Texas Court Ruling Throws Future of ACA’s Pre-existing Condition Protections, Coverage Gains into Doubt

A district court judge in Texas has issued a ruling that could throw close to one-fifth of the U.S. economy into chaos and upend health care for millions. While the case over the future of the Affordable Care Act wends its way through the courts, CHIR takes a moment to think about what the decision could mean for the consumers and families for whom the law has been a literal lifeline. Continue reading

Large Employer Strategies to Combat Increasing Healthcare Costs: Trends in Direct Contracting, On-Site Clinics and More

Employers currently insure 155 million people, but many are finding it increasingly challenging to maintain this benefit in the face of rising costs. One of the primary drivers of these costs is high provider prices. Some employers are taking matters into their own hands by disrupting traditional modes of care delivery. CHIR’s Emily Curran takes look at some of the tactics that have been gaining traction among employers. Continue reading

Navigator Guide FAQ of the Week: Eligibility for Premium Tax Credits

The midterm elections are over, but open enrollment for the Affordable Care Act marketplaces is in full swing. Georgetown CHIR has created a Navigator Resource Guide with 300+ answers to frequently asked questions (FAQ) about marketplace eligibility, enrollment, and coverage. For our FAQ of the Week we’re focusing on: Who is eligible for financial help with premiums? Continue reading

Trump Administration Hands States Another Tool for Dismantling Preexisting Condition Protections

Last week, the Trump administration issued long-anticipated guidance regarding the ACA’s Section 1332 “innovation waiver” program. The guidance breaks dramatically with past policy and, arguably, with the statute it purports to interpret, inviting states to undermine coverage for people with preexisting conditions. CHIR’s Justin Giovannelli analyzes the guidance and its implications. Continue reading

What’s New for 2019 Marketplace Enrollment? Get Ready for Updated, Improved Navigator Resource Guide

On November 1, the sixth open enrollment period begins for marketplace coverage under the Affordable Care Act. We at CHIR will soon re-launch our updated Navigator Resource Guide, which provides information on recent policy changes, a list of enrollment tools for consumers and assisters, and answers to hundreds of frequently asked questions. To learn what’s new for 2019, read our CHIRBlog summarizing the major policy changes consumers might encounter this year. Continue reading

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