Coverage That (Doesn’t) Count: How the Short-Term, Limited Duration Rule Could Lead to Underinsurance

Any day now, the Trump administration is expected to publish new rules that will expand access to short-term, limited duration insurance (STLDI). These plans are allowed to discriminate against sick people, exclude coverage of essential health services, and impose lifetime and annual benefit limits. The Congressional Budget Office (CBO) says that the majority of plans expanded under this rule will be considered health insurance. CHIR’s Rachel Schwab takes a closer look at how CBO defines health insurance, and explains how the expansion of STLDI could lead to widespread underinsurance. Continue reading

Stakeholder Views on the Proposed Short-Term Plan Insurance Rule: Key Takeaways from Our Review of Comment Letters

In February, the Trump administration published a proposed rule to expand the availability of short-term, limited duration insurance by relaxing federal restrictions put in place by the Obama administration. Federal agencies received over 9,000 comments in response. In a four-part blog series, CHIR dug into comments to evaluate the proposed rule’s potential impact on consumers, major medical insurers, states, and sellers of short-term plans. Here’s what we found. Continue reading

Stakeholders Respond to the Proposed Short-term, Limited Duration Insurance Rule. Part IV: Short-Term Insurers and Brokers

The Departments of Labor, Health & Human Services, and Treasury received over 9,000 comments on their proposed rule to expand the availability of short-term, limited duration insurance. To better understand the public reaction to the proposal, CHIR reviewed comments submitted by health care stakeholders. In the fourth blog in our series, CHIR’s Olivia Hoppe summarizes feedback from brokers and short-term insurers. Continue reading

Stakeholders Respond to the Proposed Short-term, Limited Duration Insurance Rule. Part III: State Insurance Departments and Marketplaces

The Departments of Labor, Health & Human Services, and Treasury received over 9,000 comments on their proposed rule to expand the availability of short-term, limited duration insurance. CHIR reviewed comments submitted by stakeholders to better understand how the public is responding to the proposal. In part three of our four-part series, CHIR’s Sabrina Corlette summarizes feedback from state insurance departments and marketplaces. Continue reading

Stakeholders Respond to the Proposed Short-Term, Limited-Duration Insurance Rule. Part II: Major Medical Insurers

The Departments of Labor, Health and Human Services, and Treasury received over 9,000 comments on their proposed rule, which aims to expand the availability of short-term, limited duration insurance. CHIR reviewed comments submitted by health care stakeholders to better understand industry reactions to the proposal. In part two of this four-part series, CHIR’s Emily Curran analyzes comments from nine major medical insurers and associations. Continue reading

Stakeholders Respond to the Proposed Short-Term, Limited Duration Insurance Rule. Part I: Consumer Advocates

Earlier this year, the Trump administration proposed rules to relax federal restrictions on short-term, limited duration insurance. After a 60-day comment period, the Departments of Health and Human Services (HHS), Labor (DOL) and Treasury received over 9,000 comments from individuals, organizations, and government officials. To understand the potential impact of the proposals, CHIR reviewed comments from various stakeholder groups. For the first blog in our four-part series, CHIR’s Rachel Schwab examines comments submitted by consumer and patient organizations. Continue reading

Short-Term, Limited-Duration Insurance and Risks to California’s Insurance Market

In a new California Health Care Foundation issue brief, CHIR’s Dania Palanker, Kevin Lucia, JoAnn Volk, and Rachel Schwab interviewed 21 stakeholders—including state officials, brokers and agents, insurers, and experts on California insurance markets to understand California’s short-term insurance market and how proposed federal regulatory changes could change the market. Their research finds that expanding the duration of short-term plans could increase their market and add to the destabilization of the individual health insurance market, including Covered California. Continue reading

States Leaning In: Washington

Since the Affordable Care Act was passed in 2010, states have embraced the law to varying degrees. While some states have refused to implement the ACA and actively oppose it, other states have leaned in, stepping up to preserve the consumer protections and market rules in the wake of federal actions to weaken the law. CHIR’s Rachel Schwab examines steps that Washington State has taken to ensure that their residents can continue to obtain affordable, high quality coverage, and how other states can do the same. Continue reading