Proposed Trump Administration Rule Shortens Open Enrollment: Policy Goals, Potential Impact, and State Options

In February, the Trump administration proposed a number of rules that they hope will stabilize the individual market. One of these rules would cut this year’s open enrollment period from 90 days to 45 days. While HHS argues that the shorter timeframe could streamline the enrollment process and improve the risk pool, other health care stakeholders have expressed concern that a shortened OE might dampen enrollment and overwhelm state-based marketplaces. With the final rule expected any day, what are the possible impacts of shortening the annual enrollment period? CHIR’s Rachel Schwab takes a look. Continue reading

Evolving Dynamics of Health Insurance Exchange Implementation

Since the enactment of the Affordable Care Act, the roles of states and the federal government in establishing health insurance exchanges—marketplaces where people can shop for comprehensive and affordable health plans—have evolved considerably. In a post that originally appeared on The Commonwealth Fund Blog, Sarah Dash, Christine Monahan, and Kevin Lucia describe where exchange establishment decisions currently stand. Continue reading