The Congressional Budget Office Definition of “Health Insurance” Leaves Room for Wide Coverage Gaps, Discrimination

The nonpartisan Congressional Budget Office (CBO) frequently estimates how policy proposals will affect rates of health insurance coverage. To make these assessments, the agency relies on a definition including coverage that can discriminate against people with pre-existing conditions and fail to cover key health services like prescription drugs, practices that are outlawed in the individual health insurance market under the ACA. CHIR’s Rachel Schwab takes a look at the CBO’s current definition of health insurance, and the impact it has on health insurance reform efforts. Continue reading

As Maryland Charts a New Course for Lowering Barriers to Coverage, Feds Could Raise Them

Maryland is implementing a program that offers a new, easy way to enroll in comprehensive and affordable health insurance. At the same time, the federal government is considering ending auto renewal in the marketplaces, which facilitates millions of enrollments each year. CHIR’s Rachel Schwab takes a look at Maryland’s new program, and how state and federal enrollment policy can impact consumers’ access to coverage. Continue reading

Swimming against the Tide: Policies in State-Based Marketplace States Help Counter Negative Trends in Uninsurance Rates

The latest U.S. Census data show the uninsured rate for nonelderly adults is rising,  including among middle- and higher-income people who do not qualify for Affordable Care Act premium subsidies. Such an increase is partly attributable to policies implemented by the Trump administration to undermine the ACA. CHIR’s Olivia Hoppe explains that when it comes to individual market enrollment, however, national numbers mask significant differences in state-to-state performance. Continue reading

July Research Round Up: What We’re Reading

Health policy researchers are keeping busy, assessing the impact of recent and potential state and federal actions. CHIR’s Olivia Hoppe digs into new research on how interruptions in insurance coverage impact chronic disease management, the debate over the Affordable Care Act’s (ACA) employer mandate, the innovative ways that California is keeping its risk pool healthy, characteristics of the uninsured in the U.S., and the coverage and premium effects of state-based individual mandates. Continue reading