Effects of Medicaid Health Plan Dominance on the Health Insurance Marketplaces

Medicaid insurers dominate many of the Affordable Care Act health insurance marketplaces. Some health system stakeholders have raised concerns about the potential negative consequences of Medicaid insurer participation in the market, largely due to their limited networks. In a new report supported by the Robert Wood Johnson Foundation, CHIR and Urban Institute experts assess how Medicaid insurers function in the marketplace. Continue reading

There Are New Federal “Public Charge” Rules Going Into Effect Next Week: Here’s What You Need to Know

Beginning February 24, 2020, new rules that expand the criteria for determining whether certain immigrants would be considered a “public charge” are going into effect. While appeals of these new expanded rules make their way through the courts, the U.S. Supreme Court ruled that the policy may take effect in all states except Illinois, where a separate injunction remains statewide. As the changing rules can be confusing for consumers and assisters, we’ve updated our Navigator Resource Guide to help break it down. Continue reading

Proposed Rule on Basic Health Program Impedes States’ Progress

Recently, CMS issued a proposed rule modifying the federal funding methodology for the Basic Health Program (BHP) for 2019 and 2020. Under the proposal, technical changes could cause participating states to lose $300 million in federal funding. While funding for the programs is being debated, we checked in on how Minnesota and New York’s BHPs are faring amidst federal uncertainty. Continue reading

Virginia’s Enrollment Season Perfect Storm

Across the country, states are yet again dealing with policy changes just before the fall open enrollment season. Virginia, however, is a special case. The state is dealing with simultaneous implementation of Medicaid expansion, expanded short-term limited duration insurance and association health plans, and changes to the definition of sole proprietors for small employers, all with less funding for the navigator program. CHIR’s Olivia Hoppe breaks down how each change affects Virginians. Continue reading

New Report Shows Role of Medicaid Expansion in Rural Area, Small Town Health Coverage

Under the Affordable Care Act, 33 states and the District of Columbia expanded Medicaid, greatly increasing coverage under the public program. In a new report, our sister center,
the Center for Children and Families, examines the impact of Medicaid expansion on health coverage in rural areas and small towns, communities that for many years have faced high premiums and limited choices on the private insurance market. Continue reading

The Urban Institute’s New Proposal to Get Us Closer to Universal Coverage

In preparation for the day when a progressive vision for health reform may have more supporters in the White House and Congress, a number of leading members of Congress have developed new and innovative proposals. Everyone is trying to answer the same question: How do we get the most people covered in the most affordable way? The Urban Institute might have a good answer. CHIR’s Olivia Hoppe explains. Continue reading

February 2018 Research Round Up: What We’re Reading

In CHIRblog’s February installment of What We’re Reading, CHIR’s Olivia Hoppe digs into new research that highlights the consequences of the recent short-term limited-duration health plan rule, the effects of expanded private insurance on access to primary and specialty care, the impact of the ACA’s dependent coverage provision on birth and prenatal outcomes, and an assessment of state-level efforts to expand access, affordability, and quality of coverage. Continue reading