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Important Gains under the ACA for Cancer Patients And Their Families

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…ACA greatly improved opportunities to access coverage for cancer patients; however, obtaining affordable coverage is still difficult for patients living in states that did not expand Medicaid and don’t qualify for financial assistance with marketplace coverage. The ACA’s minimum standard for comprehensive coverage and important financial protections like the annual limit on out-of-pocket costs help ensure cancer patients receive treatment…

“Small Business Health Plans”: Undermining States’ Authority and a Recipe for Fewer Plan Choices and Higher Premiums

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…laws. Such plans, referred to as “Small Business Heath Plans” (SBHPs), would not have to comply with state consumer protection standards and would be allowed to cherry pick healthy employer groups away from the state-regulated small-group market. In their latest article for The Commonwealth Fund’s To the Point blog, CHIR experts Kevin Lucia and Sabrina Corlette examine the rationale behind…

Insurer Q2 Earnings Reports Begin—How Will Companies React to Federal Uncertainty?

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…have taken note of the positive change. For example, Insurance Commissioner Teresa Miller last week commented, “Pennsylvania’s market really is stabilizing.” So why the dire headlines? Despite insurers’ cautious optimism that their marketplace business is leveling out, insurers are now grappling with a tremendous amount of uncertainty, as the Trump Administration and Congress attempt to repeal the ACA. Many insurers…

New Special Enrollment Roadblocks for Consumers: Hindering, not Helping Consumers Get Coverage

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The Trump administration has made various policy changes related to special enrollment periods (SEPs) for marketplace coverage. These went into effect on June 23, 2017. The administration made these changes at the behest of insurance companies, who complained that consumers enrolling through marketplace SEPs had higher health care costs than those who enrolled during the open enrollment period. Now, when…

A Head Scratcher of a Bill: Revised Senate Health Care Legislation Likely to Undermine Pre-existing Condition Protections, Upend Insurance Markets

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…proposal, if enacted, would result in as many as 1.5 million people with pre-existing conditions paying higher premiums. By allowing insurers to sell plans that do not need to comply with ACA rules alongside ACA-compliant plans, the Cruz proposal all but guarantees that premiums for ACA-compliant plans will skyrocket. Insurers won’t be required to accept people with pre-existing conditions into…

Have Employer Coverage? GOP Proposals Will Affect You Too (Part 2)

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…coverage. What Are The Risks For People With ESI Who Have Pre-Existing Conditions? Now let’s look at what might be lost. The biggest risks are for employees with pre-existing and chronic conditions because they can no longer count on comprehensive benefits and the ACA’s protections against catastrophic costs that are tied to those benefits. Both the House and Senate bills…

A Snake in the Grass? Choosing Between COBRA and Other Coverage Options After Leaving Employer Coverage

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Today is my last day at Georgetown’s Center on Health Insurance Reforms. As I pack up my desk to make room for the new research associate, I bid farewell to my colleagues, my Politico Pro subscription, and of course, my Georgetown-sponsored health insurance. With an eye on the proposed legislation that would repeal major parts of the Affordable Care Act…

What Makes Covering Maternity Care Different?

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…prevent life-threatening complications. Yet, just as the policy discussion to eliminate access to insurance coverage for pregnancy services occurs, women are dying from preventable complications of childbirth in the United States. A recent study by the CDC Foundation found that 60 percent of maternal mortality deaths are preventable. There are numerous factors besides health coverage that result in the high…

Amid Market Uncertainty, Trump Administration Retreats from Health Plan Oversight

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…federal oversight of provider networks and eliminates specific quantitative standards for judging whether plans’ networks are sufficient; Relaxes oversight of federal rules prohibiting marketplace plans from picking and choosing the geographic locations they serve in ways that discriminate; Weakens federal requirements for plans to provide access to “essential community providers,” like safety-net hospitals and community health centers, which serve predominately…

Signs of Marketplace Stability May Be Undercut by Federal Policy Uncertainty

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…clarity and support. If not, insurers will be motivated to exit and substantially increase premiums. [1] As of Q1, Cigna’s total individual commercial membership was 353,000, while United’s was 585,000. The companies’ ACA-compliant memberships are likely to be lower than the total individual commercial memberships. Editor’s Note: This post was made possible by a generous contribution from The Commonwealth Fund….

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.