Category: Implementing the Affordable Care Act

States Attempt to Rein in Rising Health Care Costs: Is a Self-Regulating Industry Enough?

Colorado lawmakers recently announced that hospital and health plans had agreed to remain “neutral” on the state’s proposal for a public option plan. That’s in part because Colorado is hoping the industry will voluntarily achieve spending reductions, without state intervention. CHIR’s Megan Houston assesses how that approach is working in other states that have tried it.

Opponents of Fixing the Family Glitch Reveal their Fundamental Misunderstanding

The “family glitch,” a loophole in federal rules, bars millions of people from subsidized coverage because they have access to a family member’s employer-sponsored coverage The glitch is easy to fix, through either regulation or legislation. CHIR exposes that a paper released this week claiming a fix is illegal and harmful is based on a faulty presumption.

March Research Roundup: What We’re Reading

The CHIR team is excited to transition into spring, as with the warmer weather has come some great new health policy research! This month, Nia Gooding reviewed studies on best practices for implementing the No Surprises Act, the American Rescue Plan Act’s effect on insurance premiums, demographic variations in the U.S. uninsured population, and models for implementing a public option.

Rookie Report: How did New Jersey and Pennsylvania State Marketplaces Fare in Their Inaugural Enrollment Period?

After seven enrollment cycles on HealthCare.gov, New Jersey and Pennsylvania both launched new state marketplace websites in time for the latest Open Enrollment Period. Both states saw increases in marketplace enrollment over previous years. To understand how this transition went for Pennsylvania and New Jersey residents, and to extract potential lessons for the states that are transitioning to running their own marketplaces, we sought insight from people on the ground: consumer assisters.

Removing Roadblocks: Special Enrollment Period Data Show Increase in Marketplace Signups

Last month, the Biden administration established a temporary special enrollment period (SEP) on the federal health insurance marketplace in response to the ongoing COVID-19 pandemic. In the first two weeks of the SEP, the federal marketplace saw a rise in enrollment activity, and the expansion of premium subsidies under the American Rescue Plan is expected to generate even greater enrollment increases. CHIR’s Rachel Schwab takes a look at how recent federal actions tap into the Affordable Care Act’s potential and expand its reach.

February Research Roundup: What We’re Reading

In the spirit of Valentine’s Day, this February CHIR’s Nia Gooding reviewed some lovely studies on trends in the uninsured population, the impact of Medicaid expansion on coverage rates and healthcare access among young adults, and the effect that cost-sharing has on patient behavior and health outcomes. 

Are the Good Times Over for Health Insurers?

Insurer’s fourth quarter earnings showed a decline in profits after the surge in COVID-19 hospitalizations at the end of the year. CHIR’s Megan Houston considers how the pandemic has impacted health plans and how this fits into overall trends from the past year.

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.