Trump Administration Hands States Another Tool for Dismantling Preexisting Condition Protections

Last week, the Trump administration issued long-anticipated guidance regarding the ACA’s Section 1332 “innovation waiver” program. The guidance breaks dramatically with past policy and, arguably, with the statute it purports to interpret, inviting states to undermine coverage for people with preexisting conditions. CHIR’s Justin Giovannelli analyzes the guidance and its implications. Continue reading

States Lean In as the Federal Government Cuts Back: Navigator and Advertising Funding for the ACA’s Sixth Open Enrollment

With open enrollment into the Affordable Care Act marketplaces beginning November 1st, there will be considerable divergence among states in the amount of information and personalized assistance consumers receive about coverage options. While the federally run marketplace has dramatically cut back its investments in both advertising and the Navigator program, the state-based marketplaces are making big investments in those activities. In their latest To The Point blog for the Commonwealth Fund, CHIR’s Sabrina Corlette and Rachel Schwab discuss the findings from a new survey of state-based marketplaces. Continue reading

What’s New for 2019 Marketplace Enrollment? Get Ready for Updated, Improved Navigator Resource Guide

On November 1, the sixth open enrollment period begins for marketplace coverage under the Affordable Care Act. We at CHIR will soon re-launch our updated Navigator Resource Guide, which provides information on recent policy changes, a list of enrollment tools for consumers and assisters, and answers to hundreds of frequently asked questions. To learn what’s new for 2019, read our CHIRBlog summarizing the major policy changes consumers might encounter this year. 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

May Research Round Up: What We’re Reading

In this month’s research round up, CHIR’s Olivia Hoppe looks into analyses of the success of recent stabilization efforts, the consequences of current federal uncertainty on health insurance coverage, best practices from the federally facilitated marketplace (FFM), third-party payment programs, and why in the world hospital visits cost so much money for the privately insured. Continue reading

Affordable Care Act Navigators: Unexpected Success During 2018 Enrollment Season Shouldn’t Obscure Challenges Ahead

Heading into open enrollment for 2018 marketplace coverage, experts predicted far fewer people would sign up for coverage. Despite the obstacles working against a successful open enrollment, sign-ups came close to last year’s tally: federally facilitated marketplaces (FFMs) logged 8.8 million plan selections, including close to 2.5 million new consumers, by the close of open enrollment on December 15th, nearing the 9.2 million plan selection from the previous year in just half the time. CHIR’s Olivia Hoppe and JoAnn Volk take a look at what explains the better-than-expected results. Continue reading