insurance means getting services and treatment when needed. Today is the 13th anniversary of the ACA. Through the years, it has proven to be significant, durable, and able, delivering health and financial support to hundreds of thousands of Massachusetts residents and millions around the country. The ACA continues to be instrumental in increasing the number of Americans with health insurance coverage, from These beneficial effects are significant as more people having health insurance means fewer people going without necessary medical treatments or being unable to afford medication. Access to health care not only improves individual health outcomes but also helps make communities stronger and healthier. The ACA extends benefits beyond private insurance, such as expanded Medicaid coverage for low-income households and support for plans like Medicare Advantage, allowing seniors to receive additional coverage outside of traditional Medicare. As the ACA celebrates its 13th anniversary, it is important to note that this landmark legislation continues to evolve and adapt as changes are made at the federal level, such as expanding subsidies for Americans buying health insurance through a health insurance Marketplace, like the Massachusetts Health Connector. These changes are helping improve affordability, coverage options, and consumer protections for people who need health insurance. On this anniversary, we [...]

Health Equity Initiatives in the 2023 Seal of Approval

Starting in 2023, Health Connector coverage will include new benefits, protections, and reduced cost-sharing to advance health equity objectives. The Health Connector is among the leaders of state-based marketplaces in leveraging its plan certification process to explicitly advance and invest in targeted health equity priorities. Informed by state and national health policy research and data, and stakeholder engagement, Health Connector staff identified health equity concerns in the health coverage landscape and designed its 2023 Seal of Approval plan certification process to advance objectives tailored to address those equity issues. The 2023 Seal of Approval addresses the opportunity to address equity issues related to the racially disparate incidence of key chronic conditions (e.g., diabetes, asthma, coronary artery disease, and hypertension) and how they relate to inequities in health outcomes, disparities in foregone health care services due to cost concerns, and disparate burdens associated with medical debt. These issues – if left unaddressed – further exacerbate health status and life expectancy disparities, as well as economic inequities. The Seal of Approval for 2023 also prioritizes equity objectives as they relate to behavioral health care access, gender-affirming care, meaningful access to care for residents with limited English proficiency and/or who are immigrants, and equitable access to provider and carrier choices for all residents obtaining coverage on-marketplace in accordance with the spirit of state health reform and the Affordable Care Act. Health equity problem Targeted Health Connector 2023 Seal of Approval response Health disparities in health status and chronic [...]

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