Hard to believe, but open enrollment for 2016 coverage is just four months away. As we get closer to the start of OE 2016 – November 1, 2015 to January 31, 2016 – CHIR’s Sandy Ahn highlights some of the FFM’s approach to redeterminations and re-enrollments.
On July 7 the Senate Health Education Labor and Pensions Committee held a roundtable discussion about challenges and opportunities facing the small business health insurance market. CHIR Senior Research Fellow Sabrina Corlette was invited to join the conversation about the SHOP marketplaces, self-funded plans, the change in the definition of the small group market, and more.
In the wake of the Supreme Court’s decision in King v. Burwell, our colleague at Georgetown University Law Center’s O’Neill Institute, Tim Westmoreland, considers the case. He finds that, for all the accompanying politics and drama, it never passed the laugh test.
The Affordable Care Act’s Summary of Benefits and Coverage – standardized, easy-to-use summaries of health plan benefits got an update last week with new regulations out from the Obama Administration. CHIR’s JoAnn Volk provides an overview – as well as a preview of some likely additional upgrades.
There’s been some renewed attention to the status and future of the small business health insurance market, particularly as an Affordable Care Act reform scheduled to go into effect in 2016 could cause some disruption. Last week CHIR researchers contributed to three great new resources to help policymakers and others understand changes in the market and some of the challenges ahead.
Beginning in 2016, the Affordable Care Act requires states to change the definition of “small employer” from one with up to 50 employees to up to 100 employees. Such a change could affect health insurance coverage and prices for small businesses and their workers. However, many states are taking advantage of a transition period offered by the Obama Administration that would delay this change. Ashley Williams and Sabrina Corlette, in their latest blog post for the Commonwealth Fund, report on the results of a 50-state survey and the implications for the small group insurance market.
The Affordable Care Act requires most health plans to cover preventive services without cost sharing and enables consumers to access evidence-based medical care such as cancer screenings and immunizations for children. Implementation of this requirement, however, has raised questions and caused confusion among insurers, providers and consumers. Sandy Ahn reviews the Administration’s most recent guidance on this critical ACA provision, designed to clarify for insurers what they must do to comply and ensure that consumers receive the benefits they are promised under the law.
State-based marketplaces created under the Affordable Care Act are contemplating their financial sustainability now that federal grant dollars are no longer available. In their latest blog post for the Commonwealth Fund, CHIR researchers examine the range of state approaches to generating revenue and trimming budgets.
Discussion of new “superwaiver” authority is a hot topic among many state and health policy circles. The Affordable Care Act allows states to modify key reforms beginning in 2017 through a so-called 1332 waiver application. States could also choose to coordinate this waiver with Medicaid and/or CHIP reforms through a 1115 waiver. CHIR’s Sabrina Corlette and Joan Alker of the Center for Children and Families assess the waiver process outlined to date and the need for transparency and stakeholder input on the critical policy decisions that will be required.
Did you know states need to select their Essential Health Benefits (EHB) benchmark plan for 2017 in just a few weeks? If not, JoAnn Volk will tell you about the process underway and how advocates can get involved.
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.
