Proposed “Public Charge” Rule Risks Immigrants’ Access to Private Coverage, Too

A federal proposal would make it more difficult for immigrants to obtain a green card if they’ve received certain public benefits like Medicaid. Although the policy doesn’t include the Affordable Care Act’s premium tax credits in its list of public benefits, there are several ways the proposed rule could place immigrants’ access to private coverage at risk. Sabrina Corlette takes a look. Continue reading

June Research Round Up: What We’re Reading

State officials, insurers, and consumer advocates and assisters are gearing up for a hectic 2019 enrollment season as federal uncertainty threatens the stability of the individual market. CHIR’s Olivia Hoppe dives into research about how the Affordable Care Act (ACA) has affected consumers’ access to insurance coverage and care. She also looks at research on reasons behind this year’s increased premium rates and last year’s surprisingly successful Open Enrollment season.  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

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

How Did State-Run Health Insurance Marketplaces Fare in 2017?

In a new Commonwealth Fund issue brief, CHIR’s Justin Giovannelli and Emily Curran interviewed leadership staff of 15 of the 17 state-run marketplaces to understand how states on the forefront of health reform perceived and responded to federal policy changes and political uncertainty in 2017. Their research finds that federal administrative actions and repeal efforts created confusion and uncertainty in 2017 that negatively affected state-run markets. Continue reading

Affordable Care Act Navigators: Unexpected Success During 2018 Enrollment Season Shouldn’t Obscure Challenges Ahead

Heading into open enrollment for 2018 marketplace coverage, experts predicted far fewer people would sign up for coverage. Despite the obstacles working against a successful open enrollment, sign-ups came close to last year’s tally: federally facilitated marketplaces (FFMs) logged 8.8 million plan selections, including close to 2.5 million new consumers, by the close of open enrollment on December 15th, nearing the 9.2 million plan selection from the previous year in just half the time. CHIR’s Olivia Hoppe and JoAnn Volk take a look at what explains the better-than-expected results. Continue reading

Insurer Participation in ACA Marketplaces: Federal Uncertainty Triggers Diverging Business Strategies

A reliable indicator of health insurance markets’ stability is insurer participation, including the number of insurers that elect to sell individual plans and whether they participate over subsequent years. In a recent analysis for the Commonwealth Fund, CHIR experts looked at insurer participation in the state-based Affordable Care Act (ACA) marketplaces from 2014 to 2018, which sheds light on how state marketplaces have maintained competition despite uncertainty about the law’s future. Continue reading

State-Based Marketplaces Push Ahead, Despite Federal Resistance

Open enrollment for 2018 started last week on the Affordable Care Act’s health insurance marketplaces. Along with its executive actions designed to weaken marketplaces operations, the Trump administration has taken a number of steps over the past year to curb marketplace enrollment. While the administration has scaled back efforts to provide health coverage, state-based marketplaces have taken a different approach. In their latest post for The Commonwealth Fund’s To The Point blog, CHIR’s Emily Curran and Justin Giovannelli share their findings from interviews with executives at 15 of the 17 states that operate their own marketplaces. Continue reading