ACA Marketplace Open Enrollment Numbers Reveal the Impact of State-Level Policy and Operational Choices on Performance

During the last open enrollment period, the Affordable Care Act’s marketplaces faced a number of headwinds, including federal policy changes predicted to curb enrollment. Given myriad obstacles to enrollment efforts, it came as no surprise that overall marketplace plan selections dropped slightly this year. But a deeper dive into enrollment trends reveals that most state-based marketplaces outperformed the federally facilitated marketplace. In a new post for the Commonwealth Fund’s To the Point blog, CHIR’s Rachel Schwab and Sabrina Corlette unpack data from the recent open enrollment period to see how the marketplaces performed during a turbulent time, finding that certain policy and operational decisions were associated with better results. Continue reading

What’s New for 2019 Marketplace Enrollment? Get Ready for Updated, Improved Navigator Resource Guide

On November 1, the sixth open enrollment period begins for marketplace coverage under the Affordable Care Act. We at CHIR will soon re-launch our updated Navigator Resource Guide, which provides information on recent policy changes, a list of enrollment tools for consumers and assisters, and answers to hundreds of frequently asked questions. To learn what’s new for 2019, read our CHIRBlog summarizing the major policy changes consumers might encounter this year. 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

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 Efforts to Lower Cost-Sharing Barriers to Health Care for the Privately Insured

Current federal proposals to replace the Affordable Care Act are likely to result in higher out-of-pocket costs for consumers. Six states and D.C., however, have policies to lower cost-sharing barriers to important health care services and drugs for the privately insured. In a new research brief, CHIR researchers take a closer look at some of these states’ experiences developing and implementing these policies. Continue reading