Proposed Federal Changes to Short-Term Health Coverage Leave Regulation to States

The Trump administration is expected to reverse federal limitations on short-term insurance, which does not have to comply with Affordable Care Act rules like preexisting condition protections. In their latest post for the Commonwealth Fund’s To the Point blog, CHIR’s Dania Palanker, Kevin Lucia, Sabrina Corlette, and Maanasa Kona examine how ten states currently regulate the short-term insurance market. Continue reading

Association Health Plans: Maintaining State Authority is Critical to Avoid Fraud, Insolvency, and Market Instability

Earlier this month, the Trump Administration issued a proposed regulation that would allow individuals and small employers to more easily purchase health insurance across state lines through professional or trade associations. In their latest post for the Commonwealth Fund’s To the Point blog, CHIR’s Kevin Lucia and Sabrina Corlette examine the proposal’s impact on consumers and insurance markets, and discuss implications for state regulatory autonomy. Continue reading

Affordable Care Act Navigators: Unexpected Success During 2018 Enrollment Season Shouldn’t Obscure Challenges Ahead

Heading into open enrollment for 2018 marketplace coverage, experts predicted far fewer people would sign up for coverage. Despite the obstacles working against a successful open enrollment, sign-ups came close to last year’s tally: federally facilitated marketplaces (FFMs) logged 8.8 million plan selections, including close to 2.5 million new consumers, by the close of open enrollment on December 15th, nearing the 9.2 million plan selection from the previous year in just half the time. CHIR’s Olivia Hoppe and JoAnn Volk take a look at what explains the better-than-expected results. Continue reading

Insurer Participation in ACA Marketplaces: Federal Uncertainty Triggers Diverging Business Strategies

A reliable indicator of health insurance markets’ stability is insurer participation, including the number of insurers that elect to sell individual plans and whether they participate over subsequent years. In a recent analysis for the Commonwealth Fund, CHIR experts looked at insurer participation in the state-based Affordable Care Act (ACA) marketplaces from 2014 to 2018, which sheds light on how state marketplaces have maintained competition despite uncertainty about the law’s future. Continue reading

States Face Key Decisions if Alexander-Murray Proposal Is Included in Year-End Budget Bill

The Alexander-Murray bill to fund the Affordable Care Act’s cost-sharing subsidies could be included in an end-of-year budget deal. It includes provisions requiring states to make some quick decisions on an issue that many may have thought was put to bed. CHIR’s Justin Giovannelli provides an overview of what states may need to do, and when, if Alexander-Murray passes. Continue reading

New Rules Pending on Short-Term Health Plans: Impacts for Consumers, Markets and Potential State Responses

New rules are due any day now in response to President Trump’s October 13, 2017 executive order to expand access to short-term limited-duration health plans that don’t have to comply with Affordable Care Act protections. The impact of the proposed new rules were debated at the National Association of Insurance Commissioners’ December meeting, as well as potential state policy options to protect consumers and stabilize their markets. CHIR recently outlined some in an issue brief, and we share some highlights here. Continue reading