Category: Implementing the Affordable Care Act

Supporting Continuity of Coverage from Medicaid into the Marketplace: Post-PHE Considerations for States

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States are expected to resume redeterminations of Medicaid eligibility in early 2023, resulting in a projected 15 million people losing access to Medicaid. Ensuring these individuals transfer to another source of coverage smoothly and seamlessly is a particular challenge for states. In their latest Expert Perspective for the State Health & Value Strategies program, Jason Levitis and Sabrina Corlette delve into specific options for states to promote continuity of coverage.

Navigator Guide FAQs of the Week: Small Businesses

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The marketplaces are critical source of health insurance for small businesses, including small business owners, sole proprietors, and workers. In our weekly installment of FAQs from the Navigator Resource Guide, we highlight questions about marketplace coverage for small business owners and their employees.

The Erosion of Employer-Sponsored Health Insurance and Potential Policy Responses

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Employer-sponsored insurance (ESI) covers 160 million Americans, but the adequacy of these plans is in decline. In a new series for CHIRblog, Maanasa Kona and Sabrina Corlette assess some proposed policy options designed to improve the affordability of ESI. The first blog of the series looks at the primary drivers of the erosion occurring in ESI and identifies three recognized policy options to improve affordability for employers and workers alike.

Navigator Guide FAQs of the Week: Family Glitch Fix

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Open Enrollment for 2023 is in full swing, and our recently updated Navigator Guide has hundreds of FAQs that are likely top of mind for consumers and those assisting them. This week, CHIR’s Kristen Ukeomah highlights FAQs regarding the recent fix to the “family glitch.”

October Research Roundup: What We’re Reading

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The leaves may be changing, but the importance of health policy research is evergreen. Last month, we read up on the results of a survey on the state of U.S. health insurance coverage, enrollment patterns on- and off-marketplace, and the impact of marketplace enrollment strategies.

Bridging the Gap: Oregon’s Proposal to Ease Coverage Transitions at the End of Public Health Emergency

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At the end of the COVID-19 public health emergency, millions of people will lose Medicaid as states resume eligibility determinations. To help connect these consumers to a new source of affordable coverage, Oregon is considering an option under the ACA to leverage federal funding for health plans that cover lower-income consumers: a Basic Health Program (BHP). CHIR took a look at a recent state task force report recommending a BHP in Oregon to serve as a “bridge program.”

Value for Whom? HHS Office of Civil Rights Seeks Input on the Impact of Payers’ Value Assessments on Health Equity

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As health care costs continue to rise, stakeholders are looking to innovations in provider payments and benefit designs grounded in the known “value” of different health services. But these strategies might fail to reflect the needs, values, and preferences of certain patients. This tension is evident as the Department of Health and Human Services’ Office of Civil Rights considers whether value assessment methodologies discriminate against protected groups, such as people with disabilities and older adults.

New and Improved Navigator Resource Guide Answers Common Enrollment Questions and Reflects Policy Changes for 2023

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The tenth open enrollment season for the Affordable Care Act’s marketplace is in full swing. With support from the Robert Wood Johnson Foundation, CHIR has updated and improved our Navigator Resource Guide. Navigators and other enrollment assisters can access over 300 frequently asked questions and answers, state fact sheets, a summary of new federal policies for 2023, and more.

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.