Category: Implementing the Affordable Care Act

Stable Rates Reflect Strength of ACA Marketplaces

At the start of the COVID-19 pandemic, many predicted that insurers would need to dramatically hike their premiums. As it turned out, the opposite occurred, with average rates declining for 2021. In an Expert Perspective post for the State Health & Value Strategies program, CHIR’s Sabrina Corlette and Manatt Health’s Joel Ario examine the factors that led to a stable year for ACA insurance rates.

Navigator Guide FAQ of the Week: Who is Eligible for Financial Assistance?

Open Enrollment is in full swing across the country. As consumers consider their coverage options, many will qualify for subsidies to help pay for premiums and out-of-pocket expenses if they enroll in a plan through the marketplace. Throughout the enrollment period, CHIR is highlighting frequently asked questions from our recently updated Navigator Resource Guide. In this installation, we answer questions about financial assistance available to individuals and families.

COVID-19 and MLR Guidance on Risk Corridor Recoveries: State Options for Restoring Funds to Policyholders and the Public

The Supreme Court has required the federal government to reimburse health insurers for an estimated $12.3 billion in unpaid risk corridor funds and the Trump administration recently published guidance to insurers that affects the amount to be returned to policyholders. In an Expert Perspective for the State Health & Value Strategies program, Sabrina Corlette and Jason Levitis consider the effects of this guidance and state options for redirecting insurers’ extra cash to benefit policyholders and the public.

Ensuring Access to the COVID-19 Vaccine for Enrollees in Private Health Insurance: A Roadmap for States

States and the federal government are preparing for the approval of a COVID-19 vaccine. But just as important as distributing and administering the vaccine is figuring out how to pay for it. In her latest “expert perspective” for the State Health & Value Strategies program, Sabrina Corlette discusses recent federal efforts to ensure that private health plans cover the full costs of a COVID-19 vaccine, as well as options for states to close potential gaps in coverage.

Navigator Guide FAQs of the Week: I Need Health Insurance. Where Should I buy it?

Open enrollment for the Obamacare marketplaces begins on November 1. While CHIR has been working hard the last several weeks to re-launch its Navigator Resource Guide with updated frequently asked questions and other exciting new features, many are just beginning to think about their health plan options for 2021. For those folks we have some helpful FAQs about the importance of coverage and the process for applying.

September Research Roundup: What We’re Reading

This September, CHIR’s Nia Gooding reviewed new studies on state health system performance, differences in health care spending between Medicare and private payers, and deceptive insurance marketing practices.

As Insurers Return to ACA Marketplaces, SCOTUS Case Looms Large

The ACA marketplace has seen many disruptions since its implementation but in a sign of greater stability, major insurers are re-entering the marketplace or expanding their footprint. CHIR’s Megan Houston assesses the factors that are driving these insurers’ decisions, just as the ACA faces another challenge from the Supreme Court next month.

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.