State-Based Exchange Opens the Door for Public Option
In the wake of the COVID-19 pandemic and with the end of the Public Health Emergency (PHE) on the horizon, state policymakers are exploring options to expand healthcare coverage with
Record level health insurance enrollment on HealthCare.gov will cost states $2B this year
Enhanced subsidies enacted through the American Rescue Plan Act bolstered health insurance affordability and, consequently, most states across the country saw record-level enrollments for 2022. In fact, several states saw
Consumers In Non-Medicaid Expansion States Could Gain Access to Health Coverage through Exchanges
The Build Back Better Act, in its current state, could allow millions of Americans to access premium-reducing tax credit who currently do not qualify. To understand why this is important, we
How Health Insurance Exchanges Stack Up
States making the decision to take control of their health insurance market and establish a state-based marketplace (SBM) have many technology options to choose from. The state-based marketplace technology platform
Open Enrollment 2022 is Underway
Open Enrollment for Plan Year 2022 is underway. These past two years, the COVID-19 public health emergency (PHE) has brought to light how important it is to have health insurance.
Provisions of Updated Payment Parameters, Section 1332 Waiver Implementing Regulations, and Improving Health Insurance Markets for 2022 and Beyond
CMS recently issued a final rule entitled “Patient Protection and Affordable Care Act; Updating Payment Parameters, Section 1332 Waiver Implementing Regulations, and Improving Health Insurance Markets for 2022 and Beyond.” The
It Pays to be a State-Based Marketplace: CMS Awards $20M in Grant Money
CMS announced on September 10, 2021, that it would be “awarding $20 million in American Rescue Plan (ARP) grant funding to State-based Marketplaces (SBMs) to increase consumer access to affordable,
A Closer Look at Easy Enrollment
In recent years, encouraging those who are eligible for subsidies to enroll in Marketplace coverage has become a major focus for many states. Reducing the number of uninsured improves
1332 Waivers, State-Based Reinsurance Programs, and the Enhanced Premium Subsidies Enacted Under the American Rescue Plan
According to Section 1332 of the Affordable Care Act (ACA), a State may submit an application with the Department of Health and Human Services (HHS) requesting a waiver from many of the
Pennsylvania’s Results Prove Transition to State-Based Exchange a Success
Launching a state-based marketplace is a complex endeavor. Launching a state-based marketplace during a pandemic magnifies and adds to this complexity. Despite the obstacles COVID-19 added to 2020, or perhaps