COVID-19 and MLR Guidance on Risk Corridor Recoveries: State Options for Restoring Funds to Policyholders and the Public

The Supreme Court has required the federal government to reimburse health insurers for an estimated $12.3 billion in unpaid risk corridor funds and the Trump administration recently published guidance to insurers that affects the amount to be returned to policyholders. In an Expert Perspective for the State Health & Value Strategies program, Sabrina Corlette and Jason Levitis consider the effects of this guidance and state options for redirecting insurers’ extra cash to benefit policyholders and the public. Continue reading

Navigator Guide FAQ of The Week: Who Is Eligible To Purchase Coverage Through the Marketplace?

November 1 marked the first day of open enrollment on the Affordable Care Act marketplaces. To help Navigators and others assisting consumers with marketplace eligibility and enrollment, we’ve created the Navigator Resource Guide. Each week we’ll feature answers to questions that may be top of mind for consumers, such as who is eligible to shop for a marketplace plan. Continue reading

State Efforts to Protect Preexisting Conditions Unsustainable Without the ACA

On November 10, the Supreme Court will hear oral arguments in a case that could result in the Affordable Care Act being declared unconstitutional. While there is no clear federal plan to protect people with preexisting conditions if this happens, some states have tried to enact their own laws. In their latest analysis for the Commonwealth Fund’s To the Point blog, CHIR’s Maanasa Kona and Sabrina Corlette assess whether these state-level efforts can fully protect people with preexisting conditions. Continue reading

Ensuring Access to the COVID-19 Vaccine for Enrollees in Private Health Insurance: A Roadmap for States

States and the federal government are preparing for the approval of a COVID-19 vaccine. But just as important as distributing and administering the vaccine is figuring out how to pay for it. In her latest “expert perspective” for the State Health & Value Strategies program, Sabrina Corlette discusses recent federal efforts to ensure that private health plans cover the full costs of a COVID-19 vaccine, as well as options for states to close potential gaps in coverage. Continue reading

Navigator Guide FAQs of the Week: I Need Health Insurance. Where Should I buy it?

Open enrollment for the Obamacare marketplaces begins on November 1. While CHIR has been working hard the last several weeks to re-launch its Navigator Resource Guide with updated frequently asked questions and other exciting new features, many are just beginning to think about their health plan options for 2021. For those folks we have some helpful FAQs about the importance of coverage and the process for applying. Continue reading

What’s New for 2021 Marketplace Enrollment?

On November 1, the eighth open enrollment period begins for marketplace coverage under the Affordable Care Act. We at CHIR are tracking several policy changes that could affect marketplace enrollment and plan affordability in 2021, including: impacts of the COVID-19 pandemic, new special enrollment periods, and recent court rulings on contraception coverage and the public charge rule. To learn what’s new for 2021, read our CHIRBlog summarizing the major policy changes consumers might encounter this year. Continue reading

Trump Administration Promotes Coverage That Fails to Adequately Cover Women’s Key Health Care Needs

The ACA expanded women’s access to comprehensive coverage. The Trump administration is seeking to overturn the law while promoting coverage options that are exempt from the ACA’s consumer protections, including short-term plans and health care sharing ministries. In a new post for The Commonwealth Fund, CHIR experts examine the differences between ACA plans and the alternatives promoted by the Trump administration, finding that these products frequently exclude or severely limit coverage of services that are critical to women’s health. Continue reading