Market Reforms Roundup: New Report on State Action on 2014 Market Reforms

In our most recent issue brief for the Commonwealth Fund, CHIR researchers studied the progress states have made to date in implementing the 2014 market reforms and found that most states have yet to move forward with changes they need. Katie Keith discusses the actions that states have taken so far and what our findings mean for federal and state regulators as they implement the Affordable Care Act. Continue reading

Multi-State Plan Program Final Rule: OPM's Balancing Act

The Office of Personnel Management recently issued a final rule on the multi-state plan program in which it attempts to standardize contracting processes and state rules to, in theory, make it easier for insurers to enter new markets while limiting the extent to which multi-state plan issuers can bypass state consumer protections and preserving a level playing field in exchanges. Christine Monahan discusses how OPM has attempted to balance these competing pressures and discusses where multi-state plans may or may not have flexibility. Continue reading

Arming Navigators for the Millions of Enrollees Headed Their Way

With the fast approach to open enrollment for the new health insurance marketplaces, there is growing interest in navigators and other assisters who will help people learn about their coverage options and get enrolled. JoAnn Volk explains how CHIR will be adding to the private insurance knowledge and support for navigators and assisters with a quick reference guide on private health insurance and the reforms of the ACA. Continue reading

Evolving Dynamics of Health Insurance Exchange Implementation

Since the enactment of the Affordable Care Act, the roles of states and the federal government in establishing health insurance exchanges—marketplaces where people can shop for comprehensive and affordable health plans—have evolved considerably. In a post that originally appeared on The Commonwealth Fund Blog, Sarah Dash, Christine Monahan, and Kevin Lucia describe where exchange establishment decisions currently stand. Continue reading

Florida’s Changes to Rate Review: Heading Backward?

Of the many consumer protection tools available to health insurance regulators, one of the most powerful is the ability to review premium rates. Yet, some states have made recent decisions to abdicate this authority to federal regulators. Sally McCarty discusses recently enacted legislation in Florida that suspends the state’s rate review requirements – and what it means for insurers, regulators, and consumers. Continue reading

Oh Where, Oh Where Are The Multi-State Plans?

More than two months after the deadline for health insurance issuers to submit applications for the Office of Personnel Management’s (OPM) multi-state plan program, news is finally starting to trickle out about participating insurers and the first batch of states that are expecting to see multi-state plans on their exchanges. Christine Monahan shares the latest developments. Continue reading

A Busy Week in Health Policy

While we have certainly seen some busy weeks for Affordable Care Act implementation, we had not expected this week to be so filled with new federal guidance and key events on exchange development and other insurance reform issues. To help you (and us) keep up, Katie Keith has a quick guide on what is happening this week on Affordable Care Act implementation. Continue reading