What’s New for 2020 Marketplace Enrollment?

On November 1, the seventh open enrollment period begins for marketplace coverage under the Affordable Care Act. We at CHIR are tracking several policy changes that could affect marketplace enrollment and plan affordability in 2020, including: changes to health reimbursement arrangements, new direct enrollment pathways, and recent court rulings on association health plans and the public charge rule. To learn what’s new for 2020, read our CHIRBlog summarizing the major policy changes consumers might encounter this year. Continue reading

Stakeholders React to HHS’s Notice of Benefit and Payment Parameters for 2020. Part 1: Insurers

On January 18, the Department of Health and Human Services issued its Notice of Benefit and Payment Parameters for 2020, which outlines the changes that it plans to apply to the Affordable Care Act marketplaces and insurance rules in the next plan year. The agency received over 26,100 comments on the proposal, including many from insurers, state-based marketplaces, departments of insurance, and consumer advocates. To better understand stakeholder reactions to the proposals, CHIR reviewed a sample of these comments, and, in Part I of this series, we summarize areas of support and concern from major medical insurers and associations. 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

July Research Round Up: What We’re Reading

Health policy researchers are keeping busy, assessing the impact of recent and potential state and federal actions. CHIR’s Olivia Hoppe digs into new research on how interruptions in insurance coverage impact chronic disease management, the debate over the Affordable Care Act’s (ACA) employer mandate, the innovative ways that California is keeping its risk pool healthy, characteristics of the uninsured in the U.S., and the coverage and premium effects of state-based individual mandates. Continue reading

May Research Round Up: What We’re Reading

In this month’s research round up, CHIR’s Olivia Hoppe looks into analyses of the success of recent stabilization efforts, the consequences of current federal uncertainty on health insurance coverage, best practices from the federally facilitated marketplace (FFM), third-party payment programs, and why in the world hospital visits cost so much money for the privately insured. Continue reading

March Research Round Up: What We’re Reading

In CHIRblog’s March installment of What We’re Reading, CHIR’s Olivia Hoppe dives into new research that highlights premium trends from the most recent enrollment period, whether employers will continue offering subsidized coverage to employees, the use of the ACA’s tobacco surcharge in the small-group market, and the early effects of the Trump administration’s health insurance policies on coverage. Continue reading

States’ Latest ACA Lawsuit Threatens to Reignite “Repeal-Without-Replace” – With Real Consequences for Stakeholders

Earlier today, California, along with 15 state attorneys general filed a motion to intervene in the latest ACA lawsuit, where governors and attorneys general from 20 other states are alleging that the law is unconstitutional. CHIR’s Emily Curran explains how the lawsuit, if successful, is tantamount to ACA “repeal-without-replacement,” resulting in significant losses in coverage and financial harm. Continue reading

Coalition Demands Crucial Information About Association Health Plan Rulemaking

On March 1st, a coalition of stakeholders, including Georgetown University’s Center on Health Insurance Reforms (CHIR), the DC Health Benefit Exchange, the Acting Attorney General of Hawaii, AFL-CIO, Center on Capital & Social Equity, Families USA, National Alliance on Mental Illness, National Partnership for Women & Families and the Small Business Majority released a letter calling on the Department of Labor (DOL) to withdraw or substantially delay the proposed regulation regarding Association Health Plans (AHPs). Continue reading

The Sky is Not Falling: CHIR Expert Kevin Lucia Talks Trends in Coverage and Affordability on the ACA Marketplaces

On Friday, July 15, CHIR’s very own Kevin Lucia spoke at a briefing on ACA marketplaces put on by the Alliance for Health Reform. Mr. Lucia joined representatives from the Commonwealth Fund, the American Academy of Actuaries, and the Blue Cross Blue Shield Association to discuss the outlook for federally facilitated and state-based exchanges as the fourth open enrollment period approaches in November. Continue reading