Loss of Cost-Sharing Reductions in the ACA Marketplace: Impact on Consumers and Insurer Participation

In an updated article published on The Commonwealth Fund’s To the Point site, CHIR experts JoAnn Volk, Dania Palanker, Justin Giovannelli and Kevin Lucia examine the possibility that the Trump administration will pull the plug on the Affordable Care Act’s cost-sharing reduction subsidies, and discuss the potential consequences for individual health insurance markets and the consumers who rely on it. 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

State Experiences Show Why Repealing the ACA’s Premium Subsidies and Individual Mandate Would Cripple Individual Health Insurance Markets

What will happen if the Affordable Care Act is repealed without a replacement? In their latest article for The Commonwealth Fund, CHIR experts Justin Giovannelli and Kevin Lucia find that it could look a lot like the regulatory landscape that existed in several states that tried to enact health reform in the past. The lessons from those experiences are grim. Continue reading

States That Leaned In on the Affordable Care Act Have Much to Lose

In the wake of the Affordable Care Act’s passage, 17 states embraced the chance to set up and manage their own marketplace and design an insurance market to meet local needs. In their latest article for the Commonwealth Fund, CHIR experts Sabrina Corlette, Emily Curran and Kevin Lucia review these states’ progress on expanding coverage and stabilizing their markets and find that they have much to lose if the law is repealed. Continue reading

A “Volatile Marketplace”: Second Quarter Earnings Calls Offer Glimpse of How Insurers Are Faring on ACA Marketplaces—and What 2017 Might Bring

In a turbulent year for the Affordable Care Act, health insurers’ second-quarter earnings calls and financial filings can offer a glimpse of how they are faring on the ACA marketplaces and strategies for 2017. In their latest publication for the Commonwealth Fund, CHIR experts Sabrina Corlette, Kevin Lucia and Emily Curran share key takeaways from these key insurance industry financial reports. Continue reading

State-Run SHOPs: An Update Three Years Post ACA Implementation

Small-business owners face unique challenges covering their employees; to lower barriers and increase options, the Affordable Care Act (ACA) created the Small Business Health Options Program (SHOP). In a new blog published by The Commonwealth Fund, CHIR experts Emily Curran, Sabrina Corlette, and Kevin Lucia evaluate the current state of these marketplaces three years into implementation. Continue reading

New Health Affairs Policy Brief Examines the Regulation of Health Plan Provider Networks

Limited networks have become increasingly common on ACA marketplaces, comprising almost half of all offerings during the first two years of the exchanges. In a new policy brief for Health Affairs, CHIR experts Justin Giovannelli, Kevin Lucia, and Sabrina Corlette examine what the states and the federal government are doing to ensure that marketplace plan networks are adequate and transparent. Continue reading

Improving Marketplace Coverage for Children

What does coverage look like for children on the Affordable Care Act health insurance marketplaces? A new report from Georgetown experts Kelly Whitener, JoAnn Volk, Sean Miskell and Joan Alker examines at the adequacy of coverage, affordability of coverage, and access to providers. This blog post provides some of their topline findings. Continue reading

Beyond UnitedHealthcare: How Are Other Publicly Traded Insurers Faring on the Marketplaces?

Two-and-one-half years in, how do we assess the success and stability of the Affordable Care Act’s health insurance marketplaces? Much ink has been spilled over the high-profile exit of UnitedHealthcare, but to gain a broader perspective, CHIR experts examined the first quarter earnings calls and regulatory filings for some of the largest, publicly traded insurers that participate in the marketplaces. Their latest article for the Commonwealth Fund shares what they learned. Continue reading