Author Archive: CHIR Faculty

New Report: States Going Above and Beyond to Create Sustainable Exchanges and Deliver Choice and Value to Consumers

In a new report for The Commonwealth Fund, Sarah Dash, Kevin Lucia, Katie Keith, and Christine Monahan provide a comprehensive look at the critical design decisions made by 17 states and the District of Columbia that chose to establish a state-based exchange for 2014. Sarah Dash has highlights from the report and discusses what the findings mean for stakeholders.

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.

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.

Figuring Out Premium Tax Credits

Amid debate about the cost of health insurance under the Affordable Care Act, our colleague at Georgetown’s Center for Children and Families, Joe Touschner, helps us understand how the law’s premium tax credits will make coverage more affordable for millions of consumers. In this blog he shares some recently released resources that help simplify this complex topic.

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.

Navigator and Assister Training is Not a One-Shot Deal

The state-based and federally facilitated marketplaces have been busy recruiting and selecting navigators, and now attention turns to training and support. In this guest blog from our Center for Children and Families colleague Tricia Brooks, she makes the case for a robust, holistic approach to building, supporting, and sustaining a high-functioning network of assisters that can ensure consumers needs are fully met.

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.

Reflections on Repeal Redux

Last week marked the thirty-seventh time that the House has voted to repeal the Affordable Care Act. Sally McCarty reflects on how that news may have been received by the millions of people who are already benefiting from the law’s early market reforms and, in particular, those formerly plagued by lifetime limits on their health insurance.

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.