Fix it, Don’t End it: Common Sense Prescriptions for Individual Market Stability

For the time being, the Affordable Care Act (ACA) is the “law of the land.” But increasing uncertainty about the policy future has left the individual insurance market at risk and could result in fewer choices and higher premiums, In the past, Congress has demonstrated that it can arrive at bipartisan solutions to tackle insurance market challenges and help consumers. CHIR’s Sabrina Corlette outlines what a common sense ACA reform package could look like. Continue reading

Reading the Fine Print: Do ACA Replacement Proposals Give States More Flexibility and Authority?

State leaders have been heartened by statements from the new President and Congressional leaders that ACA replacement plans will give them more autonomy over their health insurance markets. But is that really true? In a post for the Health Affairs blog, CHIR experts Sabrina Corlette and Kevin Lucia examine the fine print of House and Senate replacement plans and find that they broadly preempt state authority. Continue reading

Congress Asked States for Health Reform Ideas. They May Be Surprised by What They Hear

Shortly after the election, Congress asked state officials to provide input on repealing and replacing the Affordable Care Act. CHIR expert Sabrina Corlette tracked down 34 of those letters, and found the responses – particularly from states with Republican leaders – to not not always be what she expected. She shared her top takeaways here. Continue reading

New Analysis: Repeal of the Affordable Care Act through Reconciliation Throws Almost 30 Million off Coverage

A new Urban Institute analysis shows that close to 30 million people will lose coverage if the Affordable Care Act is partially repealed through a budget reconciliation process. This will result in national uninsurance rates that are actually higher than they were before the ACA was enacted. What’s behind the numbers? Sabrina Corlette takes a look. Continue reading

Definition of Insanity? Trump Transition Team Proposals for “Replacing” the Affordable Care Act

President-elect Trump’s transition team has posted their top replacement ideas for the Affordable Care Act. But those ideas – allowing insurance to be sold across state lines, reinstating high risk pools, and expanding HSAs – are all tired retreads of old policies that have been proven failures. Sabrina Corlette takes a look. Continue reading

The Ever-Shrinking Pilot to Inform Consumers About Health Plans’ Network Size

The agency running the federal health insurance marketplace announced on September 30 they would provide information on the size of health plans’ provider networks in just four states “at some point” during the coming open enrollment season. This is a dramatic roll back from the anticipated availability of the system in 34 states in 2017. Sabrina Corlette takes a look at the latest guidance and what it means for consumers. Continue reading