Proposed “Public Charge” Rule Risks Immigrants’ Access to Private Coverage, Too

A federal proposal would make it more difficult for immigrants to obtain a green card if they’ve received certain public benefits like Medicaid. Although the policy doesn’t include the Affordable Care Act’s premium tax credits in its list of public benefits, there are several ways the proposed rule could place immigrants’ access to private coverage at risk. Sabrina Corlette takes a look. Continue reading

When Policy and Politics Conflict: Challenges to State-level Market Stabilization Efforts

Within the last month, Delaware has adopted two policies with diametrically different effects on their small business insurance market. One would help make the market stronger and more stable, the other would do the opposite. CHIR’s Sabrina Corlette delves into some of the challenges facing states seeking to stabilize their health insurance markets during a time of considerable policy upheaval. Continue reading

Look Past the Jargon and the Trump Administration’s Risk Adjustment Decision Ultimately Hurts People with Pre-existing Conditions

The Trump administration recently decided to suspend payments under an obscure Affordable Care Act program called risk adjustment. The issue is technical and full of jargon, but at bottom it’s about undermining protections for people with pre-existing conditions. CHIR’s Sabrina Corlette explains why. Continue reading

The Road Not Traveled: How Policy, Business Decisions in Iowa Led to Higher Premiums

Iowa’s legislature recently made the extraordinary decision to abdicate that state’s authority over health insurance products. And in doing so they’ve made a bad insurance market worse. In their latest piece for the Commonwealth Fund’s To the Point blog, CHIR’s Sabrina Corlette and Kevin Lucia team up with actuaries at Wakely Consulting Group to assess what premiums and marketplace enrollment in Iowa would look like if the state had taken a slightly different path. Continue reading

What’s in the Association Health Plan Final Rule? Implications for States

The Trump administration has released new rules to expand the availability of association health plans that are exempt from many of the Affordable Care Act’s consumer protections. In her latest article for State Health & Value Strategies’ Expert Perspectives blog, CHIR’s Sabrina Corlette covers key provisions of the new policy and digs into the implications for states, insurance markets, and the consumers and small businesses that purchase private coverage. Continue reading

Stakeholders Respond to the Proposed Short-term, Limited Duration Insurance Rule. Part III: State Insurance Departments and Marketplaces

The Departments of Labor, Health & Human Services, and Treasury received over 9,000 comments on their proposed rule to expand the availability of short-term, limited duration insurance. CHIR reviewed comments submitted by stakeholders to better understand how the public is responding to the proposal. In part three of our four-part series, CHIR’s Sabrina Corlette summarizes feedback from state insurance departments and marketplaces. Continue reading

The 2019 Affordable Care Act Payment Rule: Summary & Implications for States

The Trump administration has released a new final rule to govern the Affordable Care Act’s individual and small-group markets, known as the 2019 Notice of Benefit and Payment Parameters. The rule includes an expansion of states’ role over the ACA’s health plan benefit and affordability provisions. In her latest Expert Perspective for the Robert Wood Johnson Foundation’s State Health and Value Strategies Program, Sabrina Corlette untangles the rule and its implications for state decision-makers. Continue reading

The Future of the Affordable Care Act under President Trump: Stakeholders Respond to the Proposed Association Health Plan Rule. Part II: Consumer Advocates

Over 900 comment letters were submitted to the U.S. Department of Labor in response to the proposed rule easing the formation of Association Health Plans. In the second of our blog series summarizing stakeholder feedback, CHIR’s Sabrina Corlette reviews comments from consumer and patient organizations. Continue reading