The Draft 2022 Notice of Benefit & Payment Parameters: Implications for States

On November 25, the Trump administration released a proposed regulation, the 2022 “Notice of Benefit and Payment Parameters.” It establishes policies governing the ACA marketplaces and insurance market reforms. In her latest article for the State Health & Value Strategies project, CHIR’s Sabrina Corlette focuses on several key provisions that will impact state insurance regulation and the operation of the marketplaces. Continue reading

During the COVID-19 Crisis, State Health Insurance Marketplaces Are Working to Enroll the Uninsured

As the coronavirus pandemic and economic shutdown continue, the Affordable Care Act’s health insurance marketplaces are an important tool in covering the uninsured. In a new post for the Commonwealth Fund’s To the Point blog, CHIR experts Rachel Schwab, Justin Giovannelli and Kevin Lucia explore how state-based marketplaces have worked to enroll the uninsured during the COVID-19 crisis by creating new opportunities to sign up for coverage and launching outreach campaigns. Continue reading

Idaho Misses Opportunities to Help Consumers Get Affordable, Comprehensive Health Coverage During COVID-19 Pandemic

Since the COVID-19 pandemic began, states have taken charge of responding to the public health emergency. As a state that runs its own health insurance marketplace, Idaho has tools at its disposal to help consumers enroll in comprehensive coverage. But like the federal marketplace, Idaho decided not to wield all of them, leaving large marketplace enrollment barriers and instead promoting alternative and less comprehensive coverage. Continue reading

COVID-19 Response: States That Run Their Own ACA Marketplace Are Better Positioned to Help Consumers Get Covered

During the current public health and financial crises brought by the COVID-19 pandemic, the ACA’s health insurance marketplaces offer a crucial safety net. States that run their own marketplaces have a significant advantage in helping consumers obtain comprehensive, affordable health insurance. CHIR’s Rachel Schwab looks at some opportunities for state-based marketplaces that don’t exist for states relying on the federal marketplace. Continue reading

New Georgetown CHIR Report: In Trump Era, States Revisit the Benefits and Risks of Running Their Own Health Care Marketplace

Half a dozen states have announced they will transition from HealthCare.gov to their own, state-run health insurance marketplaces. In a new report with the Urban Institute, CHIR researchers assess states’ reasons for making the switch, risks and benefits, and considerations for policymakers in other states contemplating a similar move. Continue reading

States Looking to Run Their Own Health Insurance Marketplace See Opportunity for Funding, Flexibility

Last week, Pennsylvania Governor Tom Wolf signed legislation to establish a state-based health insurance marketplace. Recently, along with Pennsylvania, several states have taken steps towards transitioning to their own marketplace and enrollment platform. In their newest post for the Commonwealth Fund’s To the Point blog, CHIR’s Rachel Schwab and JoAnn Volk review the latest state actions to transition to a state-run platform and break down some of the incentives for states to leave the federal marketplace. Continue reading

2019 Insurer Participation: A “Quieter” Year As Companies Maintain, Expand Their Presence

Since implementation of the Affordable Care Act, insurer participation in the ACA marketplaces has fluctuated. As states prepare to enter their annual rate review processes for 2020, CHIR’s Emily Curran and Justin Giovannelli interviewed officials in seven of the state-based marketplaces to understand their strategies for maintaining insurer participation in 2019 and ensuring marketplace competition in the future. Continue reading

Stakeholders React to HHS’s Notice of Benefit and Payment Parameters for 2020. Part 3: Consumer Advocates

On April 18, 2019, the Department of Health and Human Services finalized changes to the Affordable Care Act marketplaces and insurance rules in the Notice of Benefit and Payment Parameters for the 2020 plan year. To gauge stakeholder reactions, CHIR reviewed a sample of these comments. In the third and final of our blog series, CHIR’s Olivia Hoppe summarizes responses from a selection of consumer advocates. Continue reading

Stakeholders React to HHS’s Notice of Benefit and Payment Parameters for 2020. Part 2: State Insurance Departments and Marketplaces

On April 18, 2019, the Department of Health and Human Services finalized changes to the Affordable Care Act marketplaces and insurance rules in the Notice of Benefit and Payment Parameters for the 2020 plan year. The agency received over 26,000 comments on the proposal. To gauge stakeholder reactions, CHIR reviewed a sample of these comments. In the second part of our blog series, Rachel Schwab summarizes responses from a selection of state insurance departments and state-based marketplaces. Continue reading