Tag Archives: ACA Marketplaces

Administration’s Ending Of Cost-Sharing Reduction Payments Likely To Roil Individual Markets

Ending cost-sharing reduction payments to insurers is another sign that President Trump is doing what he can to undermine the stability of the individual market under the ACA. This action will have a much more immediate impact than the measures Trump announced in yesterday’s executive order.

October 13, 2017

Investing To Save: Marketing Builds Stable Marketplaces And Saves Money

If CMS increased marketing and outreach spending to $480 million, the federally facilitated marketplace would see an increase in enrollment and a healthier risk mix, leading to lower costs for consumers.

September 13, 2017

House, Administration Oppose State Intervention In House v. Price; New Developments In ACA Section 1557 Case

The House and HHS have opposed the motion by 18 state attorneys general to intervene in the government’s appeal of House v. Price. Also, there are two new decisions in the challenge to protections against discrimination because of gender identity and termination of pregnancy under ACA Section 1557.

July 11, 2017

CMS Highlights Counties With Limited Or Zero Marketplace Insurance Options

Forty-nine counties including 36,000 active exchange participants currently have no insurers offering coverage through the exchanges for 2018.

June 27, 2017

On AHCA, CMS Actuary Finds Smaller Coverage Losses, Smaller Spending Reductions Than CBO

The June 13 CMS Actuary’s Report on the AHCA addresses different questions than the CBO reports on the legislation. Where it measures more or less the same thing it offers different numbers. This post examines that report and notes other developments related to the health reform discussion.

June 14, 2017

Amid ACA Uncertainty, Covered California’s Risk Profile Remains Stable

One of the constant concerns about the ACA and the status of the exchanges involves the average health status of enrollees in these state Marketplaces. Results reveal encouraging news, for amid talk of death spirals, it suggests Covered California continues to attract a healthy mix of enrollees.

May 15, 2017

The ‘Medicaidization’ Of The Health Insurance Marketplaces: A Necessary Trend

Many insurers have ably managed their sicker- and poorer-than-expected Marketplace membership by borrowing from the playbook of the most similar market, Medicaid. Health plans must employ this playbook to well-serve a population that both parties believe needs coverage.

May 8, 2017

Marketplace Enrollment Down From Last Year Following Post-Trump Inauguration Drop-Off (Updated)

A total of 12.2 million people selected or were automatically enrolled in marketplace plans during the 2017 ACA open enrollment period, reflecting a late-January enrollment slowdown. And the IRS temporarily waived employer penalties connected with a notice about a new health care financing vehicle.

March 16, 2017

Unpacking The Trump Administration’s Market Stabilization Proposed Rule

On February 15, HHS released its first notice of proposed rulemaking of the Tom Price era, intended to shore up the individual health insurance markets. What’s in the proposed rule, what might its effects be, and what else must be done to stabilize the markets?

February 16, 2017

ACA Round-Up: Market Stabilization, Fixed-Indemnity Plans, Cost-Sharing Reductions, And Penalty Updates

The administration sent to the Office of Management and Budget a proposed “market stabilization” rule, while the IRS addressed the tax treatment of benefits paid by fixed-indemnity health plans.

February 8, 2017