Tag: state-based marketplace
Proposed Marketplace Program Integrity Rule: Summary and Implications for States
The U.S. Department of Health & Human Services has proposed new standards for Affordable Care Act marketplaces “program integrity.” CHIR expert Sabrina Corlette, in her latest piece for State Health & Value Strategies, summarizes the proposal and outlines implications for state marketplaces, insurance departments, and the consumers they serve.
States Lean In as the Federal Government Cuts Back: Navigator and Advertising Funding for the ACA’s Sixth Open Enrollment
With open enrollment into the Affordable Care Act marketplaces beginning November 1st, there will be considerable divergence among states in the amount of information and personalized assistance consumers receive about coverage options. While the federally run marketplace has dramatically cut back its investments in both advertising and the Navigator program, the state-based marketplaces are making big investments in those activities. In their latest To The Point blog for the Commonwealth Fund, CHIR’s Sabrina Corlette and Rachel Schwab discuss the findings from a new survey of state-based marketplaces.
States Opt to Run their Own Exchanges to Save Money, Reclaim Autonomy
Last month, the Board of New Mexico’s health insurance exchange voted to transition from HealthCare.gov to a state-based exchange. The state will undertake the task of building its own eligibility and enrollment platform with the hopes of launching a website in time for the 2021 plan year. This is the same exchange that, in 2015, called the federal platform HealthCare.gov the “safest, most risk-free way to proceed.” So, what changed? CHIR’s Rachel Schwab looks at the reasons behind the growing call to leave HealthCare.gov.
Proposed “Public Charge” Rule Risks Immigrants’ Access to Private Coverage, Too
A federal proposal would make it more difficult for immigrants to obtain a green card if they’ve received certain public benefits like Medicaid. Although the policy doesn’t include the Affordable Care Act’s premium tax credits in its list of public benefits, there are several ways the proposed rule could place immigrants’ access to private coverage at risk. Sabrina Corlette takes a look.
Bracing for an Affordable Care Act Enrollment Season Without Navigators: Risks for Consumers and the Market
The Centers for Medicare and Medicaid Services announced on July 10, 2018 that they would fund up to $10 million for Navigator programs in the 34 federally facilitated marketplace states in 2018, an over 80 percent cut from the program’s original funding. CMS is also encouraging applicants to educate consumers about plans that don’t meet Affordable Care Act standards. CHIR’s Olivia Hoppe explains the effects these changes could have on consumers and the market.
June Research Round Up: What We’re Reading
State officials, insurers, and consumer advocates and assisters are gearing up for a hectic 2019 enrollment season as federal uncertainty threatens the stability of the individual market. CHIR’s Olivia Hoppe dives into research about how the Affordable Care Act (ACA) has affected consumers’ access to insurance coverage and care. She also looks at research on reasons behind this year’s increased premium rates and last year’s surprisingly successful Open Enrollment season.
Stakeholders Respond to the Proposed Short-term, Limited Duration Insurance Rule. Part III: State Insurance Departments and Marketplaces
The Departments of Labor, Health & Human Services, and Treasury received over 9,000 comments on their proposed rule to expand the availability of short-term, limited duration insurance. CHIR reviewed comments submitted by stakeholders to better understand how the public is responding to the proposal. In part three of our four-part series, CHIR’s Sabrina Corlette summarizes feedback from state insurance departments and marketplaces.
May Research Round Up: What We’re Reading
In this month’s research round up, CHIR’s Olivia Hoppe looks into analyses of the success of recent stabilization efforts, the consequences of current federal uncertainty on health insurance coverage, best practices from the federally facilitated marketplace (FFM), third-party payment programs, and why in the world hospital visits cost so much money for the privately insured.
April Research Round Up: What We’re Reading
In CHIRblog’s April installment of What We’re Reading, CHIR’s Olivia Hoppe digs into reports that highlight 2018 Affordable Care Act enrollment outcomes and policies that will affect 2019, the risks of short-term health plans, the impact of the ACA’s marketplaces on individuals with chronic health conditions, and the rising prevalence of health savings accounts and high-deductible health plans.