Many States with COVID-19 Special Enrollment Periods See Increase in Younger Enrollees

President Joe Biden directed his administration to reopen the federal health insurance marketplace, an action the Trump administration refused to take last year after the COVID-19 pandemic struck due to adverse selection concerns. In a new post for the Commonwealth Fund, CHIR experts discuss how states that created a broad special enrollment period (SEP) for the uninsured in response to the pandemic – and broadcast the opportunity through outreach efforts – saw an increase in younger enrollees, seemingly contradicting claims that reducing SEP barriers inevitably leads to adverse selection. Continue reading

COVID-19 Response: States That Run Their Own ACA Marketplace Are Better Positioned to Help Consumers Get Covered

During the current public health and financial crises brought by the COVID-19 pandemic, the ACA’s health insurance marketplaces offer a crucial safety net. States that run their own marketplaces have a significant advantage in helping consumers obtain comprehensive, affordable health insurance. CHIR’s Rachel Schwab looks at some opportunities for state-based marketplaces that don’t exist for states relying on the federal marketplace. Continue reading

States Looking to Run Their Own Health Insurance Marketplace See Opportunity for Funding, Flexibility

Last week, Pennsylvania Governor Tom Wolf signed legislation to establish a state-based health insurance marketplace. Recently, along with Pennsylvania, several states have taken steps towards transitioning to their own marketplace and enrollment platform. In their newest post for the Commonwealth Fund’s To the Point blog, CHIR’s Rachel Schwab and JoAnn Volk review the latest state actions to transition to a state-run platform and break down some of the incentives for states to leave the federal marketplace. Continue reading

States Opt to Run their Own Exchanges to Save Money, Reclaim Autonomy

Last month, the Board of New Mexico’s health insurance exchange voted to transition from HealthCare.gov to a state-based exchange. The state will undertake the task of building its own eligibility and enrollment platform with the hopes of launching a website in time for the 2021 plan year. This is the same exchange that, in 2015, called the federal platform HealthCare.gov the “safest, most risk-free way to proceed.” So, what changed? CHIR’s Rachel Schwab looks at the reasons behind the growing call to leave HealthCare.gov. Continue reading

2017 Federal and State Marketplace Trends Show Value of Outreach

The fourth open enrollment period ended in early 2017, with dwindling momentum behind enrollment efforts at the federal level following the presidential election. In a new publication for the Commonwealth Fund, Emily Curran, Sabrina Corlette, Kevin Lucia and Justin Giovannelli provide an overview of potential factors influencing enrollment changes in the state-based marketplaces, including increased efforts that may have had a positive effect on final selections. Continue reading

Will New Laws in States with Federally Run Health Insurance Marketplaces Hinder Outreach?

Although the federal government will play a primary role in administering the navigator program in the 33 states with a federally facilitated exchange, many state legislatures have enacted or considered legislation that subjects navigators to state requirements. In a post that originally appeared on The Commonwealth Fund Blog, Katie Keith, Kevin Lucia, and Christine Monahan describe the role of navigators and well as the potentially detrimental impact of this recent state legislative activity on effective consumer outreach. Continue reading