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

State Options Blog Series: Implications of Weakening the 80-20 Rule for States and Consumers

The Trump administration recently issued a proposed regulation that could significantly impact how much of consumers’ premium dollars are spent on their health care needs. CHIR expert Kevin Lucia assesses the proposed relaxation of the Affordable Care Act’s “80-20” or medical loss ratio standards and outlines policy options for states wishing to maintain them. Continue reading

Shopping Tips for 2018 Open Enrollment

What’s a marketplace consumer to think in this crazy-mixed up year for the Affordable Care Act? Federal policy uncertainty has led to some downright weird and counterintuitive premiums for marketplace plans. And smart shoppers can find some incredible deals. CHIR’s Sandy Ahn shares her shopping tips for this year’s open enrollment season. Continue reading

Proposed 2019 Affordable Care Act Payment Rule: A Big Role for States

The U.S. Department of Health & Human Services published an annual set of proposed rules for the Affordable Care Act marketplaces on October 27. Called the “Notice of Benefit and Payment Parameters,” the rules set out expectations for insurers and the states that regulate them. In her latest post for CHIR, Katie Keith highlights key areas in which this administration would give states new autonomy and authority. Continue reading

Got Questions on Private Health Insurance? Get the New and Improved Navigator Resource Guide

Marketplace enrollment is upon us. November 1 marks the start to the fifth open enrollment season. To help marketplace Navigators and others assisting consumers with marketplace eligibility and enrollment, we at CHIR have updated and improved our Navigator Resource Guide. The Guide houses over 300 frequently asked questions (FAQs) and answers about all things marketplace coverage-related, as well as information about employer-sponsored coverage. CHIR’s Sandy Ahn highlights some of the changes. Continue reading

It’s Not Time to Give Away Consumer Protections for Cost-Sharing Reduction Reimbursements

In the wake of a White House decision to end reimbursements to insurers for cost-sharing reduction (CSR) plans, a bipartisan agreement has emerged in Congress to restore them. However, negotiators are coming under pressure to make additional changes that would increase the number of uninsured and roll back protections for people with pre-existing conditions. CHIR’s Dania Palanker takes a look at what’s at stake and why it’s not worth compromising key Affordable Care Act protections in exchange for CSR payments. Continue reading

States Work to Preserve Affordable Care Act Progress amidst Federal Disorder

It’s been a bumpy year for state insurance and marketplace officials, thanks to considerable uncertainty over the future of the ACA. CHIR’s Emily Curran highlights recent action suggesting that some states may be poised to reassert their authority over their insurance markets, as they work to maintain the ACA’s coverage gains and keep their markets stable. Continue reading