What’s Going on in Tennessee? One Possible Reason for Its Affordable Care Act Challenges

Recently the Governor of Tennessee observed that his state was “ground zero” for insurers pulling out of the ACA marketplaces. In the wake of Humana’s decision to withdraw from the marketplaces for 2018, the residents of 16 counties in that state face the prospect of no insurance company at all from which to buy a subsidized health plan. Tennessee is not alone in having a fragile ACA marketplace, but its situation is particularly acute, especially if no other insurer can be persuaded to operate in those counties. Why is Tennessee’s market struggling, when other states with similar demographics, such as Arkansas, have more competition and market stability? Continue reading

House Proposal to Promote Association Health Plans Poses Risks for Insurance Markets, Consumers

The U.S. House of Representatives passed a bill to promote federally certified association health plans (AHPs) on March 22, 2017. Widely seen as a “second phase” of Affordable Care Act repeal, the AHP proposal poses significant risks for small employers and would hinder states’ ability to protect their consumers. In their latest post for The Commonwealth Fund, Kevin Lucia and Sabrina Corlette take a look at the bill and what it would mean for the small business health insurance market. Continue reading