Tag: health insurance marketplace
Little Known Provision Keeps Kids From Slipping Through Cracks Due to Differences in Eligibility Rules
For the most part, the ACA tries to align the ways that Medicaid and the health insurance marketplaces determine eligibility for their respective programs. But every once in a while, there’s a risk that someone might fall through the cracks. This initially appeared to be the case when our colleague Tricia Brooks was asked to help with a complex family situation in which a child seemed to be caught between the differences between each program’s rules, putting him at risk of being uninsured. Fortunately, Tricia was able to unearth a little known but important rule that helps kids get the coverage they’re entitled to.
2016 Insurer Participation Remains Stable in State-Based Marketplaces
In the wake of the high-profile closures and departures of some health plans from the individual market, a close analysis of plan participation in the state-based marketplaces demonstrates that consumer choices remain relatively stable. In CHIR’s latest blog post for the Commonwealth Fund, Emily Curran, Justin Giovannelli and Kevin Lucia assess insurers’ participation in the state-run marketplaces and the policy levers in place to help foster competition.
Enroll Before Jan. 15 for Feb. 1 Coverage and Other Open Enrollment Reminders
With open enrollment set to close in two week, enroll now before or on January 15 to get coverage by February 1. As the clock ticks towards the end of January and the close of open enrollment, CHIR’s Sandy Ahn provides some reminders and references the Navigator Guide, your resource on eligibility, enrollment, and health insurance coverage.
Deadline for January 1, 2016 Coverage Approaching: What to Do
The deadline for having health insurance starting on January 1, 2016 is quickly approaching. Consumers who want marketplace coverage must enroll by December 15, 2015 for a January 1, 2016 effective date. CHIR summarizes what to do and highlights Frequently Asked Questions related to open enrollment.
No QHPs Comparable to CHIP, Says (Delayed) HHS Certification
The U.S. Department of Health and Human Services has finally released a long-awaited study comparing coverage in CHIP plans to qualified health plans offered through the Affordable Care Act marketplaces. Our colleague from Georgetown University’s Center for Children and Families, Elisabeth Wright Burak, takes a look and shares the (not altogether surprising) findings.
Feds Propose Changes – and an Expanded Role – for Marketplace Navigators
Shop to Renew During Open Enrollment
While many consumers with marketplace coverage will be eligible for automatic renewal, there are many reasons for all consumers to shop to renew this year. For example, price changes to health plans as well as changes to the health plans themselves will impact the amount of premium tax credits and coverage for many consumers. We go over the reasons why all consumers should shop to renew this open enrollment.
Who’s got the Best Crystal Ball? Estimates for 2016 ACA Enrollment
The Experiences of State-Run Insurance Marketplaces That Use HealthCare.gov
Whether their exchange is state-based or federally facilitated, many state policymakers are seeking ways to realize the advantages of a state-run marketplace model while minimizing, so far as possible, the financial and operational burdens of building or maintaining one. In a new issue brief for The Commonwealth Fund, CHIR researchers explore the experiences of four states that established their own exchanges but have operated them with support from the federal HealthCare.gov eligibility and enrollment platform.