Fix it, Don’t End it: Common Sense Prescriptions for Individual Market Stability

For the time being, the Affordable Care Act (ACA) is the “law of the land.” But increasing uncertainty about the policy future has left the individual insurance market at risk and could result in fewer choices and higher premiums, In the past, Congress has demonstrated that it can arrive at bipartisan solutions to tackle insurance market challenges and help consumers. CHIR’s Sabrina Corlette outlines what a common sense ACA reform package could look like. Continue reading

Stakeholders React to HHS’ Proposed Market Stabilization Regulations: Part 2 – Consumer Advocates

Last month, the Department of Health & Human Services released proposed rules aimed at stabilizing the ACA’s health insurance marketplaces. After a 20-day comment period, they received close to 4,000 public comments. In the second post in our series on the reactions of health care stakeholders, CHIR’s Rachel Schwab looks at comments from consumer advocacy groups. Continue reading

Risky Business: Health Actuaries Assess the Individual Market and Rates

As the health care debate continues, we face a number of unknowns. Congressional leadership and President Trump vowed to repeal the ACA, but have yet to reach a consensus on the replacement plan. Meanwhile, consumers and insurers are making big decisions about health plans without knowing what the individual market will look like. Predicting the impact of unknown events is no easy task; if you’ve misplaced your crystal ball, the American Academy of Actuaries (AAA) recently released an issue paper on the future of the individual market, lending their expertise to a debate riddled with uncertainty. Continue reading

Promising Steps to Strengthen Marketplace Risk Pools Could be in Vain, if Affordable Care Act is Repealed

While critics have been describing the demise of the marketplaces established by the Affordable Care Act, the Obama Administration has been taking steps to strengthen the risk pool and to ensure its long-term sustainability. These promising steps are now at risk under the threat of repeal with nothing to replace approach that Congressional leaders and the new administration seem to be taking. At risk and in jeopardy is the coverage of millions of people. CHIR’s Sandy Ahn takes a look. 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

Busting the “Falling under its Own Weight” Myth: New Analysis Shows Better Outlook for the Affordable Care Act Marketplaces

It’s a new year, and with it comes new hope for the Affordable Care Act’s (ACA) exchanges. Wall Street analysts recently released research that shows improvements in insurers’ finances for 2016, predicting even better margins for future years. But just as the markets are starting to stabilize, the incoming Congress and Administration are threatening to undo them. Continue reading

Tick Tock: An Unforgiving Calendar for Health Plans Makes Orderly “Transition” for Affordable Care Act Repeal Unlikely

The incoming Congress and Administration have pledged to repeal the Affordable Care Act but hope to minimize disruption by providing for a transition period. However, insurers must make key decisions about health plans and pricing far in advance of bringing those plans to market. In an ongoing series of articles for The Commonwealth Fund, CHIR experts Sabrina Corlette and Kevin Lucia partner with Julie Andrews of Wakely Consulting Group to examine how the uncertainty created by Congressional action could result in far fewer plan choices and significantly higher premiums for consumers. Continue reading

How Could a New Administration Tackle Affordable Care Act Challenges? Look to Medicare

The next President and Congress will likely need to consider policy options to help stabilize the Affordable Care Act health insurance marketplaces. But the challenges in those markets are not unique – Medicare Advantage markets have faced similar turmoil. In this blog post for Health Affairs, Sabrina Corlette and Jack Hoadley review the Bush administration’s policy responses to market instability in Medicare – and the lessons those policies hold for the ACA. Continue reading