Future of Health Reform: A prescription for individual market stability

As policy uncertainty in Washington, DC roils health insurance markets nationwide, states like Minnesota are stepping up to preserve consumer coverage choices and keep premiums affordable. In a conference at the University of Minnesota School of Public Affairs sponsored by BlueCross BlueShield of Minnesota, CHIR’s Sabrina Corlette joined in a wide-ranging discussion with state leaders over the future of the ACA. BCBSM’s Laura Kaslow shares some takeaways from the event. Continue reading

Signs of Marketplace Stability May Be Undercut by Federal Policy Uncertainty

Recently, analysts have found evidence of marketplace stability after a number of insurers scaled back participation and increased premiums for 2017. Despite this progress, federal efforts to repeal and replace the ACA have sparked growing concerns about the marketplace’s sustainability. To understand how insurers are faring in the marketplaces amidst federal reform activity, CHIR experts reviewed the first quarter financial earnings of seven of the largest, publicly traded insurers. Continue reading

Running Down the Clock: Policy Uncertainty over Affordable Care Act Means Less Time for Oversight of Premium Hikes

Insurers are required to submit their health plans and premium rates for regulatory review in the face of considerable uncertainty over the future of the Affordable Care Act’s marketplaces. In their latest post for The Commonwealth Fund, Sabrina Corlette and Kevin Lucia examine the sources of this uncertainty, how it affects insurers’ ability to plan for the coming year, and what it means for state and federal regulators who must assess the reasonableness of proposed premium hikes. Continue reading

Alexander-Corker Bill Would Likely Reduce, Not Expand, Consumers’ Health Insurance Options

Humana’s decision to pull out of the individual market in 2018 has prompted more concern over areas facing a dearth of marketplace plans next year, or “bare” counties. Tennessee Senators Lamar Alexander and Bob Corker recently introduced a bill that would waive the individual mandate for residents of bare counties, and allow them to receive federal premium tax credits to purchase plans outside of the marketplace. Sarah Lueck of the Center on Budget and Policy Priorities shares a new analysis of the bill and its potential impact on insurers and consumers. 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

State Experiences Show Why Repealing the ACA’s Premium Subsidies and Individual Mandate Would Cripple Individual Health Insurance Markets

What will happen if the Affordable Care Act is repealed without a replacement? In their latest article for The Commonwealth Fund, CHIR experts Justin Giovannelli and Kevin Lucia find that it could look a lot like the regulatory landscape that existed in several states that tried to enact health reform in the past. The lessons from those experiences are grim. Continue reading

New Analysis: Repeal of the Affordable Care Act through Reconciliation Throws Almost 30 Million off Coverage

A new Urban Institute analysis shows that close to 30 million people will lose coverage if the Affordable Care Act is partially repealed through a budget reconciliation process. This will result in national uninsurance rates that are actually higher than they were before the ACA was enacted. What’s behind the numbers? Sabrina Corlette takes a look. Continue reading