Factors Affecting Health Insurance Enrollment Through the State Marketplaces: Observations on the ACA’s Third Open Enrollment Period

State of the States

Despite declining funding, enrollment through the state-based marketplaces increased nearly nine percent during the third open enrollment period. To learn what assistance and outreach strategies were most effective in attracting consumers, we surveyed marketplace officials to gain their unique insights and share major findings in our latest report. Continue reading

The Sky is Not Falling: CHIR Expert Kevin Lucia Talks Trends in Coverage and Affordability on the ACA Marketplaces

Implementing the ACA

On Friday, July 15, CHIR’s very own Kevin Lucia spoke at a briefing on ACA marketplaces put on by the Alliance for Health Reform. Mr. Lucia joined representatives from the Commonwealth Fund, the American Academy of Actuaries, and the Blue Cross Blue Shield Association to discuss the outlook for federally facilitated and state-based exchanges as the fourth open enrollment period approaches in November. Continue reading

State Legislators Conduct Post-Mortem on Affordable Care Act CO-OPs and Plot Next Steps

State of the States

State insurance legislators held their national meeting in Portland, Oregon last week, and the demise of 16 health insurance CO-OPs created under the Affordable Care Act was high on the agenda. CHIR’s own Sabrina Corlette was invited to provide legislators with testimony about the CO-OP program’s troubles. Key takeaways from the meeting – and next steps for state policymakers – are provided here. Continue reading

When Policy Isn’t Put Into Practice: State-Based Marketplaces Fail to Meet Goals of Standardizing Benefit Designs

Implementing the ACA

As the federal insurance marketplace moves forward to standardize health plan benefit designs, what lessons can be learned from the state marketplaces that have had similar policies in place since 2014? A new Georgetown report examines the experiences of four state-based marketplaces and finds they have largely failed to meet their policy goals. Continue reading

An Evolving Primary Care Model: Nurse Practioners, Physician Assistants are Gaining Autonomy, but Barriers Remain

Implementing the ACA

Sixty million people in the U.S. lack access to primary care services, partly due to a shortage of primary care physicians. Many states are responding to the crisis by expanding the scope of practice of non-MD health professionals, such as nurse practitioners. But insurers’ payment policies and resistance from the medical establishment often limit the effectiveness of those policy changes. CHIR’s legal intern Emma Chapman digs into the current debate. Continue reading

Study: Medicaid Offers Stronger Cost Sharing Protections Compared with Marketplace Coverage

Implementing the ACA

In the debate over Medicaid expansion, most of the attention has been on families in non-expansion states who are shut out of coverage. But what about those just above the poverty line who are eligible for marketplace tax credits? A new study compares their experience to those with similar incomes in Medicaid expansion states. Sean Miskell shares the findings. Continue reading