Author Archive: CHIR Faculty

Some Changes in Store for 2016 Health Plans that Affect Consumers

While open enrollment for 2015 has ended, insurers and marketplaces alike are gearing up for 2016 with federal guidance outlined under the 2016 Letter to Issuers and 2016 Benefits and Payment Parameters Final Rule. Sandy Ahn summarizes some of the changes in store for 2016 health plans that affect consumers.

Final Rule on Wraparound Coverage as an Excepted Benefit

The Obama administration released a final rule providing the requirements for wraparound coverage to qualify as an excepted benefit. Excepted benefits are generally exempt from the Affordable Care Act market rules and popular with employers who want to offer additional benefits. CHIR’s Sandy Ahn provides a summary of the rule.

The Affordable Care Act CO-OP Program: Facing Both Barriers and Opportunities for More Competitive Health Insurance Markets

The recent financial troubles of some CO-OP plans created under the Affordable Care Act have sparked questions about the long-term viability of the program. In their latest blog post for the Commonwealth Fund, CHIR experts Sabrina Corlette, Kevin Lucia, Justin Giovannelli and Sean Miskell assess the current status of the CO-OP program, challenges to success, and prospects for the future.

The Latest on Special Enrollment Periods: An Assessment of State Approaches in 2014 and Update for 2015

Special enrollment is available to individuals who experience qualifying events allowing them to enroll into marketplace coverage. A new issue brief co-authored by CHIR’s Sandy Ahn and Kevin Lucia, along with authors from the Urban Institute, found that special enrollment systems and procedures were still a work in progress in five state-based marketplaces last year. Sandy and Kevin also discuss additional SEPs available this year.

After a Slow Start, Federal Small Business Health Insurance Marketplace Offers New and Improved Functions

With intense focus on enrollment in the Affordable Care Act marketplaces, enrollment through the Small Business Health Options Program (SHOP) has flown under the radar by comparison. In their latest blog post for the Commonwealth Fund, Kevin Lucia, Justin Giovannelli and Sean Miskell discuss early challenges for the SHOP as well as recent improvements.

The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.