Tag: health insurance marketplace

Stabilizing the Affordable Care Act Marketplaces: Lessons from Medicare

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In the late 1990s, Medicare officials faced decisions by insurers to cancel nearly half of their Medicare Advantage contracts. In a new issue brief for the Robert Wood Johnson Foundation, Georgetown experts Jack Hoadley and Sabrina Corlette assess the policies and strategies adopted to manage instability in the Medicare Advantage and Part D markets and whether they can be used to stabilize the Affordable Care Act marketplaces. Key takeaways from that issue brief are shared here.

Wisconsin’s Objection to Automatic Re-enrollment of Enrollees in Federally Facilitated Marketplaces

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The administration recently issued a proposal to smooth renewals for consumers affected by insurance company exits from the health insurance marketplaces established by the Affordable Care Act (ACA). Wisconsin, which has been slow to warm to the ACA, is objecting on grounds that it violates principles of “consumer choice.” CHIR’s Sandy Ahn breaks down Wisconsin’s objection and contends the administration’s proposal not only protects consumer choice, but ensures continuous health insurance coverage for consumers.

State-Run SHOPs: An Update Three Years Post ACA Implementation

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Small-business owners face unique challenges covering their employees; to lower barriers and increase options, the Affordable Care Act (ACA) created the Small Business Health Options Program (SHOP). In a new blog published by The Commonwealth Fund, CHIR experts Emily Curran, Sabrina Corlette, and Kevin Lucia evaluate the current state of these marketplaces three years into implementation.

New Health Affairs Policy Brief Examines the Regulation of Health Plan Provider Networks

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Limited networks have become increasingly common on ACA marketplaces, comprising almost half of all offerings during the first two years of the exchanges. In a new policy brief for Health Affairs, CHIR experts Justin Giovannelli, Kevin Lucia, and Sabrina Corlette examine what the states and the federal government are doing to ensure that marketplace plan networks are adequate and transparent.

Kaiser Family Foundation Survey on Assister Programs Reflects Signs of Progress – and Opportunities for Improvement

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Assister programs and brokers play an integral role of navigating consumers through the marketplace enrollment process. Kaiser Family Foundation’s recent survey of these stakeholders indicates these programs will continue to be needed given the knowledge gaps that still exist among consumers and the high proportion of consumers who seek help with renewal. Current legal intern and guest blogger, Emma Chapman (Georgetown JD/MPP, expected 2018), summarizes the main findings of the survey.

Improving Marketplace Coverage for Children

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What does coverage look like for children on the Affordable Care Act health insurance marketplaces? A new report from Georgetown experts Kelly Whitener, JoAnn Volk, Sean Miskell and Joan Alker examines at the adequacy of coverage, affordability of coverage, and access to providers. This blog post provides some of their topline findings.

Beyond UnitedHealthcare: How Are Other Publicly Traded Insurers Faring on the Marketplaces?

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Two-and-one-half years in, how do we assess the success and stability of the Affordable Care Act’s health insurance marketplaces? Much ink has been spilled over the high-profile exit of UnitedHealthcare, but to gain a broader perspective, CHIR experts examined the first quarter earnings calls and regulatory filings for some of the largest, publicly traded insurers that participate in the marketplaces. Their latest article for the Commonwealth Fund shares what they learned.

Understanding Consumers’ Experience with Health Insurance: New California Report on Complaints Provides Insights

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Earlier this month, the California Office of the Patient Advocate (OPA) released its first annual report cataloguing consumer complaints and inquiries about their health plans across four California state health agencies. The report examines 27,028 consumer complaints that were closed in 2014. CHIR’s Hannah Ellison explores highlights of the report and discusses its potential for impact.

The Next Stage in Health Reform

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Health reform is entering a new stage. Going forward, federal and state policymakers must decide how to use the powers and tools granted them under the Affordable Care Act to stabilize risk pools, improve competition, and promote effective risk management. In this blog post Brookings scholar Henry Aaron and CHIR faculty Kevin Lucia and Justin Giovannelli discuss the challenges and opportunities ahead for the ACA’s marketplaces.

New Rules on Special Enrollment Periods: What Do They Mean for Consumers and the Assisters Who Help Them?

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What triggers a special enrollment period to allow someone to enroll on the individual market outside of open enrollment has been a hot debated topic of late. Recently the administration issued a new rule tightening what life events trigger a special enrollment period. CHIR’s Sandy Ahn summarizes the new rule and what it means for consumers and the assisters that help them.

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.