Category: Implementing the Affordable Care Act

A Long-term Financing Solution for Mobile Crisis Services

Policymakers increasingly recognize the need for alternatives to law enforcement-driven responses to behavioral health crises. In a new issue brief for the Robert Wood Johnson Foundation’s State Health & Value Strategies program, CHIR teamed up with experts from Manatt Health to provide recommendations for a hybrid coverage and funding approach for mobile crisis services.

What’s New for 2022 Marketplace Enrollment?

Open Enrollment is just around the corner. There are new policies for the marketplace in 2022, including an expansion of opportunities to sign up for health coverage during and outside the annual open enrollment period. As a preview to our updated Navigator Resource Guide, CHIR provides a summary of some changes that may affect people enrolling in marketplace plans.

To Avoid Big Coverage Losses, Marketplaces Need to Prepare for the End of the Public Health Emergency

The resumption of Medicaid eligibility redeterminations at the end of the COVID-19 public health emergency could result in millions of people losing their Medicaid coverage. The state and federal health insurance marketplaces can play a significant role helping many of these individuals transition to subsidized private insurance, but they need to start planning now.

COVID “Long Haulers” Can Carry Additional Burden of Getting Insurers to Cover Care

COVID-19 survivors may experience new symptoms well after their initial infection. Health systems offer these patients help with managing their conditions, but COVID-19 is a novel disease, and research demonstrating effectiveness of treatments for many post-COVID conditions is sparse. Karen Davenport takes a look at some of insurance implications of the dearth of information on “long COVID.”

State-Based Marketplaces Eye Health Equity, Expanding Enrollment Under New Federal Grants

Last month, the Centers for Medicare & Medicaid Services announced $20 million in grant funding for the 21 state-based marketplaces (SBM). The federal funding, allocated under the American Rescue Plan, will allow SBMs to modernize their technology platforms, outreach programs, and other systems and operations to ensure compliance with federal requirements, including the temporary expansion of marketplace subsidies. CHIR’s Rachel Schwab takes a look at some of the initiatives SBMs are planning with the new grant funding.

September Research Roundup: What We’re Reading

In our newest monthly roundup of health policy research, CHIR’s Rachel Swindle reviews studies on consumer knowledge of marketplace options, the consequences of allowing the American Rescue Plan’s marketplace subsidies to expire, and downstream impacts of cost sharing trends. 

Final Round of Rulemaking for 2022 Affordable Care Act Marketplaces: Implications for States

The Biden administration continues to put its stamp on the Affordable Care Act marketplaces with new rules to expand enrollment and consumer assistance, increase plan oversight, and reverse several Trump administration policies. In her latest post for the State Health & Value Strategies program, CHIR’s Sabrina Corlette highlights the issues of particular importance to state marketplaces and departments of insurance.

The No Surprises Act Proposed Rule on Air Ambulances and Enforcement: Implications for States

This month the Biden administration released a second rule implementing the No Surprises Act, the new federal law banning balance bills in certain care settings and circumstances starting in 2022. In an Expert Perspective for the State Health & Value Strategies project, CHIR experts JoAnn Volk and Sabrina Corlette review provisions of the proposed rules of particular import to state-based marketplaces and state insurance regulators.

Building a Better Transparency Mousetrap: Recommendations to Optimize Hospital and Health Plan Price Disclosures

Amidst high and rising health care costs, recent federal regulations require hospitals and health plans to publicly post their prices. Such data can be useful for those seeking to control costs and improve affordability, but lack of compliance with the new requirements and data accessibility have made analysis difficult. To gain insights into the potential for this data and generate ideas for how to optimize the information to help reduce health system costs, CHIR convened a meeting of health care researchers, purchasers, and insurance regulators from around the country.

Public Input on How to Design a Federal Public Option

Congressional leaders requested input from the public on how to design a federal public health insurance option. CHIR’s Christine Monahan compiled and reviewed dozens of publicly available responses and shares key takeaways, as well as links so you can take a closer look.

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.