New Special Enrollment Roadblocks for Consumers: Hindering, not Helping Consumers Get Coverage

While Congressional leaders debate how to repeal and replace the Affordable Care Act, the Trump administration recently implemented new requirements for consumers seeking a special enrollment period for marketplace coverage. Designed to prevent people from waiting until they are sick before signing up for coverage, some of these new requirements could make it more difficult to enroll; others could reduce consumers’ plan choices. Sandy Ahn summarizes the new policy changes that went into effect last month.
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Lots of Changes for 2018 Marketplace Enrollment Mean Confusion for Consumers

Open enrollment will be here sooner than we know it. But this year’s open enrollment, will be quite different from previous years due to numerous policy changes and proposed budget cuts to marketplace consumer outreach, assistance, and enrollment system under the Trump administration. These changes will make it much more confusing for consumers and place much more of a burden on the assisters that help them. CHIR’s Sandy Ahn summarizes some of the change in store for 2018 open enrollment. Continue reading

State Efforts to Lower Cost-Sharing Barriers to Health Care for the Privately Insured

Current federal proposals to replace the Affordable Care Act are likely to result in higher out-of-pocket costs for consumers. Six states and D.C., however, have policies to lower cost-sharing barriers to important health care services and drugs for the privately insured. In a new research brief, CHIR researchers take a closer look at some of these states’ experiences developing and implementing these policies. Continue reading

The Ins and Outs of the New Approach to Special Enrollment Periods: Pre-enrollment Verification (SEPV)

Starting June 23, 2017, healthcare.gov will be rolling out a special enrollment period pre-enrollment verification (SEPV) process, which will require new consumers applying for marketplace coverage because of loss of minimum essential coverage (MEC) or permanently moving to prove their eligibility for a special enrollment period. How will this process work and what do consumer assisters need to know? CHIR’s Sandy Ahn provides a summary. Continue reading

Proposed Pre-Verification Process for Special Enrollment Periods: Policy Goals, Potential Impact, and the need for State Flexibility

In the wake of failed congressional attempts to repeal and replace the Affordable Care Act, we turn back our focus on the administration and its approach to the marketplaces. The proposed market stabilization rule would require a pre-verification process for special enrollment periods for all marketplaces, including states operating their own. This move is largely in response to insurer concerns, indicating an interest in working with participating marketplace insurers. But how does this fare with states that have their own special enrollment processes? CHIR’s Sandy Ahn takes a look. Continue reading

Promising Steps to Strengthen Marketplace Risk Pools Could be in Vain, if Affordable Care Act is Repealed

While critics have been describing the demise of the marketplaces established by the Affordable Care Act, the Obama Administration has been taking steps to strengthen the risk pool and to ensure its long-term sustainability. These promising steps are now at risk under the threat of repeal with nothing to replace approach that Congressional leaders and the new administration seem to be taking. At risk and in jeopardy is the coverage of millions of people. CHIR’s Sandy Ahn takes a look. Continue reading