Proposed “Public Charge” Rule Risks Immigrants’ Access to Private Coverage, Too

A federal proposal would make it more difficult for immigrants to obtain a green card if they’ve received certain public benefits like Medicaid. Although the policy doesn’t include the Affordable Care Act’s premium tax credits in its list of public benefits, there are several ways the proposed rule could place immigrants’ access to private coverage at risk. Sabrina Corlette takes a look.

September Research Round Up: What We’re Reading

This September, CHIR’s Olivia Hoppe focuses in on health care spending and costs with new studies on how consolidation impacts individual market premiums, spending under employer-sponsored health insurance, the effects of removing financial incentives for quality, and pharmaceutical reference pricing. With health care costs at the forefront of consumers’ minds, these new studies shed light on what contributes to America’s exorbitant health spending.

New Report Shows Role of Medicaid Expansion in Rural Area, Small Town Health Coverage

Under the Affordable Care Act, 33 states and the District of Columbia expanded Medicaid, greatly increasing coverage under the public program. In a new report, our sister center,
the Center for Children and Families, examines the impact of Medicaid expansion on health coverage in rural areas and small towns, communities that for many years have faced high premiums and limited choices on the private insurance market.

House Farm Bill Supports AHPs with Federal Grants—Following in the Footsteps of the ACA’s CO-OP Program

The Farm Bill currently being debated in a House-Senate conference committee enables the Secretary of Agriculture to create a loan and grant program to assist in the establishment of agricultural association health plans (AHPs). The bill’s injection of federal funding for the purpose of creating new health insurance options is strikingly reminiscent of the ACA’s CO-OP Program. As Congress considers directing federal dollars into AHPs, we look back at the experience of the CO-OP program, which demonstrates just how difficult it is to build a new insurance company.

Federal Flexibility Grants Highlight State Priorities for Market Stability

Last month, the Department of Health & Human Services awarded $8.6 million in grants to 30 states and the District of Columbia to provide additional support to implement certain ACA market reforms, including guaranteed issue, guaranteed renewal, and the Essential Health Benefits. CHIR’s Rachel Schwab took a look at how states plan to use the federal funding, and what tops the list of state market stabilization and consumer protection priorities.

Massive Navigator Funding Cuts Pose Risks for Consumers, Marketplaces

On September 12, the Centers for Medicaid and Medicare Services released the in-person assistance awards for the 2018-2019 enrollment season. The Administration allotted $10 million to the federally facilitated marketplaces, a more than 80 percent drop in funding over two years. CHIR’s Olivia Hoppe explains the risks the funding cuts pose on consumers and the ACA marketplaces.

When Policy and Politics Conflict: Challenges to State-level Market Stabilization Efforts

Within the last month, Delaware has adopted two policies with diametrically different effects on their small business insurance market. One would help make the market stronger and more stable, the other would do the opposite. CHIR’s Sabrina Corlette delves into some of the challenges facing states seeking to stabilize their health insurance markets during a time of considerable policy upheaval.

Next Effort to Repeal ACA Would Likely Look Like Last One

Congressional Republicans plan to pursue another attempt at repealing the Affordable Care Act next year if they maintain control of Congress after the midterm elections in November. Our Center for Children & Families colleague Edwin Park delves into what this would mean for Medicaid and insurance protections for people with pre-existing conditions.

August Research Round Up: What We’re Reading

Summer is over, but health policy researchers have hardly taken a vacation. In August’s research round up, CHIR’s Olivia Hoppe looks into studies examining specialty drug coverage across commercial plans, the effects of the Affordable Care Act on people of different income levels, individual market premium predictions, employer-sponsored high-deductible health plans, and surprise medical bills in employer-sponsored insurance.

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.