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

In the fourth of a multi-part blog series on state options in the wake of federal actions to roll back or relax Affordable Care Act regulation, JoAnn Volk reviews recent changes to an enrollment pathway that may prove helpful in boosting enrollment, but also comes with potential risks for consumers. She discusses what state insurance regulators can do to ensure consumers are protected from pitfalls.

State-Based Marketplaces Push Ahead, Despite Federal Resistance

Open enrollment for 2018 started last week on the Affordable Care Act’s health insurance marketplaces. Along with its executive actions designed to weaken marketplaces operations, the Trump administration has taken a number of steps over the past year to curb marketplace enrollment. While the administration has scaled back efforts to provide health coverage, state-based marketplaces have taken a different approach. In their latest post for The Commonwealth Fund’s To The Point blog, CHIR’s Emily Curran and Justin Giovannelli share their findings from interviews with executives at 15 of the 17 states that operate their own marketplaces.

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

The U.S. Department of Health & Human Services published an annual set of proposed rules for the Affordable Care Act marketplaces on October 27. Called the “Notice of Benefit and Payment Parameters,” the rules set out expectations for insurers and the states that regulate them. In her latest post for CHIR, Katie Keith highlights key areas in which this administration would give states new autonomy and authority.

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

In the wake of President Trump’s decision to cut off payments for a key ACA subsidy for low-income enrollees, the impact felt by consumers and insurers will vary from state to state, depending on the actions of insurance regulators and insurance companies. In their latest post for The Commonwealth Fund’s To The Point blog, CHIR’s Sabrina Corlette, Kevin Lucia, and Maanasa Kona share findings from their 50-state review of insurers’ responses to the loss of cost-sharing reduction payments for 2018.

Got Questions on Private Health Insurance? Get the New and Improved Navigator Resource Guide

Marketplace enrollment is upon us. November 1 marks the start to the fifth open enrollment season. To help marketplace Navigators and others assisting consumers with marketplace eligibility and enrollment, we at CHIR have updated and improved our Navigator Resource Guide. The Guide houses over 300 frequently asked questions (FAQs) and answers about all things marketplace coverage-related, as well as information about employer-sponsored coverage. CHIR’s Sandy Ahn highlights some of the changes.

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

In the wake of a White House decision to end reimbursements to insurers for cost-sharing reduction (CSR) plans, a bipartisan agreement has emerged in Congress to restore them. However, negotiators are coming under pressure to make additional changes that would increase the number of uninsured and roll back protections for people with pre-existing conditions. CHIR’s Dania Palanker takes a look at what’s at stake and why it’s not worth compromising key Affordable Care Act protections in exchange for CSR payments.

States Work to Preserve Affordable Care Act Progress amidst Federal Disorder

It’s been a bumpy year for state insurance and marketplace officials, thanks to considerable uncertainty over the future of the ACA. CHIR’s Emily Curran highlights recent action suggesting that some states may be poised to reassert their authority over their insurance markets, as they work to maintain the ACA’s coverage gains and keep their markets stable.

A Blow to Working Class Coverage

On the heels of multiple failed attempts to repeal the Affordable Care Act, President Trump attempts to do what Congress could not: roll back the ACA’s protections for people with pre-existing conditions. In an opinion piece for U.S. News & World Report, CHIR’s Sabrina Corlette breaks down the potential impact of the President’s recent executive order.

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

President Trump signed a “very major” executive order related to health care that is “going to cover a lot of territory.” The executive order takes steps to roll back a consumer protection related to short-term health plans. In their latest post for the Commonwealth Fund’s To the Point blog, CHIR’s Dania Palanker, Kevin Lucia, and Emily Curran assess the proposed regulatory changes and their impact on consumers and insurance markets.

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.