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

To Understand How Consumers Are Faring in the Individual Health Insurance Markets, Watch the States

Through both inaction and design, federal policymakers have put the onus on states to ensure access to affordable, adequate health insurance. In a new work for The Commonwealth Fund, CHIR researchers are launching an interactive map that will track and describe state actions likely to affect residents’ access to individual market coverage. 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

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