It’s a new year, and with it comes new hope for the Affordable Care Act’s (ACA) exchanges. Wall Street analysts recently released research that shows improvements in insurers’ finances for 2016, predicting even better margins for future years. But just as the markets are starting to stabilize, the incoming Congress and Administration are threatening to undo them.
The incoming Congress and Administration have pledged to repeal the Affordable Care Act but hope to minimize disruption by providing for a transition period. However, insurers must make key decisions about health plans and pricing far in advance of bringing those plans to market. In an ongoing series of articles for The Commonwealth Fund, CHIR experts Sabrina Corlette and Kevin Lucia partner with Julie Andrews of Wakely Consulting Group to examine how the uncertainty created by Congressional action could result in far fewer plan choices and significantly higher premiums for consumers.
The next President and Congress will likely need to consider policy options to help stabilize the Affordable Care Act health insurance marketplaces. But the challenges in those markets are not unique – Medicare Advantage markets have faced similar turmoil. In this blog post for Health Affairs, Sabrina Corlette and Jack Hoadley review the Bush administration’s policy responses to market instability in Medicare – and the lessons those policies hold for the ACA.
Two new studies captured our attention recently. One, from the U.S. Department of Health & Human Services examines enrollment in coverage inside and outside the health insurance marketplaces. The other, from Urban Institute researchers, examines different enrollment experiences between Medicaid expansion and non-expansion states. The Center for Children & Families’ Karina Wagnerman takes a closer look.
There’s a national election approaching but it isn’t for President. In just one week, consumers can vote for a new health plan on the Affordable Care Act’s health insurance marketplaces. To help them through that process, CHIR is proud to re-launch the Navigator Resource Guide, a searchable, online resource for close to 300 frequently asked questions about private health insurance and the marketplaces.
Insurers and other critics have called on the Obama Administration to shorten the 3-month grace period for paying overdue health plan premiums, asserting that consumers are abusing it. But as documented by the Center on Budget and Policy Priorities’ Tara Straw, such concerns reflect a misunderstanding of how grace periods work and are refuted by enrollment and disenrollment data.
Since the beginning of open enrollment season three years ago, the administration has continually made improvements to the shopping experience on healthcare.gov. As open enrollment is just a few short weeks away, CHIR’s Sandy Ahn summarizes what consumers shopping for a plan can expect.
We are well into the third tax year of ACA premium tax credits and the individual shared responsibility requirement. The IRS recently released a report on 2014 income tax filings that includes data on the first year of the PTC and ISRP. We analyzed this data to look at the tax credits and payments by income brackets and found that millions of low-income tax filers benefited from the PTC in 2014 – but millions of low-income tax filers also paid the ISRP, indicating that a very vulnerable population still lacks coverage.
On Monday, September 26th, CHIR’s very own Sabrina Corlette spoke at a briefing on the future of ACA marketplaces put on by the Alliance for Health Reform. Ms. Corlette joined representatives from Anthem, the American Action Forum, and Covered California to discuss the forecast for 2017 and potential policy solutions to expand coverage and access in the individual market.
The latest round of news about insurance company exits and price increases in the Affordable Care Act marketplaces has sparked more hand-wringing about the future of the law. But to truly assess how the law is working, we need to remember where we were, before the ACA, and how far we have come. Sabrina Corlette takes us down memory lane.
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.
