Study: Medicaid Offers Stronger Cost Sharing Protections Compared with Marketplace Coverage

In the debate over Medicaid expansion, most of the attention has been on families in non-expansion states who are shut out of coverage. But what about those just above the poverty line who are eligible for marketplace tax credits? A new study compares their experience to those with similar incomes in Medicaid expansion states. Sean Miskell shares the findings. Continue reading

Why ACA Marketplaces Should Report Comprehensive Enrollment Data

The Affordable Care Act’s new health insurance marketplaces could be critical sources of data about how people access and use coverage. Yet, to date, the marketplaces have released varying degrees of information, with little uniformity or consensus over what data should be collected and how. In our latest post for The Commonwealth Fund, CHIR researchers Sean Miskell, Justin Giovannelli and Kevin Lucia examine data collection and reporting by the health insurance marketplaces. Continue reading

Proposed Premium Rate Increases for 2016: The Jury Is Still Out

There’s been some hand-wringing over large proposed premium increases for health plans in 2016. But it’s important to remember that rate requests vary – a lot – by insurer and location. And that these rates are only proposed. They’re subject to regulatory scrutiny, and many proposed hikes may be reduced. In their latest blog post for the Commonwealth Fund, CHIR experts Sean Miskell and Dave Cusano discuss the drivers of 2016 premiums and states’ role in keeping coverage affordable. Continue reading

The Affordable Care Act and Entrepreneurship

Recent media articles touted the news that Senator Ted Cruz was planning to sign up for health insurance through one of the Affordable Care Act’s health insurance exchanges. Our colleague Sean Miskell notes that this is an example of the law working as intended, freeing people to pursue their professional hopes and dreams, without fear of losing job-based health coverage. Continue reading

After a Slow Start, Federal Small Business Health Insurance Marketplace Offers New and Improved Functions

With intense focus on enrollment in the Affordable Care Act marketplaces, enrollment through the Small Business Health Options Program (SHOP) has flown under the radar by comparison. In their latest blog post for the Commonwealth Fund, Kevin Lucia, Justin Giovannelli and Sean Miskell discuss early challenges for the SHOP as well as recent improvements. Continue reading

State-Based Marketplaces Offer More Health Plan Choices for 2015 Coverage

One of the goals of the Affordable Care Act is to make health insurance more affordable and accessible, in part by increasing health plan competition. In their latest blog post for the Commonwealth Fund, CHIR faculty Sean Miskell, Kevin Lucia and Justin Giovannelli find that competition is in fact increasing, and consumers shopping on the state-based marketplaces have more choices among insurers than they did last year. Continue reading