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Down to the Wire: Indecision on ACA Cost-Sharing Reduction Payments Creates Confusion for States

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…state officials are struggling to keep their insurance markets afloat in the face of the Trump administration’s continued indecision over whether to reimburse insurance companies for Affordable Care Act (ACA) cost-sharing reduction (CSR) plans. And time is running out. In their latest blog post for The Commonwealth Fund, CHIR’s Sabrina Corlette and Kevin Lucia describe the different directives that state…

EEOC Wellness Regulations Found Arbitrary and Capricious: Raises Importance of Public Comments

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…threshold. Importance of Commenting on Federal Regulations The Judge relied heavily on public comments submitted to the proposed regulations as part of the administrative record. This is an interesting aspect of the decision because it highlights the importance of the public commenting process as part of the APA and federal policy making. For example, the Judge referenced comments submitted by…

Healthcare.gov Rolls out Two Operational Changes Related to Verifying Special Enrollment Periods and Immigration Status

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…facilitated marketplace and states using healthcare.gov. Phase 2 of Special Enrollment Period Pre-enrollment Verification (SEPV) The administration implemented phase 2 of the special enrollment period pre-enrollment verification (SEPV) process that was announced in the market stabilization rule issued earlier this year. As we blogged about previously, the SEPV process requires individuals that experience common life events to submit documentation verifying…

Future of Health Reform: A prescription for individual market stability

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…up with Corlette following the presentation to get her thoughts on what needs to come next for stabilizing the individual market. Corlette outlined the following challenges and opportunities she sees within the current marketplace. Three threats facing the individual market An underlying sense of uncertainty about short and long-term stability is driving three marketplace threats. Corlette says that these threats…

Lots of Questions but Few Answers: NAIC’s 2017 Summer Meeting

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…under the waivers, both on the process for submitting them and in meeting statutory guardrails. The Senate HELP committee has announced hearings on stabilizing the individual market when Congress returns from their August recess, giving stakeholders an opportunity to offer their proposals to shore up the marketplaces and stabilize premiums. If the Trump administration doesn’t commit soon to CSR funding…

Relaxing the ACA’s Regulations: Stakeholders Respond to HHS’ Request for Information, Part 2 – State Departments of Insurance

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…this three-part series, we turn to comments from state departments of insurance (DOIs) and the National Association of Insurance Commissioners (NAIC). State comments that we reviewed are as follows: Alaska California (Department of Insurance and Department of Managed Health Care) Kentucky Minnesota* New York* Oregon Washington West Virginia Wisconsin Vermont National Association of Insurance Commissioners *These state departments of insurance…

Short-Term Health Plans: Still Bad for Consumers and the Individual Market

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…longer than 3 months. In their latest article for The Commonwealth Fund’s To the Point blog, CHIR experts Dania Palanker, Kevin Lucia and Emily Curran examine short-term plans offered in 14 states and how they compare to ACA compliant plans in regards to benefits covered, preexisting condition protections, and cost sharing protections. You can read the full blog post here….

Relaxing the ACA’s Regulations: Stakeholders Respond to HHS’ Request for Information: Part 1—Insurers

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…CHIR pulled a sample of comments submitted by health insurers, state departments of insurance, and consumer advocate organizations. In Part 1 of this three-part series, we will review comments from large and small insurers, including those offered by two national trade associations: Aetna America’s Health Insurance Plans (AHIP) Blue Cross Blue Shield Association (BCBSA) Blue Shield of California Centene Corporation…

Affordable Care Act Reforms Not Fully Realized for Small Businesses: New Study Documents a Market in Transition

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…created an environment that expanded coverage options for many small employers, particularly those with young and healthy workers. Many small employers have remained in transitional “grandmothered” plans that are not ACA-compliant in states that continue to allow them. But enrollment is beginning to decline as sicker groups shift to the ACA-compliant market. Enrollment has steadily declined or disappeared completely in…

No Rest for the Weary: Unexpected Defeat of ACA Repeal Effort Doesn’t Mean End of Threats to Law

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…for health insurance – through the voluntary participation of private companies. Nothing compels these companies to offer plans through the marketplace. Yes, insurers can raise premiums if they know in advance that subsidies will be cut or the mandate won’t be aggressively enforced. But when premium rates have to be submitted months before plans are sold, mid-stream policy or operational…

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.