Health Care Sharing Ministries (HCSMs) are a form of health coverage in which members – who typically share a religious belief – make monthly payments to cover expenses of other members. HCSMs do not have to comply with the consumer protections of the ACA and may provide value for some individuals, but pose risks for others. We interviewed officials in 13 states and analyzed state laws in all states to better understand state regulators’ perspectives on regulation of HCSMs. Continue reading
Last week, the Trump administration issued a final rule reversing federal limits on short-term health coverage, allowing such plans to become a long-term alternative to individual market coverage. On the eve of this policy shift, we surveyed Departments of Insurance in the seventeen state-based marketplace states to better understand their short-term markets. We found that most states do not have a complete picture of which insurers are marketing short-term policies in their state. Continue reading
The Departments of Labor, Health and Human Services, and Treasury received over 9,000 comments on their proposed rule, which aims to expand the availability of short-term, limited duration insurance. CHIR reviewed comments submitted by health care stakeholders to better understand industry reactions to the proposal. In part two of this four-part series, CHIR’s Emily Curran analyzes comments from nine major medical insurers and associations. Continue reading
As tax filing season comes to a close, CHIR’s Emily Curran discusses recent findings by the JPMorgan Chase Institute showing that many will spend their tax refunds on health care. The findings are consistent with other trends showing that as out-of-pocket costs increase, individuals defer medical care, which can lead to serious health and financial consequences. Continue reading
In this final blog in our series reviewing stakeholder comments on the Department of Labor’s proposed rule to expand Association Health Plans, CHIR’s Emily Curran summarizes responses from the National Association of Insurance Commissioners and nine state departments of insurance (DOI). While the DOIs expressed some areas of support for the proposed rule, their comments were largely negative, with most expressing deep concerns about the rule’s ambiguity. Continue reading
September 27th marks the day most insurers have to formally decide whether they’ll stay in the Affordable Care Act marketplaces in 2018. While the danger of bare counties seems to have subsided, many more counties appear likely to have just one insurer offering marketplace coverage. In their latest blog post for the Commonwealth Fund, CHIR experts look at the policy options for ensuring access and competition. Continue reading
As Congress discusses ACA repeal, there is another, potentially more immediate threat to ACA marketplaces. In their latest publication for The Commonwealth Fund, CHIR experts JoAnn Volk, Dania Palanker, Justin Giovannelli and Kevin Lucia look at what a loss of cost-sharing reductions would mean for ACA marketplaces and consumers.
The NAIC wrapped up its Fall National Meeting last week, and although there was little of the upcoming ACA debate on the official agenda, the topic dominated the hallway chatter. JoAnn Volk provides a report on the meeting.
Your employer may want to help you meet your New Year’s resolutions to lose weight or get fit by providing you with some financial incentives. JoAnn Volk takes a look at the current state of workplace wellness programs and recent action at the Equal Employment Opportunity Commission (EEOC). Continue reading
How does COBRA fit into coverage options now that people who lose employer-sponsored coverage have other insurance options under the ACA? In this blog post, JoAnn Volk takes up that question and looks at what an offer of COBRA means for special enrollment periods under the ACA. Continue reading