Policy Experts Talk Strategies, Obstacles for “Repeal and Replace”

The Affordable Care Act (ACA) has increased access to health care by expanding coverage and reducing the number of uninsured, but problems facing consumers and insurers have some calling for repealing, replacing, or repairing the law. It seems every day we are presented with a new replacement plan or proposed rule, leaving the future of the health care landscape uncertain. Recently, CHIR sent Rachel Schwab to cover two D.C. events that brought together health policy experts to discuss the options and obstacles in front of us.

Total Cost Estimators: Lessons from the ACA’s Marketplaces

CHIR researchers Justin Giovannelli and Emily Curran interviewed more than 40 marketplace officials, consumer assisters, technology vendors, and other subject matter experts to see how having an estimator can change consumers’ experiences in the marketplace and to understand the concerns of policymakers as they have considered whether and how to implement these tools.

Progress on Mental Health Coverage Could Be Gutted by ACA Repeal

State regulators were making progress on mental health parity enforcement, due in part to new federal grants and technical assistance. But a repeal of the ACA would put at risk further progress on achieving parity in coverage for mental health and substance use disorders.

Risky Business: Health Actuaries Assess the Individual Market and Rates

As the health care debate continues, we face a number of unknowns. Congressional leadership and President Trump vowed to repeal the ACA, but have yet to reach a consensus on the replacement plan. Meanwhile, consumers and insurers are making big decisions about health plans without knowing what the individual market will look like. Predicting the impact of unknown events is no easy task; if you’ve misplaced your crystal ball, the American Academy of Actuaries (AAA) recently released an issue paper on the future of the individual market, lending their expertise to a debate riddled with uncertainty.

Affordable Care Act Repeal Efforts Would Impact State Laws, Too

With much of the attention about ACA repeal efforts focused on Washington DC, it’s easy to forget that repeal-and-replacement efforts would significantly affect state approaches to insurance regulation. In their latest article for The Commonwealth Fund’s To The Point blog, Kevin Lucia and Katie Keith examine what might happen in the 32 states and D.C. that have adopted state-level ACA protections.

Repealing The ACA Could Worsen The Opioid Epidemic

As our country grapples with an “unprecedented opioid epidemic,” Congress is taking steps to take away an important tool to fight it — the Affordable Care Act (ACA). In a post for the Health Affairs blog, CHIR expert Dania Palanker and Urban Institute researchers Lisa Clemans-Cope and Jane Wishner assess policies and programs under the ACA that have helped tackle the opioid crisis and what could be lost if they are repealed.

Congress Asked States for Health Reform Ideas. They May Be Surprised by What They Hear

Shortly after the election, Congress asked state officials to provide input on repealing and replacing the Affordable Care Act. CHIR expert Sabrina Corlette tracked down 34 of those letters, and found the responses – particularly from states with Republican leaders – to not not always be what she expected. She shared her top takeaways here.

State Experiences Show Why Repealing the ACA’s Premium Subsidies and Individual Mandate Would Cripple Individual Health Insurance Markets

What will happen if the Affordable Care Act is repealed without a replacement? In their latest article for The Commonwealth Fund, CHIR experts Justin Giovannelli and Kevin Lucia find that it could look a lot like the regulatory landscape that existed in several states that tried to enact health reform in the past. The lessons from those experiences are grim.

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.