Stakeholders React to HHS’s Notice of Benefit and Payment Parameters for 2020. Part 2: State Insurance Departments and Marketplaces

The final Notice of Benefit and Payment Parameters for 2020 is expected any day. In January, the Department of Health and Human Services proposed changes that it plans to apply to the Affordable Care Act marketplaces and insurance rules, and received over 26,000 comments on the proposal. To gauge stakeholder reactions, CHIR reviewed a sample of these comments. In the second part of our blog series, Rachel Schwab summarizes responses from a selection of state insurance departments and state-based marketplaces. Continue reading

What, if Anything, Do the Latest Cost Sharing Reduction (CSR) Court Rulings Mean for 2020 Premiums?

The federal government could be on the hook for billions of dollars in reimbursement to insurance companies, if recent court decisions relating to the elimination of the ACA’s cost-sharing reduction subsidies are upheld. Sabrina Corlette, in her latest Expert Perspective for the State Health & Value Strategies project, reviews the status of the litigation and the implications for state oversight of insurers’ 2020 premium rates. Continue reading

Translating Coverage into Care: Answers to Common Post-Enrollment Questions

Open Enrollment has ended in the majority of states, and almost 8.5 million people signed up for coverage through HealthCare.gov. As consumers begin to use their 2019 plans, a host of questions about covered services, cost sharing, provider networks and more are sure to crop up. Luckily, CHIR has answers to frequently asked post-enrollment questions in our recently updated Navigator Resource Guide. Continue reading

June Research Round Up: What We’re Reading

State officials, insurers, and consumer advocates and assisters are gearing up for a hectic 2019 enrollment season as federal uncertainty threatens the stability of the individual market. CHIR’s Olivia Hoppe dives into research about how the Affordable Care Act (ACA) has affected consumers’ access to insurance coverage and care. She also looks at research on reasons behind this year’s increased premium rates and last year’s surprisingly successful Open Enrollment season.  Continue reading

The Urban Institute’s New Proposal to Get Us Closer to Universal Coverage

In preparation for the day when a progressive vision for health reform may have more supporters in the White House and Congress, a number of leading members of Congress have developed new and innovative proposals. Everyone is trying to answer the same question: How do we get the most people covered in the most affordable way? The Urban Institute might have a good answer. CHIR’s Olivia Hoppe explains. Continue reading

March Research Round Up: What We’re Reading

In CHIRblog’s March installment of What We’re Reading, CHIR’s Olivia Hoppe dives into new research that highlights premium trends from the most recent enrollment period, whether employers will continue offering subsidized coverage to employees, the use of the ACA’s tobacco surcharge in the small-group market, and the early effects of the Trump administration’s health insurance policies on coverage. Continue reading

States Face Key Decisions if Alexander-Murray Proposal Is Included in Year-End Budget Bill

The Alexander-Murray bill to fund the Affordable Care Act’s cost-sharing subsidies could be included in an end-of-year budget deal. It includes provisions requiring states to make some quick decisions on an issue that many may have thought was put to bed. CHIR’s Justin Giovannelli provides an overview of what states may need to do, and when, if Alexander-Murray passes. Continue reading

States Step Up to Protect Consumers in Wake of Cuts to ACA Cost-Sharing Reduction Payments

In the wake of President Trump’s decision to cut off payments for a key ACA subsidy for low-income enrollees, the impact felt by consumers and insurers will vary from state to state, depending on the actions of insurance regulators and insurance companies. In their latest post for The Commonwealth Fund’s To The Point blog, CHIR’s Sabrina Corlette, Kevin Lucia, and Maanasa Kona share findings from their 50-state review of insurers’ responses to the loss of cost-sharing reduction payments for 2018. Continue reading