Maryland CO-OP Health Plan Becomes a For-Profit Company

Just hours before President Trump took the oath of office, the Maryland health insurance CO-OP Evergreen Health officially closed a deal with the Centers on Medicare and Medicaid Service (CMS) to sever its ties with the Affordable Care Act’s (ACA) CO-OP program. The company will now transition from a nonprofit to a for-profit company, allowing it to gain an infusion of financing from outside investors. Executives credited the deal with enabling Evergreen to survive and stay competitive. However, it also provides insight into the immense challenges involved in starting up a new insurance company in the current market, even with federal financing. Continue reading

CHIR Expert Testifies Before the House Committee on Small Business Regarding Enhancements to the ACA

On February 7, the House Committee on Small Business held a hearing titled, “Reimagining the Health Care Marketplace for America’s Small Businesses,” to discuss the challenges small businesses are facing in the health insurance marketplaces and to offer potential solutions for the next phase of reform. Georgetown’s own Dania Palanker provided testimony on how the ACA has helped to lessen the burdens for small business owners who wish to provide health coverage to employees. Continue reading

Affordable Care Act Repeal Efforts Would Impact State Laws, Too

With much of the attention about ACA repeal efforts focused on Washington DC, it’s easy to forget that repeal-and-replacement efforts would significantly affect state approaches to insurance regulation. In their latest article for The Commonwealth Fund’s To The Point blog, Kevin Lucia and Katie Keith examine what might happen in the 32 states and D.C. that have adopted state-level ACA protections. Continue reading

Repealing The ACA Could Worsen The Opioid Epidemic

As our country grapples with an “unprecedented opioid epidemic,” Congress is taking steps to take away an important tool to fight it — the Affordable Care Act (ACA). In a post for the Health Affairs blog, CHIR expert Dania Palanker and Urban Institute researchers Lisa Clemans-Cope and Jane Wishner assess policies and programs under the ACA that have helped tackle the opioid crisis and what could be lost if they are repealed. Continue reading

State Experiences Show Why Repealing the ACA’s Premium Subsidies and Individual Mandate Would Cripple Individual Health Insurance Markets

What will happen if the Affordable Care Act is repealed without a replacement? In their latest article for The Commonwealth Fund, CHIR experts Justin Giovannelli and Kevin Lucia find that it could look a lot like the regulatory landscape that existed in several states that tried to enact health reform in the past. The lessons from those experiences are grim. Continue reading

States That Leaned In on the Affordable Care Act Have Much to Lose

In the wake of the Affordable Care Act’s passage, 17 states embraced the chance to set up and manage their own marketplace and design an insurance market to meet local needs. In their latest article for the Commonwealth Fund, CHIR experts Sabrina Corlette, Emily Curran and Kevin Lucia review these states’ progress on expanding coverage and stabilizing their markets and find that they have much to lose if the law is repealed. Continue reading