Minority Health Month: National Latino Week of Action

April is Minority Health Month, a good time to consider ways to reduce the wide disparities in health insurance access and coverage that particularly affect people of color. For the National Latino Week of Action, CHIR looks at changes in the uninsured rate among the Latino/Hispanic community, and identifies opportunities to build on coverage gains thanks to the American Rescue Plan Act of 2021. Continue reading

Rookie Report: How did New Jersey and Pennsylvania State Marketplaces Fare in Their Inaugural Enrollment Period?

After seven enrollment cycles on HealthCare.gov, New Jersey and Pennsylvania both launched new state marketplace websites in time for the latest Open Enrollment Period. Both states saw increases in marketplace enrollment over previous years. To understand how this transition went for Pennsylvania and New Jersey residents, and to extract potential lessons for the states that are transitioning to running their own marketplaces, we sought insight from people on the ground: consumer assisters. Continue reading

Removing Roadblocks: Special Enrollment Period Data Show Increase in Marketplace Signups

Last month, the Biden administration established a temporary special enrollment period (SEP) on the federal health insurance marketplace in response to the ongoing COVID-19 pandemic. In the first two weeks of the SEP, the federal marketplace saw a rise in enrollment activity, and the expansion of premium subsidies under the American Rescue Plan is expected to generate even greater enrollment increases. CHIR’s Rachel Schwab takes a look at how recent federal actions tap into the Affordable Care Act’s potential and expand its reach. Continue reading

Stakeholder Perspectives on CMS’s 2022 Notice of Benefit and Payment Parameters. Part 2: State Insurance Departments and Marketplaces

In one of the Trump administration’s last acts, the Centers for Medicare and Medicaid Services finalized some of the major provisions of the 2022 Notice of Benefit and Payment Parameters. In the second part of our blog series reviewing stakeholder comments, CHIR’s Rachel Schwab takes a look at how state insurance departments and state-based marketplaces responded to some of the recently finalized proposals. Continue reading

November Research Roundup: What We’re Reading

As the autumn leaves change and the weather gets colder, we at CHIR are thankful for new health policy research. This November, Nia Gooding reviewed studies on policy interventions aimed at lowering health care costs, the impact of eliminating essential health benefits from private insurance plans, and tracking ACA marketplace premium costs for the coming year.  Continue reading

New Georgetown CHIR Report: In Trump Era, States Revisit the Benefits and Risks of Running Their Own Health Care Marketplace

Half a dozen states have announced they will transition from HealthCare.gov to their own, state-run health insurance marketplaces. In a new report with the Urban Institute, CHIR researchers assess states’ reasons for making the switch, risks and benefits, and considerations for policymakers in other states contemplating a similar move. 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

ACA Marketplace Open Enrollment Numbers Reveal the Impact of State-Level Policy and Operational Choices on Performance

During the last open enrollment period, the Affordable Care Act’s marketplaces faced a number of headwinds, including federal policy changes predicted to curb enrollment. Given myriad obstacles to enrollment efforts, it came as no surprise that overall marketplace plan selections dropped slightly this year. But a deeper dive into enrollment trends reveals that most state-based marketplaces outperformed the federally facilitated marketplace. In a new post for the Commonwealth Fund’s To the Point blog, CHIR’s Rachel Schwab and Sabrina Corlette unpack data from the recent open enrollment period to see how the marketplaces performed during a turbulent time, finding that certain policy and operational decisions were associated with better results. Continue reading