CHIR Faculty

The Next Round of Obamacare Regulations are Coming Soon: What Consumer Advocates Want to See

Posted September 19, 2017 by CHIR Faculty

With the annual rule on marketplace operations and health plans expected this fall, we take a look at how consumer advocates responded to the Trump administration’s request earlier this summer on how it could reduce the regulatory burdens of the Affordable Care Act in the last of our three-part series. These comments, along with comments from insurers and state officials, may be used to inform future rulemaking, including the rule expected this fall.

States Take the Lead with Policies to Protect Residents with Chronic Conditions from High Out-of-Pocket Drug Costs

Posted September 12, 2017 by CHIR Faculty

Lowering the cost of prescription medication has broad support over the political spectrum and there were many campaign promises to reduce prices. But to date, there’s been little federal action. States, however, are taking the lead with policies designed to protect consumers with chronic conditions from high out-of-pocket costs associated with expensive specialty drugs. A new CHIR brief details the findings from a 50-state survey of such policies and observations from supplementary interviews with state regulators, insurance company representatives and consumer advocates.

Healthcare.gov Rolls out Two Operational Changes Related to Verifying Special Enrollment Periods and Immigration Status

Posted August 25, 2017 by CHIR Faculty

While Congress shifts away from talking about how to replace the Affordable Care Act to stabilizing the individual market, enrollment in ACA marketplaces continues. Recently, the administration made two operational changes affecting federally facilitated marketplaces and states using healthcare.gov: phase 2 of pre-verifying special enrollment eligibility and a process to electronically resolve data matching issues related to immigration status. CHIR’s Sandy Ahn summarizes the changes.

Future of Health Reform: A prescription for individual market stability

Posted August 21, 2017 by CHIR Faculty

As policy uncertainty in Washington, DC roils health insurance markets nationwide, states like Minnesota are stepping up to preserve consumer coverage choices and keep premiums affordable. In a conference at the University of Minnesota School of Public Affairs sponsored by BlueCross BlueShield of Minnesota, CHIR’s Sabrina Corlette joined in a wide-ranging discussion with state leaders over the future of the ACA. BCBSM’s Laura Kaslow shares some takeaways from the event.

Relaxing the ACA’s Regulations: Stakeholders Respond to HHS’ Request for Information, Part 2 – State Departments of Insurance

Posted August 10, 2017 by CHIR Faculty

In Part 2 of this three-part series, we look at how state departments of insurance responded to the administration’s request for information on reducing the regulatory burdens of the Affordable Care Act. CHIR’s Sandy Ahn summarizes the major themes from state responses.

Short-Term Health Plans: Still Bad for Consumers and the Individual Market

Posted August 10, 2017 by CHIR Faculty

Some state and federal policymakers are urging HHS to relax Obama-era rules for short-term limited duration health plans, arguing they provide a cheaper alternative to ACA-compliant coverage. But a close examination of these plans reveals significant risks for consumers and the ACA marketplaces as a whole. In their latest post for the Commonwealth Fund’s To the Point blog, CHIR experts Dania Palanker, Kevin Lucia, and Emily Curran share the results of a deep dive into what’s covered – and what’s not – in short-term plans.

Affordable Care Act Reforms Not Fully Realized for Small Businesses: New Study Documents a Market in Transition

Posted August 1, 2017 by CHIR Faculty

A new report published by the Urban Institute and Robert Wood Johnson Foundation uncovers trends in the market for small business health insurance that could have long-term implications for small employers who offer health coverage to recruit and retain employees and promote a healthy workforce. The authors, Georgetown CHIR experts Sabrina Corlette, Jack Hoadley, Dania Palanker and Kevin Lucia summarize some of their findings here.

Important Gains under the ACA for Cancer Patients And Their Families

Posted July 28, 2017 by CHIR Faculty

While there may be a respite from the push to repeal and replace the Affordable Care Act (ACA), a new report by the American Cancer Society Cancer Action Network, authored by CHIR’s JoAnn Volk and Sandy Ahn, exposes what’s at stake in the debate for cancer patients and their families. The report finds that the ACA improved access to coverage and provides significant financial protections. The report is based on more than a dozen interviews with hospital-based Financial Navigators, who work closely with cancer patients throughout their treatment and provide critical insight into the coverage experience of cancer patients.

“Small Business Health Plans”: Undermining States’ Authority and a Recipe for Fewer Plan Choices and Higher Premiums

Posted July 25, 2017 by CHIR Faculty

The U.S. Senate stands poised to debate a bill, the Better Care Reconciliation Act, that would not only repeal major provisions of the Affordable Care Act, but would also fundamentally alter the state-federal framework for insurance regulation. A key provision would create federally certified small business health plans that are exempt from most state laws. In their latest article for The Commonwealth Fund, Kevin Lucia and Sabrina Corlette examine the impact of this provision on small businesses and states’ historic authority to protect consumers and manage their insurance markets.