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Winding Down the Small Business Marketplaces: Feds Acknowledge the Failure to Launch

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…enrollment and failed expectations, the agency intends to shift how small businesses and their employees enroll in coverage, while still providing access to federal tax credits. Beginning January 1, 2018, the agency proposes that employers complete their eligibility determination on HealthCare.gov, and then enroll directly through insurance companies or registered agents and brokers, rather than comparing and selecting coverage on…

Proposed Premium Rates for 2018: What do Early Insurance Company Filings Tell Us?

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…which provide a narrative description of the factors driving proposed rate increases. These early filings, made available in just a few states, provide a glimpse into how insurers are responding to the considerable uncertainty over federal policy when it comes to the ACA. What do the early rate filings tell us? In general, insurers participating in the ACA-compliant individual market…

Mother’s Day Menu from Congress and the American Health Care Act

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This Mother’s Day, Congress is giving mothers a new health coverage menu with options for states and insurance companies to reduce their coverage through the American Health Care Act (AHCA). Highlights include: MOTHER’S DAY AMERICAN HEALTH CARE ACT MENU: Annotated Version Appetizer Choice of: No Pregnancy Coverage or Purchase a Separate Maternity Rider The ACA guarantees all new health insurance…

The MacArthur Amendment: The Final Death Blow for the Affordable Care Act CO-OP Plans

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…exempts the ACA’s multi-state plan program from the waivers. This is likely to have limited effect, since the only insurers offering multi-state plans are Blue Cross Blue Shield (BCBS) companies and the New Mexico CO-OP plan. The BCBS companies will likely discontinue their participation in the program if not allowed to compete on a level playing field with their competitors….

2017 Federal and State Marketplace Trends Show Value of Outreach

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…that may have had a positive effect on final selections. While it’s difficult to identify the exact factors that led some states to experience high enrollment gains while others did not, early data suggest that state-based efforts to make larger investments in outreach and consumer assistance likely had an impact. To read more, visit the Commonwealth Fund blog here.  …

Alexander-Corker Bill Would Likely Reduce, Not Expand, Consumers’ Health Insurance Options

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…to buy non-ACA-compliant plans would be attractive to insurance companies that have a substantial business selling those plans, and it could prompt insurers that haven’t offered non-ACA-compliant plans to begin doing so. And, insurers might be able to raise premiums for their non-ACA plans without losing many customers because the new access to premium credits would defray many consumers’ costs…

Court Dismisses Blue Cross and Blue Shield of North Carolina’s Risk Corridor Lawsuit—What About the Other Risk Cases?

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…filed such a suit, alleging that the government is “obligated by statute, regulation and contract” to pay the company $147 million in mandatory risk corridor payments for 2014—of which it received only $18 million—in addition to an estimated $175 million for 2015. The company argued that the government’s failure to fulfill its promise exacerbated losses and made it more difficult…

New Report Emphasizes States’ Power to Protect Consumers and Ensure Stable Markets in the Midst of Federal Uncertainty

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…the hot seat of implementing and overseeing major changes to the health care system. While there is no clear path forward, it is certain that state regulators will continue to play a critical role in ensuring access to affordable health insurance. In a new report funded by the Robert Wood Johnson Foundation, the National Association of Insurance Commissioners (NAIC) Consumer…

At NAIC Spring National Meeting, the Future of the Affordable Care Act Was Front and Center

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…issues. In multiple committees, state regulators discussed not just threats to ACA-regulated markets, but also opportunities for state action. Below are some of the highlights from the committees that met: A representative of the American Academy of Actuaries told members of the Health Actuarial Task Force (HATF) that the continuous coverage requirements and enrollment penalties proposed as substitutes for the…

Who Would Gain Under the Proposal to Expand Health Savings Accounts?

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…greater use of these tax-preferred accounts feature prominently in most Republican proposals to repeal and replace the Affordable Care Act. In a new publication for The Commonwealth Fund, JoAnn Volk and Justin Giovannelli examine how HSAs are working under current law and who stands to benefit if the rules governing these accounts are loosened. You can read their findings here….

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.