Category: Implementing the Affordable Care Act
New CBO Numbers: Cause for Controversy or Celebration?

The Congressional Budget Office’s release of new numbers on the ACA’s impact on employment sparked attack and counter attack among opponents and supporters of the law. But CHIR blogger Sabrina Corlette noticed that the CBO’s projections suggest something we at CHIR have suspected and written about for a while: the beginning of the end of job lock.
Here’s the Latest on Mandate Exemptions
Republican Health Proposal Likely Means Less Coverage, Higher Costs, Fewer Consumer Protections

A trio of Republican Senators have introduced legislation repealing the Affordable Care Act and detailing alternative reforms to the health care system. However, as noted in this blog by Edwin Park of the Center on Budget and Policy Priorities, the bill rolls back important insurance reforms, makes coverage less affordable for low income people, and hobbles the Medicaid program.
How the “3 Rs” Contributed to the Success of Medicare Part D

Opponents of the Affordable Care Act are latching onto the law’s “3Rs” (risk corridors, risk adjustment, and reinsurance) as a “bailout” for insurers. Yet one of the models for the 3Rs is the Medicare Part D drug benefit, where these programs have been working for years to help stabilize premiums. Georgetown University Health Policy Institute’s Jack Hoadley provides some context – and strong evidence that the 3Rs are in place to protect beneficiaries and taxpayers – not bail out health plans.
I Bought a Health Insurance Policy But Now I Want to Change It, Can I?
Federal Court Ruling: Navigator Laws Cannot Impose Additional Requirements on Navigators and Other Assisters in Federal Marketplace States

A federal court has decisively struck down a Missouri law requiring navigators and other consumer assisters to be licensed and pay a fee. Our Georgetown University Center for Children and Families colleague, Tricia Brooks, takes a look at the ruling and what it might mean for navigator laws in other states.
The ACA: No Coverage for Biting Off Your Nose to Spite Your Face
Relief – and New Options – for High Risk Pool Enrollees

High risk pool enrollees face particular challenges transitioning to new coverage when their coverage ends. But announcements in the past week provide relief to both PCIP enrollees as well as those in state-based high risk pools. JoAnn Volk takes a look at what those announcements mean for consumers.
The Affordable Care Act’s Disclosure Rules: Can They Improve Coverage, Raise Care Quality, and Cut Costs?

The Affordable Care Act is designed to expand access to affordable and adequate health insurance, improve the quality and efficiency of care, and constrain rising health costs. While the closely watched insurance marketplaces are key to these efforts, among the most promising provisions is the law’s new transparency framework. In this latest in a series of blogs for the Commonwealth Fund, Justin Giovannelli, Kevin Lucia and Sarah Dash take a look at one important but overlooked tool.