Tag: aca implementation

The Ins and Outs of the New Approach to Special Enrollment Periods: Pre-enrollment Verification (SEPV)

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Starting June 23, 2017, healthcare.gov will be rolling out a special enrollment period pre-enrollment verification (SEPV) process, which will require new consumers applying for marketplace coverage because of loss of minimum essential coverage (MEC) or permanently moving to prove their eligibility for a special enrollment period. How will this process work and what do consumer assisters need to know? CHIR’s Sandy Ahn provides a summary.

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

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On April 18, the United States Court of Federal Claims dismissed Blue Cross and Blue Shield of North Carolina’s risk corridor lawsuit, ruling that the insurer’s claim was premature. CHIR’s Emily Curran delves into this and other lawsuits filed by health insurers across the country, all of whom seek to recoup critical premium stabilization funding from the federal government.

Proposed Pre-Verification Process for Special Enrollment Periods: Policy Goals, Potential Impact, and the need for State Flexibility

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In the wake of failed congressional attempts to repeal and replace the Affordable Care Act, we turn back our focus on the administration and its approach to the marketplaces. The proposed market stabilization rule would require a pre-verification process for special enrollment periods for all marketplaces, including states operating their own. This move is largely in response to insurer concerns, indicating an interest in working with participating marketplace insurers. But how does this fare with states that have their own special enrollment processes? CHIR’s Sandy Ahn takes a look.

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

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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.

Risky Business: Health Actuaries Assess the Individual Market and Rates

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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.

Repealing The ACA Could Worsen The Opioid Epidemic

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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.

Promising Steps to Strengthen Marketplace Risk Pools Could be in Vain, if Affordable Care Act is Repealed

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While critics have been describing the demise of the marketplaces established by the Affordable Care Act, the Obama Administration has been taking steps to strengthen the risk pool and to ensure its long-term sustainability. These promising steps are now at risk under the threat of repeal with nothing to replace approach that Congressional leaders and the new administration seem to be taking. At risk and in jeopardy is the coverage of millions of people. CHIR’s Sandy Ahn takes a look.

President Obama’s Health Care Legacy

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The end of the Obama Presidency is an opportunity to step back and assess his health care legacy and the historic accomplishment of health care reform. CHIR’s Sabrina Corlette shares her take for CNN.

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.