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Insurers, State Regulators Avoid Bare Counties in 2018, but Seek Long-Term Solutions

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…change as well as other issues. States also employed various regulatory levers to encourage insurer participation, such as clarifying regulatory standards regarding network adequacy, allowing flexibility in plan offerings, and sharing data on claims history. Some states also committed to future policies to stabilize the marketplace, including proposals for 1332 waivers (ultimately withdrawn in two of our study states). Another…

State Options Blog Series: Streamlined, Direct Marketplace Enrollment Has Risks, Benefits, but Much Depends on State Oversight

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…brokers to disclose their commissions, so consumers are aware of financial incentives to sell particular plans and products. Partner with other state agencies, such as the attorney general’s office, to ensure that web-based brokers have adequate safeguards in place to protect consumers’ sensitive personal and financial data. Code consumer complaints to flag when a consumer was assisted by a web-based…

State-Based Marketplaces Push Ahead, Despite Federal Resistance

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…administration seized on headlines of insurer exits, state-based marketplaces worked diligently to maintain insurer participation. And while the administration reduced funding for outreach, state-based marketplaces either increased their marketing budgets or modified their strategies to counter misinformation and raise awareness of new deadlines. To learn more about how state-based marketplaces are approaching open enrollment, visit the Commonwealth Fund blog here….

Proposed 2019 Affordable Care Act Payment Rule: A Big Role for States

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…be burdensome for states who would need to invest resources in assessing whether the new benchmark plan option meets new federal requirements, facilitating a public notice and comment period, collecting and submitting additional data to HHS, instructing insurers on how to make changes, and implementing new EHB-benchmark plans and limits (such as converting dollar limits to non-dollar limits). HHS also…

States Step Up to Protect Consumers in Wake of Cuts to ACA Cost-Sharing Reduction Payments

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By Sabrina Corlette, Kevin Lucia, and Maanasa Kona On October 12, President Trump announced he would discontinue reimbursements to insurance companies for Affordable Care Act (ACA) cost-sharing reduction (CSR) plans offered through the health insurance marketplace. Ending the CSR reimbursements is projected to cost insurers $8 billion in 2018 alone – but will ultimately cost taxpayers, too. Thanks to the…

I’m A Certified Application Counselor. This Year’s Open Enrollment Will Be the Most Challenging Yet

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…under a health plan. Establishing this kind of trust in a 90-minute timeframe is often straining, particularly for those concerned about revealing personal information. For consumers that have limited English proficiency, the process can be twice as long and difficult. Why this Enrollment Season will be My Toughest Yet This year, just getting consumers to come in at all for…

It’s Not Time to Give Away Consumer Protections for Cost-Sharing Reduction Reimbursements

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…financial losses associated with the end of CSR payments, many may question their long-term commitment to the marketplaces. Some may worry about the loss of healthy, unsubsidized enrollees. Others may be concerned about a continued partnership with a federal government that appears committed to the market’s demise. Ultimately, it will be federal taxpayers hurt the most by the government’s decision…

States Work to Preserve Affordable Care Act Progress amidst Federal Disorder

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Over the past year, states have juggled a litany of changes coming from the federal government relating to the Affordable Care Act (ACA). In the last few months alone, those watching the ACA marketplaces have witnessed repeated attempts to repeal or replace the law, questionable enforcement of the individual mandate, cuts to outreach and enrollment funding, and most recently, the…

A Blow to Working Class Coverage

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…health services. The administration cannot repeal Obamacare’s insurance protections – those are written into law – but many insurers could likely stop offering plans that comply with them. Why would they? Those plans, which are not allowed to underwrite and must offer a comprehensive set of benefits, will be the coverage of last resort for people with pre-existing conditions. Few…

New Executive Order: Expanding Access to Short-Term Health Plans Is Bad for Consumers and the Individual Market

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…prior to 2016, some plans covered enrollees for an entire year. After becoming aware that some people were enrolling in short-term coverage as their primary coverage, instead of a comprehensive health plan, federal regulations limited short-term coverage to a duration of three months. Today’s executive order is expected to be the first step to reverse this limitation and allow short-term…

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.