Category: CHIR

CHIR Welcomes Back New Faculty: Christine Monahan

CHIR is pleased to welcome Christine Monahan, J.D. back to our team as an Assistant Research Professor. Christine will be working with us on a range of issues, including coverage expansion and affordability. Join us in welcoming her back to the CHIR family.

A Permanent Boost to Federal Premium Assistance Could Change State Approaches to ACA 1332 Waivers

The American Rescue Plan temporarily increases the availability and generosity of federal premium assistance for people who obtain coverage through the ACA marketplaces. Were Congress to make these premium subsidy enhancements permanent, states would have more breathing space to address other barriers to care, potentially with support from an ACA Section 1332 waiver. In a new work for The Commonwealth Fund, Justin Giovannelli examines how a permanent boost to federal subsidies could give states new and different opportunities to help their residents using the ACA’s waiver program.

Figuring out if COBRA Coverage is Right for You

By the end of May, employers must notify eligible employees and former employees about the COBRA subsidies under the American Rescue Plan. Many of these folks may also be eligible for enhanced premium tax credits through the Affordable Care Act. CHIR’s Maanasa Kona walks through the different coverage options available.

Minority Health Month: National Latino Week of Action

April is Minority Health Month, a good time to consider ways to reduce the wide disparities in health insurance access and coverage that particularly affect people of color. For the National Latino Week of Action, CHIR looks at changes in the uninsured rate among the Latino/Hispanic community, and identifies opportunities to build on coverage gains thanks to the American Rescue Plan Act of 2021.

The No Surprises Act and Preemption of State Balance Billing Protections

The No Surprises Act of 2020 sets up a new national framework to protect patients from surprise out-of-network medical billing. There have been numerous questions about whether and how the new federal law will preempt existing state protections. CHIR experts have prepared a handy fact sheet to walk through the nuances.

Federal Policy Priorities for Preserving and Improving Access to Coverage: Perspectives from State-Based Marketplaces

The Affordable Care Act’s health insurance marketplaces provide a critical source of coverage and financial assistance. Federal actions under the Trump administration undermined the marketplaces, but the new administration and Congress have opportunities to implement and advocate for policies that strengthen state-based marketplaces (SBMs). In a new issue brief for the Commonwealth Fund, CHIR experts assessed how federal policy decisions have impacted SBMs and the consumers they serve by interviewing directors and officials from 17 marketplaces.

January Research Roundup: What We’re Reading

As the snow continues to fall, the CHIR team has cozied up indoors with new health policy research. This month, Nia Gooding reviewed studies on rates of enrollment in Marketplace coverage for 2021, Navigator experiences enrolling consumers during the 2021 Open Enrollment period, and outcomes from balance billing arbitration in New Jersey.

Many States with COVID-19 Special Enrollment Periods See Increase in Younger Enrollees

President Joe Biden directed his administration to reopen the federal health insurance marketplace, an action the Trump administration refused to take last year after the COVID-19 pandemic struck due to adverse selection concerns. In a new post for the Commonwealth Fund, CHIR experts discuss how states that created a broad special enrollment period (SEP) for the uninsured in response to the pandemic – and broadcast the opportunity through outreach efforts – saw an increase in younger enrollees, seemingly contradicting claims that reducing SEP barriers inevitably leads to adverse selection.

Stakeholder Perspectives on CMS’s 2022 Notice of Benefit and Payment Parameters. Part 2: State Insurance Departments and Marketplaces

In one of the Trump administration’s last acts, the Centers for Medicare and Medicaid Services finalized some of the major provisions of the 2022 Notice of Benefit and Payment Parameters. In the second part of our blog series reviewing stakeholder comments, CHIR’s Rachel Schwab takes a look at how state insurance departments and state-based marketplaces responded to some of the recently finalized proposals.

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.